Abstract

Purpose

To describe a Delphi consensus for the realization of a structured radiology request form for patients undergoing musculoskeletal imaging.

Methods

A steering committee (four radiologists, a rheumatologist and an orthopedic surgeon) proposed a form to an expert panel (30 members, ten radiologists, ten rheumatologists and ten orthopedic surgeons). Through an online survey, the panelists voted on their level of agreement with the statements of the form using a 10-point Likert scale (1: no agreement; 10: total agreement) in a three-round process. A combination of two distinct criteria, a mean agreement level ≥ 8 and a percentage of at least 75% of responses with a value ≥ 8, was deemed as acceptable.

Results

The form achieved high median ratings in all the assessed key features. During the first round, all items met the threshold to be advanced as unmodified in the next round. Additional proposed items were considered and introduced in the next round (six items in Section 1, five items in Section 2, ten items in Section 3, 11 items in Section 4, six items in Section 5, eight items in Section 6, ten items in Section 7 and eight items in Section 8). Of these items, in round 3, only six reached the threshold to be integrated into the final form.

Conclusions

Implementation of a structured radiology request form can improve appropriateness and collaboration between clinicians and radiologists in musculoskeletal imaging.

中文翻译：

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肌肉骨骼放射学检查结构化申请表 (CONCERTO)：专家德尔菲共识的结果 - 结构化放射学申请表，用于正确分类接受意大利医学和介入放射学协会 (SIRM)、意大利风湿病学会放射学检查的患者 ( SIR）和意大利骨科和创伤学会（SIOT）

摘要

目的

描述德尔菲共识，以实现接受肌肉骨骼成像的患者的结构化放射学申请表。

方法

指导委员会（四名放射科医生、一名风湿科医生和一名整形外科医生）向专家小组（30 名成员、十名放射科医生、十名风湿科医生和十名整形外科医生）提出了一份表格。通过在线调查，小组成员采用 10 点李克特量表（1：不同意；10：完全同意）分三轮投票决定他们对表格陈述的同意程度。两个不同标准的组合，即平均一致性水平 ≥ 8 和至少 75% 的响应百分比≥ 8，被认为是可接受的。

结果

该表格在所有评估的关键特征中均获得了较高的中值评分。在第一轮中，所有项目都达到了在下一轮中未经修改地推进的门槛。下一轮审议并提出了其他拟议项目（第 1 节中的 6 个项目、第 2 节中的 5 个项目、第 3 节中的 10 个项目、第 4 节中的 11 个项目、第 5 节中的 6 个项目、第 6 节中的 8 个项目、第 6 节中的 10 个项目第 7 节中的内容和第 8 节中的八项内容）。在这些项目中，在第三轮中，只有六项达到了融入最终形式的门槛。

结论

实施结构化放射学申请表可以提高临床医生和放射科医生在肌肉骨骼成像方面的适当性和协作。