What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review

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Previous studies have confirmed dissatisfaction among GPs with the interpretability of radiology reports. Investigating aspects of MRI LSS reports that GPs find most useful will improve communication and, ultimately, patient care. Objectives To identify and describe the available research on the aspects of MRI LSS reports, GPs find the most useful. Methods A scoping review was conducted based on the Arksey and O’Malley framework and PRISMA-ScR guidelines. Systematic searches were performed on MEDLINE, CINAHL, Embase, Scopus, and Web of Science databases from inception to April 2022. Data from the included articles were charted and a narrative synthesis produced key themes. Results Twelve studies were included in the present review. Key themes identified as valuable aspects of MRI LSS reports for GPs included content, language, appropriate use of technical information, and provision of additional information. Additional findings of interest concerned radiologist training and technological aid for inter-professional communication. Conclusion Our findings suggest that GPs favour MRI LSS reports that are concise and clearly answer the clinical question using standardized language and include comments on the significance of observations. Future quality improvement initiatives should consider incorporating the individual themes identified when developing guidance for radiologists when compiling MRI LSS reports for GPs. 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HRB Open Res 2025, 8 :23 ( https://doi.org/10.12688/hrbopenres.14028.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Systematic Review What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review [version 1; peer review: 1 approved with reservations] Ryan Jayesinghe 1 , William Shields 1 , Patrick Redmond 1 Ryan Jayesinghe 1 , William Shields 1 , Patrick Redmond 1 PUBLISHED 04 Feb 2025 Author details Author details 1 General Practice, Royal College of Surgeons in Ireland Department of General Practice, Dublin, Leinster, D02 YN77, Ireland Ryan Jayesinghe Roles: Investigation, Resources, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing William Shields Roles: Conceptualization, Data Curation, Investigation, Methodology, Project Administration, Resources, Software, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Patrick Redmond Roles: Conceptualization, Methodology, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing OPEN PEER REVIEW DETAILS REVIEWER STATUS Abstract Background Lower back pain is among the most common causes of GP, and magnetic resonance imaging (MRI) of the lumbosacral spine (LSS) may be required for diagnostic purposes. Previous studies have confirmed dissatisfaction among GPs with the interpretability of radiology reports. Investigating aspects of MRI LSS reports that GPs find most useful will improve communication and, ultimately, patient care. Objectives To identify and describe the available research on the aspects of MRI LSS reports, GPs find the most useful. Methods A scoping review was conducted based on the Arksey and O’Malley framework and PRISMA-ScR guidelines. Systematic searches were performed on MEDLINE, CINAHL, Embase, Scopus, and Web of Science databases from inception to April 2022. Data from the included articles were charted and a narrative synthesis produced key themes. Results Twelve studies were included in the present review. Key themes identified as valuable aspects of MRI LSS reports for GPs included content, language, appropriate use of technical information, and provision of additional information. Additional findings of interest concerned radiologist training and technological aid for inter-professional communication. Conclusion Our findings suggest that GPs favour MRI LSS reports that are concise and clearly answer the clinical question using standardized language and include comments on the significance of observations. Future quality improvement initiatives should consider incorporating the individual themes identified when developing guidance for radiologists when compiling MRI LSS reports for GPs. READ ALL READ LESS Keywords General practitioners, communication, magnetic resonance imaging, Low Back Pain/diagnostic imaging, clinical competence, humans, scoping review Corresponding Author(s) Ryan Jayesinghe ( [email protected] ) Close Corresponding author: Ryan Jayesinghe Competing interests: No competing interests were disclosed. Grant information: Health Research Board [APA-2024-001]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Copyright: © 2025 Jayesinghe R et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Jayesinghe R, Shields W and Redmond P. What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review [version 1; peer review: 1 approved with reservations] . HRB Open Res 2025, 8 :23 ( https://doi.org/10.12688/hrbopenres.14028.1 ) First published: 04 Feb 2025, 8 :23 ( https://doi.org/10.12688/hrbopenres.14028.1 ) Latest published: 04 Feb 2025, 8 :23 ( https://doi.org/10.12688/hrbopenres.14028.1 ) Introduction Lower back pain (LBP) is the second most common symptom-related cause of GP 1 . MRI is an important diagnostic