Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital

Smit, Elsabe Jacoba

Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital

Thesis / Dissertation

2025

Publisher

University of Cape Town

Department

Division of Radiology

Faculty

Faculty of Health Sciences

Abstract

Background: CD is an idiopathic inflammatory bowel disease with a predilection for the terminal ileum and the colon. MRE is the cornerstone imaging modality for evaluating and monitoring CD. This audit aims to assess the adequacy of radiology reports for MRE in CD patients, performed at GSH. Objectives: Determine the proportion reporting elements included in MRE reports for patients with CD and compare it to international recommendations of essential elements to include in MRE reports, Evaluate the lexicon usage, Evaluate the structure and clarity. Method: Retrospective audit, assessing adequacy of radiology reports for patients with CD who underwent MRE examinations at GSH. This forms the first leg of an audit cycle assessing local practice standards and make recommendations for future improvements should target standards not be met. Results: Overall, none of the data points collected met our 70% cut-off for minimum requirements. Technical factors were particularly poorly reported (8%), with some improvement in Radiological factors (66%). There was suboptimal use of correct nomenclature and documentation of treatment response. Structured reporting was not correlated to improved documentation but did increase readability (p<0.01). Conclusion: This audit shows there is suboptimal documentation of essential elements in the MRE reports for patients with CD at GSH, including poor use of correct nomenclature and documentation of treatment response. Structured reporting has a role to play in increasing readability of reports. Contribution: The findings suggest a complete audit cycle should be implemented with targeted education on reporting of MRE studies, followed by reauditing of the findings.

Keywords

Crohn's disease

Groote Schuur Hospital

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