Advertisement

Reporting and Dictation

  • David L. Weiss
  • Peter R. Bolos
Chapter

Abstract

Since the discovery of the X-ray in 1896 radiology reporting has changed very little until the past decade. Very early reports were typed or handwritten by the radiologist. Later, reports were dictated into a recording device and later transcribed to text. Most reports were in prose format. Fewer were in a list or itemized configuration. There has been recent renewed interest in other reporting techniques. Speech recognition has been available for a number of years and has become more prevalent, albeit controversial, in the past decade. Although structured reporting has been available for a number of years, it is not widespread in radiology practice.

Keywords

Speech Recognition Unify Medical Language System Structure Reporting Speech Recognition System Teaching File 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Langlotz CP, Caldwell SA. The Completeness of Existing Lexicons for Representing Radiology Report Information. J Digit Imaging. 2002;15(Suppl 1):201–5.Google Scholar
  2. RadLex Steering Subcommittee: RadLex: A lexicon for uniform indexing and retrieval of radiology information resources. Available at: http://www.rsna.org/radlex/. Accessed May 27, 2008.
  3. Reiner B, Siegel E, Weiss D, eds. Electronic Reporting in the Digital Medical Enterprise. Great Falls, VA: Society for Computer Applications in Radiology; 2003.Google Scholar
  4. Rubin DL. Creating and curating a terminology for radiology: ontology modeling and analysis. J Digit Imaging. 2008 Dec;21(4):355–62.Google Scholar
  5. Sistrom CL, Honeyman-Buck J. Free text versus structured format: information transfer efficiency of radiology reports. AJR Am J Roentgenol. 2005 Sep;185(3):804–12.Google Scholar
  6. Weiss DL, Siddiqui K, Scopelliti, J. Radiologist assessment of PACS user interface devices. J Am Coll Radiol. Apr:3(4): 265–273.Google Scholar

Copyright information

© Society for Imaging Informatics in Medicine 2009

Authors and Affiliations

  • David L. Weiss
    • 1
  • Peter R. Bolos
    • 2
  1. 1.Department of RadiologyCarilion ClinicRoanokeUSA
  2. 2.Geisinger Medical CenterDanvilleUSA

Personalised recommendations