tool for unresolved LBP that provides excellent visualization of the spine and degenerative changes. However, abnormalities are often detected even in asymptomatic patients; therefore, GPs must interpret the reports competently. Previous research has found dissatisfaction in GPs’ views on radiology reporting 2 . GPs prefer management suggestions from radiologists, whereas specialists favour a review of findings without specific recommendations 3 . GPs require a clinical context in radiology reports, clear indications of terminology meaning, and clinical relevance of findings 4 , 5 . Guidelines that enhance clinicians’ understanding of radiological reports vary internationally. A review revealed that they do not always reflect referring clinician preferences 5 . The Royal College of Radiologists advises reports to be clear and provides advice considering the referrer’s specialty 6 . Since little is known about what aspects of MRI LSS reports GPs find most useful, this study aimed to review existing evidence on the aspects of MRI LSS reports that GPs find most useful. The chosen methodology was a scoping review because of its nature and lack of existing evidence. The findings may inform quality improvement projects and provide updated guidance for radiology and primary care. Methods A scoping review was conducted and reported according to the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) 7 checklist in conjunction with the Arksey and O’Malley framework 8 in which for this scoping review we (1) identified the research questions, (2) searched for relevant studies, (3) selected studies, (4) charted the data, and (5) collated, summarised, analysed, and presenting the results. Step 1: Identifying the research question The main research question using the Population-Concept-Context (PCC) framework recommended by the Joanna Briggs Institute (JBI) for scoping reviews was: What is the available evidence regarding the preparation of radiological reports (concept) to GPs (population) of LSS MRIs (context)? The sub-questions included the following. 1. What are the findings of studies evaluating MRI LSS reports to GPs (e.g., effectiveness, acceptability, barriers, and facilitators)? 2. What aspects of reports do GPs find most useful? Eligibility criteria Published full-text quantitative and mixed-methods studies were included. Case reports, letters, book chapters, comments, discussions, editorials, conference abstracts, and theses were also excluded. Participants focused on GPs and excluded other healthcare professionals. The articles were limited to English because of the time and resources required for translation and interpretation. The inclusion and exclusion criteria are presented in Table 1 . Table 1. Inclusion and exclusion criteria. Criterion Inclusion Exclusion Types of studies All types of empirical research. Case reports, letters, book chapters, comments, discussion, editorial, conference abstract, master’s thesis, or PhD thesis Period Inception of database 5 April 2022 Language English Language All other languages Types of participants GPs who request MRIs Other healthcare professionals who may request MRIs such as hospital physicians, physiotherapists, occupational therapists, or practice nurses. Phenomenon of interest Which aspects of radiology reports of MRI scans of the LSS which GPs find most useful GP’s views on radiology reports of other imaging modalities such as plain radiographs, computed tomography (CT), ultrasound or nuclear medicine techniques. Step 2: Identifying relevant studies A comprehensive search strategy was developed using a medical librarian to identify relevant literature in the main electronic databases. These included MEDLINE (Ovid), EMBASE, Web of Science, Scopus, and CINAHL Plus. Keywords and index terms were identified using the Ovid MEDLINE strategy (Appendix 1). Step 3: Study selection After database searches, citations were deduplicated and titles and abstracts were screened for inclusion by a single reviewer (WS). The remaining studies were subjected to a full-text review. The selection process is summarized in a PRISMA-ScR flow diagram 7 ( Figure 1 ). Figure 1. PRIMSA flow diagram. Step 4: Data charting Data were charted using a standardized form with the following headings: author(s), year, journal, location, aims, methodology, and findings. A second reviewer assisted with disagreements resolved by a third reviewer. The Oxford Centre of Evidence-Based Medicine Levels of Evidence framework 9 categorizes the study design. No formal critical appraisal tool was used because of the exploratory nature of the study. Step 5: Collating, summarising and presenting the results The results were summarized according to the review questions and eligibility criteria. The literature search and screening results are shown in the PRISMA-ScR flow diagram ( Figure 1 ). Charted data were synthesized quantitatively in tables, and key themes were summarized. Suggestions for future research were also presented. Results A total of 1886 citations were identified. Following the removal of duplicates and screening, 12 articles were included in the final scoping review selection ( Figure 1 ). Characteristics of included studies The years of publication of the included