دورية أكاديمية
Neck Imaging Reporting and Data System Category 3 on Surveillance Computed Tomography: Incidence, Biopsy Rate, and Predictive Performance in Head and Neck Squamous Cell Carcinoma.
| العنوان: | Neck Imaging Reporting and Data System Category 3 on Surveillance Computed Tomography: Incidence, Biopsy Rate, and Predictive Performance in Head and Neck Squamous Cell Carcinoma. |
|---|---|
| المؤلفون: | Johansson ED; Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A., Hughes RT; Department of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A., Meegalla NT; Department of Otolaryngology-Head and Neck Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A., Porosnicu M; Department of Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A., Patwa HS; Department of Otolaryngology-Head and Neck Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A., Lack CM; Department of Radiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A., Bunch PM; Department of Radiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, U.S.A. |
| المصدر: | The Laryngoscope [Laryngoscope] 2022 Sep; Vol. 132 (9), pp. 1792-1797. Date of Electronic Publication: 2022 Jan 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell Original Publication: St. Louis, Mo. : [s.n., 1896- |
| مواضيع طبية MeSH: | Carcinoma, Squamous Cell*/diagnostic imaging , Carcinoma, Squamous Cell*/epidemiology , Head and Neck Neoplasms*/diagnostic imaging , Head and Neck Neoplasms*/epidemiology, Aged ; Biopsy ; Female ; Humans ; Incidence ; Male ; Neoplasm Recurrence, Local/diagnostic imaging ; Neoplasm Recurrence, Local/epidemiology ; Retrospective Studies ; Squamous Cell Carcinoma of Head and Neck/diagnostic imaging ; Squamous Cell Carcinoma of Head and Neck/epidemiology ; Tomography, X-Ray Computed/methods |
| مستخلص: | Objectives: Neck Imaging Reporting and Data System (NI-RADS) is a radiology reporting system for head and neck cancer surveillance. Imaging findings of high suspicion for recurrence are assigned Category 3 and recommended for "Biopsy, if clinically indicated." After implementing NI-RADS for surveillance neck computed tomography (CT), our objectives are to determine the incidence of squamous cell carcinoma (SCC) Category 3 lesions in the year post-implementation, the associated biopsy rate, and the positive predictive value of NI-RADS 3 for SCC recurrence. Study Design: Retrospective cohort study. Methods: Neck CTs reported with NI-RADS between February 2020 and February 2021 were reviewed to identify patients undergoing surveillance for SCC assigned NI-RADS 3. Cancer recurrence, defined as positive biopsy result or treatment of clinically determined recurrence, was determined by electronic medical record review. Results: During the study period, 580 neck CTs were reported with NI-RADS, of which 39 (7%) CTs obtained in 37 unique patients (28 male, 9 female, mean age 66.6 years) formed the study cohort. Biopsies were obtained in 23 lesions (45%), of which 17 (74%) were positive for recurrent SCC. One nondiagnostic biopsy was clinically determined to represent recurrence. Of 28 (55%) lesions not biopsied, 18 (64%) were ultimately treated as clinically determined recurrence. Thus, among 51 individual NI-RADS 3 lesions (32 primary, 19 neck), 36 (71%) represented recurrence. Conclusion: The incidence of NI-RADS 3 lesions in our cohort was 7%. The biopsy rate was 45%, and the overall positive predictive value of NI-RADS 3 for recurrent SCC was 71%. Category 3 lesions are associated with substantial SCC recurrence risk and should be managed accordingly. Level of Evidence: 4 Laryngoscope, 132:1792-1797, 2022. (© 2022 The American Laryngological, Rhinological and Otological Society, Inc.) |
