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:
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.
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®.
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).
The following publications have been authored by committee members:
If you have questions, contact the Reporting team by email at firstname.lastname@example.org.
Find updates on the committee activity, reporting templates, technical resources and link to the discussion forum.
Access free reporting templates to create uniformity and efficiency within the clinical reporting process.