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Abstract #2630

Do MRI structured reports
 for diabetic foot contain concise information for clinical application?

Li Guo1, Xiaoying Wang1, Xin Qi2, Yufeng Xu1, Yong Huang1, and Xueying Li3

1Department of Radiology, Peking University First Hospital, Beijing, China, 2Department of Plastic Surgery & Burn, Peking University First Hospital, Beijing, China, 3Department of Biostatistics, Peking University First Hospital, Beijing, China

The aim of this study is to evaluate if structured reporting of MRI in diabetic foot(DF) contain concise information for clinical application compared with nonstructured reporting. Thirty nonstructured foot MRI reports of patients with DF were included, and another structured report was written for each patient. Three readers (A, B&C) evaluated the nonstructured and structured reports. Statistical analysis included Wilcoxon signed ranks tests and chi-square tests. All readers needed shorter time to understand the structured reports. For the 8 features for DF, two readers could understand bone edema significantly more often when reading structured versus nonstructured reports. All readers needed to evaluate images when reading nonstructured reports, 2 radiologists (reader A&C) needed to evaluate images when reading structured reports, and reader B(doctor of burn & plastic surgery) only needed 4(13.3%) to evaluate images when reading the structured reports. All readers missed Charcot joint and fracture when reading nonstructured reports, but only reader A missed fracture and reader C missed Charcot joint when reading structured reports. All readers found another abscess when reading structured reports. In conclusion, structured reports of MRI in patients with DF provided more concise information for clinical application than nonstructured reports.

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