Assessing the Generic Structures of Medical Imaging Reports in Iran

Document Type : Original Article

Authors

Department of Foreign Languages Teaching, Aha.C, Islamic Azad University, Ahar, Iran

Abstract
Background: Recent advancements in medical technology have significantly influenced social life through the advancement of scientific research.
Objectives: This study examined the Generic Structure Potential (GSP) of medical diagnostic reports in Iran, specifically focusing on Radiology Case Reports (RCRs), Magnetic Resonance Imaging (MRI) reports, and Computed Tomography-Scan (CT-scan) reports.
Methods: This descriptive corpus-based study analyzed a corpus of 300 diagnostic medical reports collected from Tabriz Medical Science University over a three-month period during the autumn of 2024. The research employed Hasan's (1989) Generic Structure Potential (GSP) model, integrated with Halliday's Systemic Functional Linguistics (SFL) framework, to investigate both the macro-structural elements (obligatory, optional, and recursive) and the micro-structural features (field, tenor, and mode) of these reports.
Results: The analysis revealed that the obligatory elements dominated medical diagnostic imaging reports (94.3%), with "Findings" being the most frequent (59.1%), underscoring their central diagnostic role. Normal structures appeared less frequent (23.4%), highlighting the emphasis on pathological findings over normal observations. Optional elements (5.7%) like impressions and recommendations were rare, while recursive elements were entirely absent. The study found no significant presence of recursive elements, indicating a preference for a clear and concise reporting style.
Conclusion: The findings of the present study suggest that this structured approach enhances the utility of diagnostic medical reports in supporting accurate diagnosis and patient care within the Iranian healthcare context. These findings have significant implications for researchers, emphasizing the crucial role of understanding and embracing the generic structure of medical reports as a fundamental aspect of scholarly writing within their respective domains.

Keywords


  1. European Society of Radiology (ESR. Patient safety in medical imaging: A joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Radiography. 2019;25 (2):e26-38. doi:10.1016/j.radi.2019.01.009
  2. Junaid SB, Imam AA, Balogun AO, De Silva LC, Surakat YA, Kumar G, et al. Recent Advancements in Emerging Technologies for Healthcare Management Systems: A Survey. Healthcare. 2022;10(10):1940. doi:10.3390/healthcare10101940
  3. Cranfield S, Hendy J, Reeves B, Hutchings A, Collin S, Fulop N. Investigating healthcare IT innovations: a "conceptual blending" approach. J Health Organ Manag. 2015;29(7):1131-48. doi:10.1108/JHOM-08-2015-0121
  4. Ebrahimi M, Sharifian R, Bahador F, Asadi F, Farmani A, Afrazandeh S. The challenges of picture archiving and communication system from the users’ perspective in the teaching hospitals equipped with the system. J Biomed Health Inform. 2016;3(2):76-84.
  5. Haleem A, Javaid M, Singh RP, Suman R. Exploring the revolution in healthcare systems through the applications of digital twin technology. Biomed 2023;4:28-38. doi:10.1016/j.bmt.2023.02.001
  6. AlFalah SF, Harrison DK, Charissis V, Evans D. An investigation of a healthcare management system with the use of multimodal interaction and 3D simulation: A technical note. J Enterp Inf Manag. 2013;26(1/2): 183-97. doi:10.1108/17410391311289622
  7. Arora D, Mehta Y. Use of picture archiving and communication system for imaging of radiological films in cardiac surgical intensive care unit. J Anaesthesiol Clin Pharmacol. 2014;30(3):447-8. doi:10.4103/0970-9185.137306
  8. Tadayon H, Nafari B, Khadem G, Darrudi R, Jabali MS. Evaluation of Picture Archiving and Communication System (PACS): Radiologists’ perspective. Inform Med Unlocked. 2023;39:101266. doi:10.1016/j.imu.2023. 101266
  9. Aldosari H, Saddik B, Al Kadi K. Impact of picture archiving and communication system (PACS) on radiology staff. Inform Med Unlocked. 2018;10:1-16. doi:10.1016/j.imu.2017.11.001
  10. Hasani N, Hosseini A, Sheikhtaheri A. Effect of implementation of picture archiving and communication system on radiologist reporting time and utilization of radiology services: a case study in Iran. J Digit Imaging. 2020;33(3):595-601. doi:10.1007/s10278-019-00314-z
  11. Najjar R. Redefining radiology: a review of artificial intelligence integration in medical imaging. Diagnostics. 2023;13(17):2760. doi:10.3390/diagnostics13172760
  12. Willis BH, Quigley M. The assessment of the quality of reporting of meta-analyses in diagnostic research: a systematic review. BMC Med Res Methodol. 2011;11:163. doi:10.1186/1471-2288-11-163
  13. Matthiessen CM. LSF como linguistica aplicavel: explicatividade social e abordagens criticas. DELTA: Documentao e Estudos em Lingustica Terica e Aplicada. 2012;28(3):435-71. doi:10.1590/delta.v28i 0.19366
  14. Cordeiro CM. Using systemic functional linguistics as method in identifying semogenic strategies in intercultural communication: A study of the collocation of “time” and “different” by Swedish managers with international management experiences. J Intercult Commun Res. 2018;47(3):207-25. doi:10.1080/17475759.2018.1455601
  15. Nagao A. The SFL genre-based approach to writing in EFL contexts. Asian-Pac J Second Foreign Lang Educ. 2019;4(1):6. doi:10.1186/s40862-019-0069-3
  16. Swales JM. Research genres: Explorations and applications.

