Evaluation of Audiovisual Reports to Enhance Traditional Emergency Musculoskeletal Radiology Reports


Traditional radiology reports are narrative texts that include a description of imaging findings. Recent implementation of advanced reporting software allows for incorporation of annotated key images and hyperlinks directly into text reports, but these tools usually do not substitute in-person consultations with radiologists, especially in challenging cases. Use of on-demand audio/visual reports with screen capture software is an emerging technology, providing a more engaged imaging service. Our study evaluates a video reporting tool that utilizes PACS integrated screen capture software for musculoskeletal imaging studies in the emergency department. Our hypothesis is that referring orthopedic surgeons would find that recorded audio/video reports add value to conventional reports, may increase engagement with radiology staff, and also facilitate understanding of imaging findings from urgent musculoskeletal cases. Seven radiologists prepared a total of 47 audiovisual reports for 9 attending orthopedic surgeons from the emergency department. We applied two surveys to evaluate the experience of the referring physicians using audio/visual reports as a complementary material from the conventional text report. Positive responses were statistically significant in most questions including: if the clinical suspicion was answered in the video; willingness to use such technology in other cases; if the audiovisual report made the imaging findings more understandable than the traditional report; and if the audiovisual report is faster to understand than the traditional text report. Use of audiovisual reports in emergency musculoskeletal cases is a new approach to evaluate potentially challenging cases. These results support the potential of this technology to re-establish the radiologist’s role as an essential member of patient care and also provide more engaging, precise, and personalized reports. Further studies could streamline these methods in order to minimize work redundancy with traditional text reporting or even evaluate acceptance of using only audiovisual radiology reports. Additionally, widespread adoption would require integration with the entire radiology workflow including non-urgent cases and other medical specialties.

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The authors would like to thank the orthopedic surgeons and radiologists involved in this work.

Availability of Data and Materials

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Author information




IG provided the clinical data included in the text. IG wrote the manuscript draft. IG and LPN revised it critically and approved the modified text. IG, LPN, and AS approved the final version of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Ivan R. B. Godoy.

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This study was approved by the Institutional Review Board and was compliant with HIPAA guidelines.

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Video 1

Example of an audiovisual report. CT images of a 73-year-old female patient with right hip pain after trauma showing a cominutive and dislocated acetabular fracture. (MP4 5641 kb)

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Neto, L.P., Godoy, I.R.B., Yamada, A.F. et al. Evaluation of Audiovisual Reports to Enhance Traditional Emergency Musculoskeletal Radiology Reports. J Digit Imaging 32, 1081–1088 (2019). https://doi.org/10.1007/s10278-019-00261-9

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  • Video recording
  • Web technology
  • Radiology workflow
  • Radiology report
  • Software design
  • Audio/video report
  • Software
  • Audiovisual
  • Musculoskeletal