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  • Radiology Reporting Initiative

  • What is the Radiology Reporting Initiative?

    The clinical report is an essential part of the service that we provide to our patients. The report communicates information to referring physicians, records information for future use, and serves as the legal record that documents the episode of care. Ideally, the radiology report should be consistent, comprehensive, easily managed, and "readable" to humans and machines alike.

    The RSNA reporting initiative is improving radiology practice by creating a library of clear and consistent report templates. These templates make it possible to integrate evidence collected during the imaging procedure, including clinical data, coded terminology, technical parameters, measurements, annotations and key images. Twelve subcommittees of subspecialty experts and several leading radiology departments have created a library of more than 200 radiology report templates. The templates are free, and not subject to license restrictions on their reuse.

    These report templates:

    • Create uniformity and improve your communication with referring providers
    • Enable your practice to meet accreditation criteria
    • Help your practice earn pay-for-performance incentives

    RSNA supports the MRRT ("Management of Radiology Report Templates") standard developed by the IHE Radiology Committee. RSNA encourages reporting vendors to adopt MRRT and to develop software products that enable radiologists to create high-quality radiology reports more efficiently.

    How do I use the templates?

    The report template library (www.radreport.org) serves as a starting point for radiology practices wishing to improve the quality of their reports by standardizing format, content and structure. These new report templates represent "best practices" that can be adapted based on local practice patterns. The templates are published in a form that is accessible to you — whether you use automated speech recognition or other reporting tools.

    In addition to their clinical benefits, the templates support research and education. For researchers, these report templates capture information in a uniform, easily extracted format that facilitates clinical, translational and health services research. Educators find these templates can help trainees learn the important elements of reports in each subspecialty area and encourage the proper use of radiology terms, such as those found in RadLex®.

    Can I contribute?

    As a member of RSNA or ESR, you can contribute your own templates to the "Open" Template Library (open.radreport.org). The Template Library Advisory Panel (TLAP) provides expert review, and can promote submitted templates to the "Select" template library (www.radreport.org).

    Where can I learn more?

    The following publications have been authored by committee members:

    • Reporting initiative of the Radiological Society of North America: progress and new directions. Radiology 2014. [PMID 25420164]
    • From guidelines to practice: how reporting templates promote the use of radiology practice guidelines. J Am Coll Radiol 2013. [PMID 23332496]
    • The Radiology Report: A Guide to Thoughtful Communication for Radiologists and Other Medical Professionals. 254 pp. CreateSpace Independent Publishing Platform. [Amazon.com]
    • Content analysis of reporting templates and free-text radiology reports. J Digit Imaging 2013. [PMID 23553231]
    • Analysis of RadLex coverage and term co-occurrence in radiology reporting templates. J Digit Imaging 2012. [PMID 22011936]
    • An open-standards grammar for outline-style radiology report templates. J Digit Imaging 2012. [PMID 22258732]
    • ACR BI-RADS for breast imaging communication: a roadmap for the rest of radiology. J Am Coll Radiol 2009. [PMID 19945041]
    • Structured radiology reporting: are we there yet? Radiology 2009. [PMID 19789252]
    • Toward best practices in radiology reporting. Radiology 2009. [PMID 19717755]
    • ACCF/ACR/AHA/ASE/ASNC/HRS/NASCI/RSNA/SAIP/SCAI/SCCT/SCMR 2008 Health Policy Statement on Structured Reporting in Cardiovascular Imaging. J Am Coll Cardiol 2009. [PMID 19118730]
    • Structured reporting: patient care enhancement or productivity nightmare? Radiology 2008. [PMID 19011178]
    • The radiology report of the future: a summary of the 2007 Intersociety Conference. J Am Coll Radiol 2008. [PMID 18442766]

    Contact information

    If you have questions, contact the Reporting team by email at reporting@rsna.org.

  • Resources

  • RsnaProgram7

    Reporting Wiki

    Find updates on the committee activity, reporting templates, technical resources and link to the discussion forum.


    Template Library

    Access free reporting templates to create uniformity and efficiency within the clinical reporting process.