Report Communication Standards

Part of the Medical Radiology book series (MEDRAD)


Good communication is essential in medicine, and particularly in radiology. Radiology is a supporting specialty with a mainly consultative function. The service rendered by radiologists can be roughly divided into two distinct but inseparable parts: analyzing the images on the one hand, and reporting the findings on the other. The radiology report is the core of the communication by the radiologist (Flanders and Lakhani 2012), and in a way our product, the end stage of the workflow.



American College of Radiology


Automated critical test result notification system


Digital imaging and communications in medicine


Electronic health record


European society of radiology


Hospital information system


Natural language processing


Picture archiving and communication system


Radiology information system


Systematized nomenclature of medicine—clinical terms


Structured reporting


  1. Euratom Anon (2013) Council Directive 2013/59 EURATOM of 5 December 2013 laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation, and repealing Directives 89/618/Euratom, 90/641/Euratom, 96/29/Euratom, 97/43/Euratom and 2003/122/Euratom. Available: Accessed 8 May 2017
  2. Armas R (1998) Qualities of a good radiology report. Am J Roentgenol 170:1110CrossRefGoogle Scholar
  3. Berlin L (2013) TAC: AOITROMJA? (the acronym conundrum: advancing or impeding the readability of medical Journal articles?). Radiology 266(2):383–387CrossRefGoogle Scholar
  4. Bosmans J (2011) The radiology report, from prose to structured reporting and back again? Ph.D. thesis, University of Antwerp. Available: Accessed 8 May 2017
  5. Bosmans J (2013) Abbreviations in request forms. Radiology 268(2):610–610CrossRefGoogle Scholar
  6. Bosmans J (2015) What are the concrete benefits of structured reporting for the referring physicians? European Congress of Radiology 2015, Vienna (oral presentation)Google Scholar
  7. Bosmans J, Weyler J, Parizel P (2009) Structure and content of radiology reports, a quantitative and qualitative study in eight medical centers. Eur J Radiol 72(2):354–358CrossRefGoogle Scholar
  8. Bosmans J, Weyler J, De Schepper A, Parizel P (2011a) The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology 259(1):184–195CrossRefGoogle Scholar
  9. Bosmans J, Peremans L, De Schepper A, Duyck P, Parizel P (2011b) How do referring clinicians want radiologists to report? Suggestions from the COVER survey. Insights Imaging 2(5):577–584CrossRefGoogle Scholar
  10. Cook T, Oh S, Kahn C (2017) Patients’ use and evaluation of an online system to annotate radiology reports with lay language definitions. Acad Radiol. doi:  10.1016/j.acra.2017.03.005. [Epub ahead of print]CrossRefGoogle Scholar
  11. European Society of Radiology (ESR) (2011a) ESR guidelines for the communication of urgent and unexpected findings. Insights Imaging 3(1):1–3CrossRefGoogle Scholar
  12. European Society of Radiology (ESR) (2011b) Good practice for radiological reporting. Guidelines from the European Society of Radiology (ESR). Insights Imaging 2(2):93–96CrossRefGoogle Scholar
  13. European Society of Radiology (ESR) (2015) Summary of the European directive 2013/59/Euratom: essentials for health professionals in radiology. Insights Imaging 6(4):411–417CrossRefGoogle Scholar
  14. Flanders A, Lakhani P (2012) Radiology reporting and communications. Neuroimaging Clin N Am 22(3):477–496CrossRefGoogle Scholar
  15. Friedman P (1983) Radiologic reporting: structure. Am J Roentgenol 140:171–172CrossRefGoogle Scholar
  16. Gorniak R, Flanders A, Sharpe R (2013) Trainee report dashboard: tool for enhancing feedback to radiology trainees about their reports. Radiographics 33(7):2105–2113CrossRefGoogle Scholar
  17. Grigg E (1965) The trail of the invisible light. 1st edn. Charles C Thomas (Ed.). Springfield IL. pp 692–693Google Scholar
  18. Hall F (2000) Language of the radiology report: a primer for residents and wayward radiologists. Am J Roentgenol 175:1239–1242CrossRefGoogle Scholar
  19. Kushner D, Lucey L, American College of Radiology (2005) Diagnostic radiology reporting and communication: the ACR guideline. J Am Coll Radiol 2(1):15–21CrossRefGoogle Scholar
  20. Lacson R, O'Connor SD, Andriole KP, Prevedello LM, Khorasani R (2014) Automated critical test result notification system: architecture, design, and assessment of provider satisfaction. Am J Roentgenol 203(5):W491–W496. doi: 10.2214/AJR.14.13063 CrossRefGoogle Scholar
  21. Langlotz CP (2015) The radiology report, a guide to thoughtful communication for radiologists and other medical professionals, 1st edn. CreateSpace Independent Publishing Platform, San Bernardino. ISBN 978-1515174080Google Scholar
  22. van Loenhout R, Zijta F, Lahaye M, Beets-Tan R, Smithuis R (2015) Rectal Cancer - MR staging 2.0. Available: Accessed 8 May 2017
  23. Ranschaert E (2016) The impact of information technology on radiology services. Ph.D. thesis, University of Antwerp. Available: Accessed 8 May 2017
  24. Revak C (1983) Dictation of radiologic reports (letter). Am J Roentgenol 141:210Google Scholar
  25. Rylands-Monk F (2015) Standardization moves streamline Europe's reporting structures. ECR Today newspaper, March 4, 11. Available: Accessed 20 May 2017
  26. Schiavon F, Grigenti F, Van Terheyden N (2008) Radiological reporting in clinical practice, 1st edn. Springer, MilanCrossRefGoogle Scholar
  27. Sherry C, Adams M, Berlin L, Fajardo L, Gazelle G (2011) ACR practice guideline for communication of diagnostic imaging findings. Available: Accessed 8 May 2017
  28. Sistrom C, Lanier L, Mancuso A (2004) Reporting instruction for radiology residents. Acad Radiol 11(1):76–84CrossRefGoogle Scholar
  29. Surrey D, Sharpe R, Gorniak R, Nazarian L, Rao V, Flanders A (2013) QRSE: a novel metric for the evaluation of trainee radiologist reporting skills. J Digit Imaging 26(4):678–682CrossRefGoogle Scholar
  30. Van Borsel M, Devolder P, Bosmans J (2016) Software solutions alone cannot guarantee useful radiology requests. Acta Radiol 57(11):1366–1371CrossRefGoogle Scholar
  31. Wallis A, McCoubrie P (2011) The radiology report—are we getting the message across? Clin Radiol 66(11):1015–1022CrossRefGoogle Scholar
  32. Weiss D, Kim W, Branstetter B, Prevedello L (2014) Radiology reporting: a closed-loop cycle from order entry to results communication. J Am Coll Radiol 11(12):1226–1237CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Vice-president of EUSOMIIRadiologist, H. HartziekenhuisFlandersBelgium
  2. 2.Staff RadiologistGhent University HospitalFlandersBelgium
  3. 3.Visiting Professor, Ghent UniversityFlandersBelgium
  4. 4.Visiting Lecturer, University of AntwerpFlandersBelgium

Personalised recommendations