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Creating high-quality radiology reports in foreign languages through multilingual structured reporting

  • Radiological Education
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Abstract

Objectives

Globalization and migration are increasing the demand for reports in different languages. We aimed to examine if structured reports created by non-German-speaking radiologists with multilingual templates show significant differences in quality to structured reports and free-text reports by German native speakers.

Methods

We used structured templates that allow radiologists to report in their mother tongue and then switch the report language to German or English automatically using proprietary software. German- and English-speaking radiology residents created structured reports in both German and English with these templates. Reports for three different exam types were created (intensive care chest x-ray, shoulder x-ray specifically for degenerative processes, and CT pulmonary angiogram for pulmonary embolism). The report quality of automatically translated German structured reports by English-speaking radiologists and German structured reports by German radiologists was then evaluated by German clinicians with a standardized questionnaire. The questionnaire was designed to assess attributes including content, comprehensibility, clinical consequences, and overall quality.

Results

Structured reports by English-speaking radiologists that were automatically translated into German and German structured reports by German radiologists both received very high or high overall quality ratings in the majority of cases, showing no significant differences in quality. Likewise, no significant differences were observed between the two report types regarding comprehensibility and clinical consequences. Structured reports by German radiologists received significantly better ratings for overall quality and comprehensibility compared to free-text reports by German radiologists.

Conclusions

Multilingual structured reporting templates may serve as a feasible tool for creating high-quality radiology reports in foreign languages.

Key Points

• Multilingualism in structured reporting templates can be a useful tool for creating high-quality radiology reports in foreign languages.

• German reports created with multilingual structured reporting templates by English-speaking radiologists and German structured reports by German radiologists exhibit no significant differences in overall report quality.

• Multilingual structured reporting templates can help radiologists overcome communication barriers and facilitate teleradiology.

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Abbreviations

ES:

English-speaking radiologists

FTR:

Free-text report

FTR_GS:

Free-text reports by German speakers

GS:

German-speaking radiologists

IMG:

International medical graduate

RSNA:

Radiological Society of North America

SR:

Structured report

SR_ES:

Structured reports by English speakers automatically translated into German

SR_GS:

Structured reports by German speakers

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Funding

The authors state that this work has not received any funding.

Author information

Author notes

  1. L. M. Sobez and S. H. Kim contributed equally to this work.

Authors and Affiliations

  1. Department of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany

    L. M. Sobez, S. H. Kim, W. H. Sommer, B. Sabel, D. Nörenberg & F. Galiè

  2. Department of Internal Medicine IV, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany

    M. Angstwurm & S. Störmann

  3. Department of Trauma Surgery, Technical University of Munich (TUM), Ismaningerstr. 22, 81675, Munich, Germany

    D. Pförringer

  4. Department of Orthopaedic Surgery, University of Munich (LMU), Marchioninistr. 15, 81377, Munich, Germany

    F. Schmidutz

  5. BG Trauma Center Tübingen, University of Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany

    F. Schmidutz

  6. School of Biomedical Engineering and Imaging Sciences, King’s Health Partners, St Thomas’ Hospital, King’s College London, London, SE1 7EH, UK

    D. Prezzi & C. Kelly-Morland

  7. Department of Radiology, Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London, SE1 7EH, UK

    D. Prezzi & C. Kelly-Morland

  8. Institute for Medical Education, University Hospital, LMU Munich, Pettenkoferstraße 8a, 80336, Munich, Germany

    M. Berndt

Authors
  1. L. M. Sobez
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  2. S. H. Kim
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  9. W. H. Sommer
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  10. B. Sabel
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Corresponding author

Correspondence to F. Galiè.

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Guarantor

The scientific guarantor of this publication is Wieland H. Sommer.

Conflict of interest

The following authors of this manuscript declare relationships with Smart Reporting GmbH (online software company for structured reporting templates):

Lara Sobez: created structured templates; Su Hwan Kim: created and reviewed structured templates; Franziska Galiè: created and reviewed structured templates, background research; Wieland Sommer: co-founder.

All other authors declare no conflict of interest relevant to the study.

Statistics and biometry

No complex statistical methods were necessary for this paper.

Informed consent

Written informed consent was waived by the Institutional Review Board.

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Institutional Review Board approval was obtained.

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• retrospective

• quantitative

• single-center study

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Sobez, L.M., Kim, S.H., Angstwurm, M. et al. Creating high-quality radiology reports in foreign languages through multilingual structured reporting. Eur Radiol 29, 6038–6048 (2019). https://doi.org/10.1007/s00330-019-06206-8

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