0:01

I'd just like to talk for a second about how to produce

0:04

the kind of report that the clinician is looking for.

0:09

Now, in doing that,

0:10

we're going to be talking about something that I least

0:12

I think I'm going to call question-based reporting.

0:17

Now, if you ask a clinician,

0:20

what is it about radiologists that drives you nuts?

0:23

I know exactly what they're going to say,

0:25

and it's that the radiologist never answers the

0:29

question. I've heard it a thousand times.

0:32

Now, as a radiologist,

0:36

you're thinking, hey,

0:38

I looked at all three words of that history that

0:40

you provided. There's no question there.

0:43

So what's kind of going on here?

0:47

Well, I think that on reflection,

0:49

we have to kind of realize that if there is a CT or MRI

0:53

ordered, there has got to be a clinical question.

0:56

Now, that question could be a very basic one,

0:59

such as is this patient crazy or is there

1:01

something really wrong with them?

1:03

But there's always an overarching question

1:06

behind every scan that's ordered.

1:08

What is my next step with this patient?

1:11

So we have to start looking at these images in that

1:15

light and try to use our clinical knowledge to figure

1:18

out what the question the clinician is really trying to

1:21

answer is and make sure that the report

1:23

is structured in a way that does that.

1:26

So let me give you an example since we're going to

1:28

be talking about Sella, okay?

1:30

So you get a case.

1:32

It's a Sella study,

1:34

and the brief history that's provided is

1:37

acute onset of headache and diplopia.

1:41

So is there a question there?

1:44

Well, actually there is,

1:45

and a very important question because what the

1:49

clinician is asking in this instance is,

1:52

does this patient have pituitary apoplexy?

1:55

Okay. Because headache,

1:56

diplopia are the signs of onset of pituitary apoplexy.

2:01

So your first conclusion,

2:03

and now I'm talking before we've even looked at the

2:06

images, we know what it is, which is pituitary apoplexy.

2:09

Yes or no? Okay.

2:12

So when we kind of look at it from

2:14

the standpoint of the clinician,

2:15

this is the structure that the report is going to take.

2:18

We were kind of replicating in our own minds the

2:22

questions that the clinician has and making sure that

2:24

the report is structured in a way that gets right

2:26

to those questions right off the bat.

2:29

Okay.

2:30

So that's what we're going to be working on

2:32

in this video and the subsequent ones.