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

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dc.contributor.advisorMoosa, Sulaiman
dc.contributor.authorSmit, Elsabe Jacoba
dc.date.accessioned2026-01-28T07:21:32Z
dc.date.available2026-01-28T07:21:32Z
dc.date.issued2025
dc.date.updated2026-01-28T07:19:01Z
dc.description.abstractBackground: 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.
dc.identifier.apacitationSmit, E. J. (2025). <i>Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital</i>. (). University of Cape Town ,Faculty of Health Sciences ,Division of Radiology. Retrieved from http://hdl.handle.net/11427/42711en_ZA
dc.identifier.chicagocitationSmit, Elsabe Jacoba. <i>"Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital."</i> ., University of Cape Town ,Faculty of Health Sciences ,Division of Radiology, 2025. http://hdl.handle.net/11427/42711en_ZA
dc.identifier.citationSmit, E.J. 2025. Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital. . University of Cape Town ,Faculty of Health Sciences ,Division of Radiology. http://hdl.handle.net/11427/42711en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Smit, Elsabe Jacoba AB - 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. DA - 2025 DB - OpenUCT DP - University of Cape Town KW - Crohn's disease KW - Groote Schuur Hospital LK - https://open.uct.ac.za PB - University of Cape Town PY - 2025 T1 - Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital TI - Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital UR - http://hdl.handle.net/11427/42711 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/42711
dc.identifier.vancouvercitationSmit EJ. Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital. []. University of Cape Town ,Faculty of Health Sciences ,Division of Radiology, 2025 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/42711en_ZA
dc.language.isoen
dc.language.rfc3066eng
dc.publisher.departmentDivision of Radiology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectCrohn's disease
dc.subjectGroote Schuur Hospital
dc.titleAudit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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