articles ranged from 2009 to 2020. Five of the twelve included studies were published between 2018 and 2020. Studies originated in seven countries: the UK and the USA (three each), two from Canada, and one each from Australia, Norway, Belgium, and Switzerland. The main study design was a cross-sectional survey (N =6). Four of these six surveys included a combination of qualitative and quantitative questions, whereas the remaining two were solely quantitative. The remaining articles employed various methods, such as retrospective chart review, interview/thematic analysis, literature review, before and after comparative review, retrospective feedback review, and scoping review. Thematic results Five overarching themes emerged as the most useful themes for GPs in interpreting MRI LSS reports. To provide actionable evidence, these themes were presented as recommendations for practice ( Figure 2 ). Figure 2. Recommendations for MRI Lumbosacral Spine Reports. Theme 1: Use of technical information in reports Three of the 12 studies found that GPs considered some technical information in MRI reports to be unnecessary or confusing 5 . Technical information, such as patient demographics and procedural details, is recommended in the guidelines 5 , yet two studies highlight that GPs find some elements unhelpful 10 , 11 . Theme 2: Content of reports Six studies addressed the content of this report. International guidelines recommend clinical history, findings, and treatment 5 . GPs prefer explanations of terminology, normal anatomical sizes, and relevance of the findings 5 , 11 , 12 . Currie et al . highlight the importance of clear conclusions and qualifiers like “clinically insignificant.” 11 Eskander et al . suggested that reports should include patient history and pertinent negative results 3 . Three studies indicated that GPs value specific management advice within reports 3 , 10 , 11 . Modic changes linked to prognosis may influence MRI use in LBP patients 13 . Theme 3: Format of reports Four studies discussed the format of their reports. International guidelines often favour structured reports, but UK guidelines do not mandate them 5 . The RANZCR guidelines advocate standardized templates 14 . Structured reporting improved consistency and completeness, with 84.5% of clinicians favouring it 15 . The advantages of a structured reporting style include completeness, consistency, and uniformity of the reports 12 . However, routine use is rare, although tools, such as audible prompts, may enhance efficiency 15 , 16 . Surveys show mixed preferences for prose or itemized formats, but structured text is often favoured 3 , 12 . Theme 4: Report language / comprehensibility Four studies focused on language clarity. Standardized and unambiguous languages are recommended 15 . GPs prefer concise conclusions because descriptive or ambiguous reports can create uncertainty 11 . Theme 5: Addendums to reports Two studies examined the impact of epidemiological factors. Fried et al . found fewer specialist referrals and repeated imaging 17 . McCullough et al . highlighted that patients are less likely to receive narcotics by primary care if the imaging report includes an epidemiological statement 18 . Two points of interest, which were not key themes but were considered valuable to the review, were identified as follows: Radiologist training One study found that 92.4% of clinicians and 94.7% of radiologists supported mandatory training in report writing, with 23.9% feeling unprepared 15 . Technological aids Studies have highlighted the benefits of PACS and electronic consultation platforms for communication and for reducing unnecessary imaging 19 , 20 Discussion This scoping review was conducted to present a broad overview of key evidence related to the aspects of MRI LSS reports that GPs are the most useful. The synthesized evidence indicates that at least five key themes impact the usefulness of these reports. These include the use of technical information, report content, report format, report language, comprehensibility, and inclusion of addendums. Given their remit, GPs may have little use for the technical aspects of the report 10 , instead favouring actionable outcomes-based information. GPs value explanations of the likelihood of disease, the relevance of any findings, and pertinent negatives. GPs also value radiologists’ level of confidence 12 and comments on Modic changes 13 . MRI LSS reports should be as concise as possible using standardized language and longer reports should include a short summary of key findings 5 . Provision of a clear conclusion with a statement of urgency and action plan is also useful for GPs 11 . An addendum setting out epidemiological information may remind GPs of a high incidence of abnormalities that are likely to be found in asymptomatic MRI LSS 17 . Additionally, technological aids, such as PACS 19 and electronic consultation platforms connecting GPs and radiologists, have been shown to improve patient management and reduce unnecessary imaging 20 . Quality of the evidence There was a scarcity of highly relevant evidence identified by this scoping review process, with only six of the 12 included studies directly addressing the research question. Most of the included studies