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Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital
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. Objecti...
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| Format: | Thesis |
| Language: | English English |
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Division of Radiology
2026
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| _version_ | 1867613731231367168 |
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| access_status_str | Open Access |
| author | Smit, Elsabe Jacoba |
| author2 | Moosa, Sulaiman |
| author_browse | Moosa, Sulaiman Smit, Elsabe Jacoba |
| author_facet | Moosa, Sulaiman Smit, Elsabe Jacoba |
| author_sort | Smit, Elsabe Jacoba |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/42711 |
| institution | University of Cape Town (South Africa) |
| language | English eng |
| last_indexed | 2026-06-10T12:40:48.443Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | Division of Radiology |
| publisherStr | Division of Radiology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/42711 Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital Smit, Elsabe Jacoba Moosa, Sulaiman Crohn's disease Groote Schuur Hospital 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. 2026-01-28T07:21:32Z 2026-01-28T07:21:32Z 2025 2026-01-28T07:19:01Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/42711 en eng application/pdf Division of Radiology Faculty of Health Sciences University of Cape Town |
| spellingShingle | Crohn's disease 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_degree_str | Master's |
| title | Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital |
| title_full | Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital |
| title_fullStr | Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital |
| title_full_unstemmed | Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital |
| title_short | Audit of the reporting adequacy of magnetic resonance enterograph performed in patients with Crohn's disease at Groote Schuur Hospital |
| title_sort | audit of the reporting adequacy of magnetic resonance enterograph performed in patients with crohn s disease at groote schuur hospital |
| topic | Crohn's disease Groote Schuur Hospital |
| url | http://hdl.handle.net/11427/42711 |
| work_keys_str_mv | AT smitelsabejacoba auditofthereportingadequacyofmagneticresonanceenterographperformedinpatientswithcrohnsdiseaseatgrooteschuurhospital |