دورية أكاديمية
Structured Reporting of Rectal Magnetic Resonance Imaging in Suspected Primary Rectal Cancer: Potential Benefits for Surgical Planning and Interdisciplinary Communication.
| العنوان: | Structured Reporting of Rectal Magnetic Resonance Imaging in Suspected Primary Rectal Cancer: Potential Benefits for Surgical Planning and Interdisciplinary Communication. |
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| المؤلفون: | Nörenberg D; From the *Institute for Clinical Radiology, †Department of Surgery, and ‡Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University Hospital Munich, Munich; and §Institute of Radiology, University Medical Center Regensburg, Regensburg, Germany., Sommer WH, Thasler W, DʼHaese J, Rentsch M, Kolben T, Schreyer A, Rist C, Reiser M, Armbruster M |
| المصدر: | Investigative radiology [Invest Radiol] 2017 Apr; Vol. 52 (4), pp. 232-239. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0045377 Publication Model: Print Cited Medium: Internet ISSN: 1536-0210 (Electronic) Linking ISSN: 00209996 NLM ISO Abbreviation: Invest Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Philadelphia. |
| مواضيع طبية MeSH: | Interdisciplinary Communication*, Magnetic Resonance Imaging/*methods , Rectal Neoplasms/*diagnostic imaging , Rectal Neoplasms/*pathology, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Rectal Neoplasms/surgery ; Rectum/diagnostic imaging ; Rectum/pathology ; Rectum/surgery ; Retrospective Studies |
| مستخلص: | Objectives: The aim of this study was to evaluate the effect of structured reports (SRs) in comparison to nonstructured, free-text (FT) rectal magnetic resonance imaging (MRI) reports in patients with histologically proven rectal cancer and potential effects of both types of reporting on referring surgeons' satisfaction, interdisciplinary communication, and further clinical decision making. Materials and Methods: The institutional review board approved this retrospective study with waiver of informed consent. Forty-nine patients with histologically proven rectal cancer were included in this study. All patients underwent rectal MRI for local rectal cancer staging before surgery. Free-text reports and SRs for local MR staging of rectal cancer were generated for all subjects by radiologists. Two experienced abdominal surgeons evaluated a questionnaire that included 9 questions regarding satisfaction with content, presence of reported key features, effort for information extraction, and report quality. Results: Structured reports achieved significantly higher satisfaction rates with report content and clarity, and included significantly more of the 13 predefined key features compared with FT reports (SRs: mean ± SD, 12.2 ± 4.6 [range, 9-13] versus FT reports: mean ± SD, 9.2 ± 10.8 [range, 5-13]) (P < 0.001). Definite further clinical decision making (surgery vs neoadjuvant radiochemotherapy) was possible in 96% of SRs and only in 60% of FT reports (P < 0.001). In case of surgery, the reported information was considered to be sufficient for surgical planning in 94% of SRs versus only 38% in FT reports (P < 0.001). Structured report received a significantly higher overall report quality rated on a Likert scale from 1 to 6 (1, insufficient; 6, excellent) with a mean of 5.8 ± 0.42 (range, 5-6) in comparison to FT reports with 3.6 ± 1.19 (range, 1-5) (P < 0.001). Conclusions: Structured reporting of rectal MRI in patients with rectal cancer facilitates surgical planning and leads to a higher satisfaction level of referring surgeons in comparison to FT reports. Abdominal surgeons were more confident about report correctness and further clinical decision making on the basis of SRs. |
| تواريخ الأحداث: | Date Created: 20161119 Date Completed: 20171102 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/RLI.0000000000000336 |
| PMID: | 27861230 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1536-0210 |
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| DOI: | 10.1097/RLI.0000000000000336 |