were quantitative. The Oxford Centre of Evidence-Based Medicine Levels of Evidence 9 was used to categorize the study designs in the included articles. As there was little qualitative evidence, no outcomes-based research, and no randomized control trials, the highest level of evidence of any of the studies according to the scale was a relatively low level of 3. The low certainty and relevance of the evidence included in this scoping review indicate the need for better quality research in this area. The geographical spread of the included papers may be influenced by healthcare policy in the respective countries of origin, with the majority derived from countries with higher levels of accessibility of MRI services and potentially more emphasis on improving transitions of care between secondary and primary levels. Notably, none of the included studies was conducted in developing countries. This may be due to the exclusion of unpublished and non-English literature in this review and the comparatively low levels of MRI availability and/or accessibility 21 . Strengths and limitations This is the first review to collate evidence specific to MRI LSS reports, with the review methodology allowing rapid collection of evidence across several databases. It was decided that a scoping review would be the most appropriate form of investigation for the research question because preliminary searches identified only a small number of articles that specifically addressed the research topic. Therefore, it was determined that the broad nature of a scoping review would provide flexibility to include many different types of relevant articles and could form the basis for further investigation, such as a systematic review. The lack of critical appraisal of the quality of the included literature is a limitation, as evidence is weighted according to relevance and correlation to the review question, as opposed to the quality of the findings 22 . The search strategy employed in conducting this scoping review had several limitations, including the lack of investigation of the radiology viewpoint, exclusion of grey and non-English language literature, limited range of databases searched, and lack of a fully independent second. However, a skilled academic librarian was engaged to ensure that the search strategy was performed appropriately to identify the most relevant articles. Context of existing research An existing scoping review assessed whether the guidelines considered the preferences of the ordering clinician or not 5 . Farmer et al . found that most radiology guidelines recommend the inclusion of technical information in radiology reports, such as technique, examination quality, comparison with prior studies, and procedural details 5 . This contrasts with the findings in our review, which showed that GPs do not want detailed anatomy and acronyms, and they did not find the radiological terminology helpful 11 , supported by Grieve et al ., who found that 70% of GPs did not value the inclusion of exam techniques 10 . The findings of this scoping review showed broad agreement with the recommended reporting format for most radiological guidance 5 . The inclusion of the patient’s history is deemed important 3 , as are the inclusion of normal findings 11 , 12 , relevant abnormal findings 3 , differential diagnoses 12 , clear conclusions 11 , and treatment recommendations 3 , 11 , 12 . Our review showed a clear preference for structured reporting by GPs and other clinicians 12 , 15 . However, structured reporting is not mentioned in-depth in most international radiology guidelines 5 . This may be because it is not routinely performed by radiologists, is time-consuming, and distracts from image interpretation 15 . The inclusion of epidemiological and prevalence statements resulted in a significant reduction in patient referral to a spine specialist, further imaging, and narcotic prescription 17 , 18 . Jarvik et al . showed that inclusion of an epidemiological statement did not reduce spine-related interventions 23 . However, they also identified a reduction in further imaging and opioid prescriptions for pain management 23 . Witherow et al . also investigated the addition of a prevalence statement to reports, concluding that it may result in decreased opioid prescription, which is consistent with our findings 24 . Implications for research/practice/policy The findings of this review highlight the lack of high-quality evidence on the topic and diverse methodologies used to arrive at the current findings. These insights provide a compelling rationale for further examining this topic. The identification of the five themes that contribute to the usefulness of MRI LSS reports for GPs, highlighting that reports should answer the clinical question clearly, avoid jargon, use standardized language, and comment on the significance of observations. This also provides a helpful steer towards specific questions that can be examined through a systematic review as a next step. This scoping review further indicates that there is scope for improvement in terms of the training provided on radiology reporting writing, and the necessity to tailor reports appropriately for the intended audience. The evidence presented in this review