 

Cambridge University Press; 2004.

  1. Lysanets Y, Morokhovets H, Bieliaieva O. Stylistic features of case reports as a genre of medical discourse. J Med Case Rep. 2017;11:83. doi:1186/ s13256-017-1247-x
  2. Chang P, Schleppegrell M. Taking an effective authorial stance in academic writing: Making the linguistic resources explicit for L2 writers in the social sciences. J Engl Acad Purp. 2011;10(3):140-51. doi:10.1016/j.jeap.2011.05.005
  3. de Mello G, Rafik-Galea S, Heng CS, Arumugam N. Linguistic features in the Introduction section of the Hospitality and Management Research Articles. Malays J Lang Linguistics (MJLL). 2015;4(2):32-51.
  4. Yu D, Bondi M. A genre-based analysis of forward-looking statements in corporate social responsibility reports. Writ Commun. 2019;36(3):379-409. doi:10.1177/0741088319841612
  5. Garcia LS, Procop GW. Diagnostic medical parasitology. Manual of Commercial Methods in Clinical Microbiology: International Edition. 2016: 284-308.
  6. Hassan IH. The problem of influence in literary history: Notes towards a definition. JAAC. 1955;14(1): 66-76. doi:10.2307/426642
  7. Halliday MA. Language, context, and text: Aspects of language in a social-semiotic perspective;1998.
  8. Ren G. An overall review of linguistic research on genre. Rev Eur Stud. 2010;2:232.
  9. Valipour V, Assadi N, Asl HD. The generic structures and lexico-grammaticality in English academic research papers. South Afr Linguist Appl Lang Stud. 2017;35(2):169-82. doi:10.2989/16073614.2017.137 3365
  10. Chan HK, Hassali MA, Lim CJ, Saleem F, Ghani NA. Improving pediatric liquid medication labeling of the hospital information system in Malaysia: qualitative analysis of pharmacists' perceptions. Pharm Pract. 2016;14(2):699. doi:10.18549/PharmPract.2016.02.6 99
  11. Coccetta F. Video abstracts in EMP: A corpus-based approach to the analysis of rhetorical structure in multimodal medical genres. Analyzing multimodality in specialized discourse settings: Innovative research methods and applications. 2022:23-44.
  12. Mijomanović S, Aleksić-Hajduković I, Sinadinović Case reports in dental medicine: a genre analysis. ESP Today. 2021;9(1):129-49. doi:10.18485/esptoday. 2021.9.1.7
  13. Gong H, Barlow M. A corpus-based analysis of research article macrostructure patterns. J Engl Acad Purp. 20221;58:101138. doi:10.1016/j.jeap.2022. 101138
  14. Stosic D. A linguistic construction of a research gap in reports of randomised controlled trials: A systemic functional perspective. J Engl Acad Purp. 2022;59: 101158. doi:10.1016/j.jeap.2022.101158
  15. Yu GT. Research article discussion moves and steps in papers on medicine: academic literacy and respect for readers. Res Result, Theor Appl Linguist. 2023; 9(2):97-128. doi:10.18413/2313-8912-2023-9-2-0-6