Publication

Subspecialized radiological reporting reduces radiology report turnaround time

Journal Paper/Review - Oct 30, 2020

Units
Keywords
PubMed
Doi
Link
Contact

Citation
Zabel A, Leschka S, Wildermuth S, Hodler J, Dietrich T. Subspecialized radiological reporting reduces radiology report turnaround time. Insights Imaging 2020; 11:114.
Project
Type
Journal Paper/Review (English)
Journal
Insights Imaging 2020; 11
Publication Date
Oct 30, 2020
Issn Print
1869-4101
Issn Electronic
Pages
114
Publisher
Brief description/objective

OBJECTIVES
The objective of this study was to compare the radiology report turnaround time (RTAT) between decentralized/modality-based and centralized/subspecialized radiological reporting at a multi-center radiology enterprise.

METHODS
RTAT values for MRI, CT, and conventional radiography were compared between decentralized/modality-based (04 September 2017-22 December 2017) and centralized/subspecialized radiology (03 September 2018-21 December 2018) reporting grouped into three subspecializations (body radiology, musculoskeletal radiology, and neuroradiology) at eleven sites of a multi-center radiology enterprise. For the objective of this investigation, hospitals were defined as major and minor hospitals. The Mann-Whitney U test served for statistical analyses.

RESULTS
Change of reporting system from decentralized/modality-based to centralized/subspecialized radiology resulted overall in a significant decrease of the RTAT: from 82 to 77 min for the first signature (p < 0.001), and 119 to 107 min and 295 to 238 min for the second signature (p < 0.001). Subgroup analyses demonstrate a significant decrease of the RTAT for MRI reports (e.g., second signature RTAT, 1051 to 401 min; p < 0.001) and conventional radiographs (e. g., second signature RTAT, 278 to 171 min; p < 0.001). The RTAT at major hospitals decreased from 288 to 245 min (second signature; p < 0.001) while the corresponding RTAT of minor hospitals decreased more remarkably, from 300 to 198 min (p < 0.001). However, the results were heterogenous; in some analyses, the RTAT even increased. The effect size analyses represent small effects.

CONCLUSIONS
Change of reporting system from decentralized/modality-based to centralized/subspecialized radiology was associated with a significant decreased RTAT. Specifically, the RTAT for MRI reports and conventional radiographs was significantly reduced. A pronounced RTAT decrease was observed at minor hospitals.