| References: | Hoang JK, Riofrio A, Bashir MR, Kranz PG, Eastwood JD. High variability in radiologists' reporting practices for incidental thyroid nodules detected on CT and MRI. AJNR Am J Neuroradiol 2014;35:1190-1194. https://doi.org/10.3174/ajnr.A3834. He BJ, Malm BJ, Carino M, Sadeghi MM. Prevalence and variability in reporting of clinically actionable incidental findings on attenuation-correction CT scans in a veteran population. J Nucl Cardiol 2019;26:1688-1693. https://doi.org/10.1007/s12350-018-1232-9. Shinagare AB, Lacson R, Boland GW, et al. Radiologist preferences, agreement, and variability in phrases used to convey diagnostic certainty in radiology reports. J Am Coll Radiol 2019;16(4 Pt A):458-464. https://doi.org/10.1016/j.jacr.2018.09.052. Khorasani R, Bates DW, Teeger S, Rothschild JM, Adams DF, Seltzer SE. Is terminology used effectively to convey diagnostic certainty in radiology reports? Acad Radiol 2003;10:685-688. https://doi.org/10.1016/s1076-6332(03)80089-2. Rosenkrantz AB, Kiritsy M, Kim S. How “consistent” is “consistent”? A clinician-based assessment of the reliability of expressions used by radiologists to communicate diagnostic confidence. Clin Radiol 2014;69:745-749. https://doi.org/10.1016/j.crad.2014.03.004. Rosenkrantz AB. Differences in perceptions among radiologists, referring physicians, and patients regarding language for incidental findings reporting. Am J Roentgenol 2017;208:140-143. https://doi.org/10.2214/AJR.16.16633. Lee B, Whitehead MT. Radiology reports: what YOU think you're saying and what THEY think you're saying. Curr Probl Diagn Radiol 2017;46:186-195. https://doi.org/10.1067/j.cpradiol.2016.11.005. An JY, Unsdorfer KML, Weinreb JC. BI-RADS, C-RADS, CAD-RADS, LI-RADS, lung-RADS, NI-RADS, O-RADS, PI-RADS, TI-RADS: reporting and data systems. Radiographics 2019;39:1435-1436. https://doi.org/10.1148/rg.2019190087. Aiken AH, Farley A, Baugnon KL, et al. Implementation of a novel surveillance template for head and neck cancer: neck imaging reporting and data system (NI-RADS). J Am Coll Radiol 2016;13:743-746.e1. https://doi.org/10.1016/j.jacr.2015.09.032. Aiken AH, Rath TJ, Anzai Y, et al. ACR neck imaging reporting and data systems (NI-RADS): a white paper of the ACR NI-RADS Committee. J Am Coll Radiol 2018;15:1097-1108. https://doi.org/10.1016/j.jacr.2018.05.006. Bunch PM, Meegalla NT, Abualruz A-R, et al. Initial referring physician and radiologist experience with neck imaging reporting and data system. Laryngoscope 2022;132:349-355. https://doi.org/10.1002/lary.29765. Krieger DA, Hudgins PA, Nayak GK, et al. Initial performance of NI-RADS to predict residual or recurrent head and neck squamous cell carcinoma. AJNR Am J Neuroradiol 2017;38:1193-1199. https://doi.org/10.3174/ajnr.A5157. Hsu D, Chokshi FH, Hudgins PA, et al. Predictive value of first posttreatment imaging using standardized reporting in head and neck cancer. Otolaryngol Head Neck Surg 2019;161:978-985. https://doi.org/10.1177/0194599819865235. Elsholtz FHJ, Ro S-R, Shnayien S, et al. Inter- and Intrareader agreement of NI-RADS in the interpretation of surveillance contrast-enhanced CT after treatment of oral cavity and oropharyngeal squamous cell carcinoma. AJNR Am J Neuroradiol 2020;41:859-865. https://doi.org/10.3174/ajnr.A6529. Dinkelborg P, Ro S-R, Shnayien S, et al. Retrospective evaluation of NI-RADS for detecting post-surgical recurrence of oral squamous cell carcinoma on surveillance CT or MRI. AJR Am J Roentgenol 2020;217:198-206. https://doi.org/10.2214/AJR.20.24209. Elsholtz FHJ, Ro S-R, Shnayien S, Dinkelborg P, Hamm B, Schaafs L-A. Impact of double reading on NI-RADS diagnostic accuracy in reporting oral squamous cell carcinoma surveillance imaging-a single-center study. Dentomaxillofac Radiol 2022;51:20210168. https://doi.org/10.1259/dmfr.20210168. Kadom N, Doherty G, Solomon A, et al. Safety-net academic hospital experience in following up noncritical yet potentially significant radiologist recommendations. AJR Am J Roentgenol 2017;209:982-986. https://doi.org/10.2214/AJR.17.18179. Lee B, Otero HJ, Whitehead MT. The fate of radiology report recommendations at a pediatric medical center. Pediatr Radiol 2017;47:1724-1729. https://doi.org/10.1007/s00247-017-3960-4. |
| فهرسة مساهمة: | Keywords: Head and neck cancer; Neck Imaging Reporting and Data System; neck computed tomography; squamous cell carcinoma; surveillance imaging |
| تواريخ الأحداث: | Date Created: 20220119 Date Completed: 20220819 Latest Revision: 20220823 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1002/lary.30025 |
| PMID: | 35043989 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!