may assist healthcare professionals, regulators, and service providers in undertaking improvement projects, such as the development of guidance on MRI LSS report writing for primary care settings. Conclusions This scoping review found five key features that impact the usefulness of MRI LSS reports to general practice: the format, content, language, appropriate use of technical information, and the provision of additional information. Useful reports are concise, well-structured, and clearly answer the clinical question with inclusion of relevant qualifying and contextual information. The inclusion of outcomes-based information for clinical contextualization and an action plan is valuable. Unnecessary technical information is unhelpful, and there is a need for greater quality training on effective report-writing for radiological trainees. The fact that the included articles were of low number and certainty indicates a need for more focused and better-quality research in this area. Our findings support future quality improvement initiatives, such as the development of standards/guidance/recommendations, which should endeavour to consider the preferences of GPs. Ethical approval Ethical approval was not required for this scoping review. Data availability Underlying data No data are associated with this article. Extended data Figshare: PRISMA ScR Checklist and Search Strategy for What aspects of magnetic resonance imaging reports of the lumbosacral spine do general practitioners find the most useful A scoping review. https://doi.org/10.6084/m9.figshare.28280918 25 . Data are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication). Faculty Opinions recommended References 1. Goubert L, Crombez G, de Bourdeaudhuij I: Low Back Pain, disability and back pain myths in a community sample: prevalence and interrelationships. Eur J Pain. 2004; 8 (4): 385–394. PubMed Abstract | Publisher Full Text 2. Gunn AJ, Sahani DV, Bennett SE, et al. : Recent measures to improve radiology reporting: perspectives from primary care physicians. J Am Coll Radiol. 2013; 10 (2): 122–127. PubMed Abstract | Publisher Full Text 3. Ghali Eskander M, Leung A, Lee D: Style and content of CT and MR imaging lumbar spine reports: radiologist and clinician preferences. AJNR Am J Neuroradiol. 2010; 31 (10): 1842–1847. PubMed Abstract | Publisher Full Text | Free Full Text 4. Espeland A, Baerheim A: General practitioners’ views on radiology reports of plain radiography for back pain. Scand J Prim Health Care. 2007; 25 (1): 15–19. PubMed Abstract | Publisher Full Text | Free Full Text 5. Farmer CI, Bourne AM, O’Connor D, et al. : Enhancing clinician and patient understanding of radiology reports: a scoping review of international guidelines. Insights Imaging. 2020; 11 (1): 62. PubMed Abstract | Publisher Full Text | Free Full Text 6. N.I. Department of Health: Strategic framework for imaging services in health and social care final report. Department of Health N.I., 2018. Reference Source 7. Moher D, Liberati A, Tetzlaff J, et al. : Preferred Reporting Items for Systematic reviews and Meta-Analyses: the PRISMA statement. Int J Surg. 2010; 8 (5): 336–341. PubMed Abstract | Publisher Full Text 8. Arksey H, O’Malley L: Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005; 8 (1): 19–32. Publisher Full Text 9. Oxford Centre for Evidence-Based Medicine: OCEBM levels of evidence — Centre for Evidence-Based Medicine (CEBM). University of Oxford, OCEBM Levels of Evidence Working Group, (n.d.); (accessed November 18, 2022). Reference Source 10. Grieve FM, Plumb AA, Khan SH: Radiology reporting: a general practitioner’s perspective. Br J Radiol. 2010; 83 (985): 17–22. PubMed Abstract | Publisher Full Text | Free Full Text 11. Currie S, Saunders D, Khoshneviszadeh S, et al. : How confident are general practitioners in interpreting neuroradiology reports? Clin Radiol. 2018; 73 (11): 944–950. PubMed Abstract | Publisher Full Text 12. Heye T, Gysin V, Boll DT, et al. : JOURNAL CLUB: structured reporting: the voice of the customer in an ongoing debate about the future of radiology reporting. AJR Am J Roentgenol. 2018; 211 (5): 964–970. PubMed Abstract | Publisher Full Text 13. Werner EL, Gross DP: The effects of a media campaign on beliefs and utilization of imaging examinations in Norwegian patients with Low Back Pain. Norsk Epidemiol. 2009; 19 (1): 73–78. Publisher Full Text 14. Pool FJ, Siemienowicz ML: New RANZCR clinical radiology written report guidelines. J Med Imaging Radiat Oncol. 2019; 63 (1): 7–14. PubMed Abstract | Publisher Full Text 15. Bosmans JML, Weyler JJ, de Schepper AM, et al. : The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology. 2011; 259 (1): 184–195. PubMed Abstract | Publisher Full Text 16. Sistrom CL: Conceptual approach for the design of radiology reporting interfaces: the talking template. J Digit Imaging. 2005; 18 (3): 176–87. PubMed Abstract | Publisher Full Text | Free Full Text 17. Fried JG, Andrew AS, Ring NY, et al. : Changes in primary care health care utilization after inclusion of epidemiologic data in lumbar spine MR imaging reports for uncomplicated Low Back Pain. Radiology. 