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Research ArticleSPINE

Enhancing the Radiologist-Patient Relationship through Improved Communication: A Quantitative Readability Analysis in Spine Radiology

D.R. Hansberry, A.L. Donovan, A.V. Prabhu, N. Agarwal, M. Cox and A.E. Flanders
American Journal of Neuroradiology June 2017, 38 (6) 1252-1256; DOI: https://doi.org/10.3174/ajnr.A5151
D.R. Hansberry
aFrom the Department of Radiology (D.R.H., M.C., A.E.F.), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
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  • ORCID record for D.R. Hansberry
A.L. Donovan
bDepartment of Radiation Oncology (A.L.D., A.V.P.), University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania
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  • ORCID record for A.L. Donovan
A.V. Prabhu
bDepartment of Radiation Oncology (A.L.D., A.V.P.), University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania
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N. Agarwal
cDepartment of Neurological Surgery (N.A.), University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
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M. Cox
aFrom the Department of Radiology (D.R.H., M.C., A.E.F.), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
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A.E. Flanders
aFrom the Department of Radiology (D.R.H., M.C., A.E.F.), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
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    Fig 1.

    The grade level taken as the mean of all readability scales examined in this study for the 10 top search results for each key term. The red box represents the AMA and NIH recommended 3rd-to-7th grade guidelines.

Tables

  • Figures
  • Formulas for the readability assessments

    Readability AssessmentVariablesAlgorithm
    Coleman-Liau IndexL, average number of letters per 100 words(0.0588 × L) − (0.296 × S) − 15.8
    S, average number of sentences per 100 words
    Flesch Reading EaseB, average number of syllables206.835 − (84.6 × [B/W]) − (1.015 × [W/S])
    W, average number of words per sentence
    S, average number of sentences
    Flesch-Kincaid Grade LevelSY, average number of syllables per word(0.39 × W) + (11.8 × SY) − 15.59
    W, average number of words per sentence
    FORCAST FormulaSS, number of single-syllable words in a 150-word sample20 − (SS/10)
    Fry GraphAverage number of sentences and syllables per 100 words1) Extract a 100-word passage
    2) Count the number of sentences, counting half a sentence as 0.5
    3) Count the number of syllables
    4) Find the point on the chart
    (3 samples recommended)
    Gunning Fog IndexS, number of sentences0.4 × [W/S + ([C/W] × 100)]
    W, number of words
    C, number of words with ≥3 syllables
    New Dale-ChallAW, average number of words per sentence(0.1579 × U) + (0.0496 × AW)
    U, percentage of unfamiliar words
    New Fog CountC, number of complex words([(E + [3 × C])/S] − 3)/2
    E, number of easy words
    S, number of sentences
    Raygor Readability EstimateAverage number of sentences1) Extract a 100-word passage
    Long words (≥3 characters) per 100 words2) Count the number of sentences, estimated to the nearest 10th
    3) Count the number of words that are ≥6 letters
    4) Find the point on the chart
    (3 samples recommended)
    SMOGC, average number of words with ±3 syllables1.043 × √([C × (30/S)] + 3.1292)
    S, average number of sentences
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American Journal of Neuroradiology: 38 (6)
American Journal of Neuroradiology
Vol. 38, Issue 6
1 Jun 2017
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Cite this article
D.R. Hansberry, A.L. Donovan, A.V. Prabhu, N. Agarwal, M. Cox, A.E. Flanders
Enhancing the Radiologist-Patient Relationship through Improved Communication: A Quantitative Readability Analysis in Spine Radiology
American Journal of Neuroradiology Jun 2017, 38 (6) 1252-1256; DOI: 10.3174/ajnr.A5151

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Enhancing the Radiologist-Patient Relationship through Improved Communication: A Quantitative Readability Analysis in Spine Radiology
D.R. Hansberry, A.L. Donovan, A.V. Prabhu, N. Agarwal, M. Cox, A.E. Flanders
American Journal of Neuroradiology Jun 2017, 38 (6) 1252-1256; DOI: 10.3174/ajnr.A5151
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