Silveira, Patricia C.Dunne, Ruth MarySainani, NishaLacson, RonildaSilverman, StuartTempany, Clare M.Khorasani, Ramin2017-09-122015Silveira, Patricia C., Ruth Dunne, Nisha I. Sainani, Ronilda Lacson, Stuart G. Silverman, Clare M. Tempany, and Ramin Khorasani. 2015. “Impact of an Information Technology–Enabled Initiative on the Quality of Prostate Multiparametric MRI Reports.” Academic Radiology 22 (7) (July): 827–833. doi:10.1016/j.acra.2015.02.018.1076-6332http://nrs.harvard.edu/urn-3:HUL.InstRepos:33884317Rationale and Objectives: Assess the impact of implementing a structured report template and a computer-aided diagnosis (CAD) tool on the quality of prostate multiparametric MRI (mp-MRI) reports. Materials and Methods: Institutional Review Board approval was obtained for this HIPAA-compliant study performed at an academic medical center. The study cohort included all prostate mp-MRI reports (n=385) finalized 6 months before and after implementation of a structured report template and a CAD tool (collectively the IT tools) integrated into the PACS workstation. Primary outcome measure was quality of prostate mp-MRI reports. An expert panel of our institution’s subspecialty trained abdominal radiologists defined prostate mp-MRI report quality as optimal, satisfactory or unsatisfactory based on documentation of 9 variables. Reports were reviewed to extract the predefined quality variables and determine whether the IT tools were used to create each report. Chi-square and Student’s t-tests were used to compare report quality before and after implementation of IT tools. Results: The overall proportion of optimal or satisfactory reports increased from 29.8% (47/158) to 53.3% (121/227) (p<0.001) after implementing the IT tools. While the proportion of optimal or satisfactory reports increased among reports generated using at least one of the IT tools (47/158=[29.8%] vs. 105/161=[65.2%]; p<0.001), there was no change in quality among reports generated without use of the IT tools (47/158=[29.8%] vs. 16/66=[24.2%]; p=0.404). Conclusion: The use of a structured template and CAD tool improved the quality of prostate mp-MRI reports compared to free-text report format and subjective measurement of contrast enhancement kinetic curve.en-USprostate multiparametric MRIquality improvementcomputer-aided diagnosisstructured reportJournal Article2017-05-2520152017-09-1210.1016/j.acra.2015.02.018