2018; 287 (2): 563–569. PubMed Abstract | Publisher Full Text 18. McCullough BJ, Johnson GR, Martin BI, et al. : Lumbar MR imaging and reporting epidemiology: do epidemiologic data in reports affect clinical management? Radiology. 2012; 262 (3): 941–6. PubMed Abstract | Publisher Full Text | Free Full Text 19. Carlin L, Smith H, Henwood F, et al. : Double vision: an exploration of radiologists’ and general practitioners’ views on using picture archiving and communication systems (PACS). Health Informatics J. 2010; 16 (2): 75–86. PubMed Abstract | Publisher Full Text 20. Walker D, MacDonald DB, Dennie C, et al. : Electronic consultation between primary care providers and radiologists. AJR Am J Roentgenol. 2020; 215 (4): 929–933. PubMed Abstract | Publisher Full Text 21. Ogbole GI, Adeyomoye AO, Badu-Peprah A, et al. : Survey of Magnetic Resonance Imaging availability in West Africa. Pan Afr Med J. 2018; 30 : 240. PubMed Abstract | Publisher Full Text | Free Full Text 22. Pham MT, Rajić A, Greig JD, et al. : A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Res Synth Methods. 2014; 5 (4): 371–385. PubMed Abstract | Publisher Full Text | Free Full Text 23. Jarvik JG, Meier EN, James KT, et al. : The effect of including benchmark prevalence data of common imaging findings in spine image reports on health care utilization among adults undergoing spine imaging: a stepped-wedge randomized clinical trial. JAMA Netw Open. 2020; 3 (9): e2015713. PubMed Abstract | Publisher Full Text | Free Full Text 24. Witherow JL, Jenkins HJ, Elliott JM, et al. : characteristics and effectiveness of interventions that target the reporting, communication, or clinical interpretation of lumbar imaging findings: a systematic review. AJNR Am J Neuroradiol. 2022; 43 (3): 493–500. PubMed Abstract | Publisher Full Text | Free Full Text 25. Jayesinghe R: PRISMA ScR checklist and search strategy for what aspects of Magnetic Resonance Imaging reports of the lumbosacral spine do general practitioners find the most useful a scoping review. figshare. Figure, 2025. http://www.doi.org/10.6084/m9.figshare.28280918.v3 Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 04 Feb 2025 ADD YOUR COMMENT Comment Author details Author details 1 General Practice, Royal College of Surgeons in Ireland Department of General Practice, Dublin, Leinster, D02 YN77, Ireland Ryan Jayesinghe Roles: Investigation, Resources, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing William Shields Roles: Conceptualization, Data Curation, Investigation, Methodology, Project Administration, Resources, Software, Validation, Writing – Original Draft Preparation, Writing – Review & Editing Patrick Redmond Roles: Conceptualization, Methodology, Supervision, Writing – Original Draft Preparation, Writing – Review & Editing Competing interests No competing interests were disclosed. Grant information Health Research Board [APA-2024-001]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Article Versions (1) version 1 Published: 04 Feb 2025, 8:23 https://doi.org/10.12688/hrbopenres.14028.1 Copyright © 2025 Jayesinghe R et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics VIEWS $counts.viewCount downloads Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Jayesinghe R, Shields W and Redmond P. What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review [version 1; peer review: 1 approved with reservations] . HRB Open Res 2025, 8 :23 ( https://doi.org/10.12688/hrbopenres.14028.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 04 Feb 2025 Views 0 Cite How to cite this report: Lim DSW. Reviewer Report For: What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review [version 1; peer review: 1 approved with reservations] . HRB Open Res 2025, 8 :23 ( https://doi.org/10.21956/hrbopenres.15399.r45700 ) The direct URL for this report is: https://hrbopenresearch.org/articles/8-23/v1#referee-response-45700 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 10 Mar 2025 Desmond Shi Wei Lim , National University Hospital, Singapore, Singapore Approved with Reservations VIEWS 0 https://doi.org/10.21956/hrbopenres.15399.r45700 Dear Authors, This is informative and great to know for reporting radiologists and sheds light to bridging the gap between the report and the eventual treatment the patient receives at a primary care level. Some feedback: ... Continue reading READ ALL Dear Authors, This is informative and great to know for reporting radiologists and sheds light to bridging the gap between the report and the eventual treatment the patient receives at a primary care level. Some feedback: 1. I would give some examples or those that were mentioned in the prior papers reviewed for e.g. "use of technical information in reports". I note that the relevant sources were cited, but perhaps giving an example of a technical statement which the GPs didn't like would be helpful to the reader. I note that the authors did give an example of an epidemiological statement which was very useful during the review. 