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  • Informatics
  • Radiology Reporting Initiative

  • What is the Radiology Reporting Initiative?

    The clinical report is the essential record of the diagnostic service radiologists provide to their patients. It communicates the diagnosis to the patient and the care team, provides information for data analytics, and documents the episode of care. The ability to efficiently create consistent, high-quality reports is thus critical to the value radiologists contribute to the process of care.

    RSNA and the European Society of Radiology have jointly formed the Template Library Advisory Panel (TLAP) to create a library of templates that enhance the quality and efficiency of radiology reporting. RadReport.org offers templates that represent best practices in reporting. The templates are:

    • Thorough and easily comprehensible
    • Machine readable for improved communication and data analysis
    • Based on established data standards, incorporating structured terminology like RSNA’s RadLex radiology lexicon
    • Free to use and ready for adoption by radiologists, vendors, and imaging data registries

    We invite medical imaging professionals to review and download RadReport templates to improve the way they generate reports. The site provides access to tools to create and modify templates and submit them for use by the imaging community. An application programming interface (API) based on the IHE Management of Radiology Report Templates (MRRT) profile is available that automates access to templates through radiology reporting systems.

    Sample template listing on radreport.org
    Sample template view on radreport.org



    • Improve communication with other care providers
    • Meet accreditation criteria and quality measures, and earn pay-for-performance incentives
    • Enable better data analysis for outcomes research
    • Increase the value of radiology’s service to patients and referring physicians by providing more consistent and data-rich reports


    Why are RadReport templates better than free narration or proprietary vendor templates?

    Free-text reports are inconsistent in their organization and terminology, which makes them frustrating for ordering physicians and difficult to use for data analysis. Proprietary structured reports offer a partial solution, but limit interoperability and usability of the information contained in the reports. Standards-based structured reporting templates enable consistent, organized and clear communication of radiologic results for all involved in patient care. They provide data rich reports that can be used for meaningful outcomes analysis and performance improvement. They make it possible to integrate evidence collected during the imaging procedure, including clinical data, coded terminology, technical parameters, annotations and key images.

    What standards do the RadReport templates follow?

    RadReport templates are developed according to the IHE Management of Radiology Report Templates (MRRT) standard. These templates were originally formatted using plain text or XML, but are now in HTML5.

    Are RadReport templates available in languages other than English?

    Yes. RadReport templates are available in Arabic, German, Greek, English, Spanish, French, Hebrew, Italian, Dutch, Polish, Portuguese, and Turkish. A joint RSNA-ESR committee is working on developing additional translations, which will be published as they are available.

    What are the most commonly viewed templates?

    The most commonly viewed templates are:

    • Chest Xray - 2 Views
    • Chest Xray
    • US Abdomen
    • CT Brain
    • MR Brain

    How can I use the templates?

    The RadReport template library (radreport.org) provides a starting point for radiology practices wishing to improve the quality of their reports by standardizing format, content, and structure. Simply viewing the templates provides guidance on how to organize a report for the relevant procedure and what information should be included. The site provides a “Download” tab that allows you to download a plain text or IHE MRRT-compatible version of the template that can be imported into your reporting system and converted (if necessary) to the format it uses. The site also provides an API (as specified in the IHE MRRT profile) that enables direct, automated access to reports through a reporting system. Ask your reporting system vendor if they can provide access using this standards-compliant API.

    How can I create my own templates?

    RSNA and ESR members can use tools on the RadReport site to author or modify templates and contribute them to the template library. The home page includes a link to the T-Rex template editor developed by Karos Health (a division of Vital Images). T-Rex provides a simple graphical user interface to assemble template components or modify an existing template to create a new one. A short tutorial videos and detailed instructions are available. Once you have created a template you can submit it to RadReport so that other RSNA and ESR members can review it, comment on it and download it for their use. The joint RSNA-ESR advisory panel may select your template for Select status as an exemplar of best practices in reporting.

    Who can I contact if I have more questions?

    If you have questions, please contact the reporting team by email at reporting@lists.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.