Table 1.
Attribute | Characteristic with examples | |
---|---|---|
1 | Date of Exam | Date, time of the imaging (e.g. MRI spine for suspected Cauda Equina signifies an urgent imaging) |
2 | Name or Type of Exam Type of radiographic view |
|
| ||
3 | Interpreting Radiologist | The name of the reporting Radiologist who read the diagnostic imaging exam and available for further clarification of the report if required |
4 | Clinical Query | Background interpretation of clinical history provided by the requesting surgeon and surgeon's query. |
5 | Type of report |
|
5 | Technique | Technical details of the exam (such as “2-view x-ray” or “2 mm axial images for CT” or FS-STIR for MRI), and if contrast was used. |
6 | Comparison | Describe the present study and use past tense to describe comparison with previous studies/images. |
7 | Contents/Findings /Impression |
|
8 | Follow-up Suggestions | Radiologist recommendation on follow up testing/imaging studies (e.g. a biopsy or additional diagnostic imaging) |
9 | Subspeciality reporting |
|
10 | Conclusion | An effective conclusion to summarise key findings |
Abbreviations: CT= Computerised Tomography; MRI = Magnetic Resonance Imaging; FS-STIR= Fat Suppressed - Short-TI Inversion Recovery; MDT = Multidisciplinary Team meeting.