2. While not essential to the title and theme of this review, I would think the article would be a better read if it also addressed that the style/information presented in radiology reports may also be dependent on departmental/institutional practices. The way the reports read are standardized across the department. Also bearing in mind that not all reports are just crafted for GP readers, but also for our hospital based physicians and surgeons to read. The radiology report is written to be agnostic to the reader. Regarding the addition of an epidemiological statement, it is interesting to know that this is important to our GP colleagues but attaching the same piece of information to every report en masse, seems almost redundant after a while and it also highlights the knowledge gap between the person reading the report/requesting the study and the person writing the report. I would think that the article makes a better read if the above points are addressed perhaps in the introduction/discussion section. But otherwise thank you for this informative article. Are the rationale for, and objectives of, the Systematic Review clearly stated? Yes Are sufficient details of the methods and analysis provided to allow replication by others? Yes Is the statistical analysis and its interpretation appropriate? I cannot comment. A qualified statistician is required. Are the conclusions drawn adequately supported by the results presented in the review? Yes Competing Interests: No competing interests were disclosed. Reviewer Expertise: MRI lumbar spine, artificial intelligence, quality improvement in radiology, sarcopenia and quantitative imaging I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Lim DSW. Reviewer Report For: What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review [version 1; peer review: 1 approved with reservations] . HRB Open Res 2025, 8 :23 ( https://doi.org/10.21956/hrbopenres.15399.r45700 ) The direct URL for this report is: https://hrbopenresearch.org/articles/8-23/v1#referee-response-45700 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 04 Feb 2025 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 Version 1 04 Feb 25 read Desmond Shi Wei Lim , National University Hospital, Singapore, Singapore Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Lim D. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 10 Mar 2025 | for Version 1 Desmond Shi Wei Lim , National University Hospital, Singapore, Singapore 0 Views copyright © 2025 Lim D. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Dear Authors, This is informative and great to know for reporting radiologists and sheds light to bridging the gap between the report and the eventual treatment the patient receives at a primary care level. Some feedback: 1. I would give some examples or those that were mentioned in the prior papers reviewed for e.g. "use of technical information in reports". I note that the relevant sources were cited, but perhaps giving an example of a technical statement which the GPs didn't like would be helpful to the reader. I note that the authors did give an example of an epidemiological statement which was very useful during the review. 2. While not essential to the title and theme of this review, I would think the article would be a better read if it also addressed that the style/information presented in radiology reports may also be dependent on departmental/institutional practices. The way the reports read are standardized across the department. Also bearing in mind that not all reports are just crafted for GP readers, but also for our hospital based physicians and surgeons to read. The radiology report is written to be agnostic to the reader. Regarding the addition of an epidemiological statement, it is interesting to know that this is important to our GP colleagues but attaching the same piece of information to every report en masse, seems almost redundant after a while and it also highlights the knowledge gap between the person reading the report/requesting the study and the person writing the report. I would think that the article makes a better read if the above points are addressed perhaps in the introduction/discussion section. But otherwise thank you for this informative article. Are the rationale for, and objectives of, the Systematic Review clearly stated? Yes Are sufficient details of the methods and analysis provided to allow replication by others? Yes Is the statistical analysis and its interpretation appropriate? I cannot comment. A qualified statistician is required. Are the conclusions drawn adequately supported by the results presented in the review? Yes Competing Interests No competing interests were disclosed. Reviewer Expertise MRI lumbar spine, artificial intelligence, quality improvement in radiology, sarcopenia and quantitative imaging I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Lim DSW. Peer Review Report For: What aspects of magnetic resonance imaging reports of the lumbo-sacral spine do general practitioners find the most useful? A scoping review [version 1; peer review: 1 approved with reservations] . HRB Open Res 2025, 8 :23 ( https://doi.org/10.21956/hrbopenres.15399.r45700) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://hrbopenresearch.org/articles/8-23/v1#referee-response-45700 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions Adjust parameters to alter display View on desktop for interactive features Includes Interactive Elements View on desktop for interactive features Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. 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