PDF(Pubmed)
Abstract：
UNASSIGNED: Standardized consensus-based radiological reports for shoulder instability may improve clinical quality, reduce heterogeneity, and reduce workload. Therefore, the aim of this study was to determine important elements for the x-ray, magnetic resonance imaging (MRI) arthrography (MRA), and computed tomography (CT) report, the extent of variability, and important MRI views and settings.
UNASSIGNED: An expert panel of musculoskeletal radiologists and orthopedic surgeons was recruited in a three-round Delphi design. Important elements were identified for the x-ray, MRA, and CT report and important MRI views and setting. These were rated on a 0-9 Likert scale. High variability was defined as at least one score between 1-3 and 7-9. Consensus was reached when ≥80% scored an element 1-3 or 7-9.
UNASSIGNED: The expert panel consisted of 21 musculoskeletal radiologists and 15 orthopedic surgeons. The number of elements identified in the first round was seventeen for the x-ray report, 52 for MRA, 21 for CT, and 23 for the MRI protocol. The number of elements that reached consensus was five for x-ray, twenty for MRA, nine for CT, and two for the MRI protocol. High variability was observed in 76.5% (n = 13) x-ray elements, 85.0% (n = 45) MRA, 76.2% (n = 16) CT, and 85.7% (n = 18) MRI protocol.
UNASSIGNED: Substantial variability was observed in the scoring of important elements in the radiological for the evaluation of anterior shoulder instability, regardless of modality. Consensus was reached for five elements in the x-ray report, twenty in the MRA report, and nine in the CT report. Finally, consensus was reached on two elements regarding MRA views and settings.
UNASSIGNED: An expert panel of musculoskeletal radiologists and orthopedic surgeons was recruited in a three-round Delphi design. Important elements were identified for the x-ray, MRA, and CT report and important MRI views and setting. These were rated on a 0-9 Likert scale. High variability was defined as at least one score between 1-3 and 7-9. Consensus was reached when ≥80% scored an element 1-3 or 7-9.
UNASSIGNED: The expert panel consisted of 21 musculoskeletal radiologists and 15 orthopedic surgeons. The number of elements identified in the first round was seventeen for the x-ray report, 52 for MRA, 21 for CT, and 23 for the MRI protocol. The number of elements that reached consensus was five for x-ray, twenty for MRA, nine for CT, and two for the MRI protocol. High variability was observed in 76.5% (n = 13) x-ray elements, 85.0% (n = 45) MRA, 76.2% (n = 16) CT, and 85.7% (n = 18) MRI protocol.
UNASSIGNED: Substantial variability was observed in the scoring of important elements in the radiological for the evaluation of anterior shoulder instability, regardless of modality. Consensus was reached for five elements in the x-ray report, twenty in the MRA report, and nine in the CT report. Finally, consensus was reached on two elements regarding MRA views and settings.
摘要：
■标准化的基于共识的肩部不稳定放射学报告可能会提高临床质量，减少异质性，减少工作量。因此,这项研究的目的是确定X射线的重要元素，磁共振成像（MRI）关节造影（MRA），和计算机断层扫描（CT）报告，变异性的程度，和重要的MRI视图和设置。
■一个由肌肉骨骼放射科医生和骨科医生组成的专家小组在一个三轮德尔福设计中被招募。确定了X射线的重要元素，MRA,和CT报告和重要的MRI视图和设置。这些以0-9李克特量表进行评级。高变异性定义为1-3和7-9之间的至少一个分数。当≥80%得分为1-3或7-9时，达成共识。
■专家小组由21名肌肉骨骼放射科医师和15名骨科医生组成。第一轮x光报告中确定的元素数量为17个，52用于MRA，21为CT，和23用于MRI方案。达成共识的元素数量是X射线的五个，MRA的二十个，九为CT，和两个用于MRI协议。在76.5％（n=13）的X射线元素中观察到高变异性，85.0%(n=45)MRA,76.2%(n=16)CT,85.7%(n=18)的MRI方案。
■在评估肩前不稳定的放射学重要元素的评分中观察到了很大的变异性，不管模态。就X射线报告中的五个要素达成了共识，MRA报告中的20个，CT报告中有9个.最后,就关于MRA观点和设置的两个要素达成共识.
■一个由肌肉骨骼放射科医生和骨科医生组成的专家小组在一个三轮德尔福设计中被招募。确定了X射线的重要元素，MRA,和CT报告和重要的MRI视图和设置。这些以0-9李克特量表进行评级。高变异性定义为1-3和7-9之间的至少一个分数。当≥80%得分为1-3或7-9时，达成共识。
■专家小组由21名肌肉骨骼放射科医师和15名骨科医生组成。第一轮x光报告中确定的元素数量为17个，52用于MRA，21为CT，和23用于MRI方案。达成共识的元素数量是X射线的五个，MRA的二十个，九为CT，和两个用于MRI协议。在76.5％（n=13）的X射线元素中观察到高变异性，85.0%(n=45)MRA,76.2%(n=16)CT,85.7%(n=18)的MRI方案。
■在评估肩前不稳定的放射学重要元素的评分中观察到了很大的变异性，不管模态。就X射线报告中的五个要素达成了共识，MRA报告中的20个，CT报告中有9个.最后,就关于MRA观点和设置的两个要素达成共识.
