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胰腺导管腺癌分期。

Pancreatic ductal adenocarcinoma staging.

机构信息

Department of Radiology, University of Michigan Health Services, Ann Arbor, MI, USA.

出版信息

Cancer Imaging. 2013 Sep 23;13(3):360-4. doi: 10.1102/1470-7330.2013.9020.

Abstract

In addition to clinical history and evaluations, the results of laboratory tests and imaging studies help clinicians in determining treatment strategies. Imaging plays a central role in the management of oncology patients including the initial diagnosis, staging, and follow-up to assess treatment response. Historically, radiologists have relied on free-style dictations to convey the results of imaging findings in radiology reports to referring clinicians. These unstructured free-style dictations can potentially be a source of frustration as the pertinent information needed to guide treatment may be omitted or difficult to extract from the report, thereby limiting its completeness and usefulness. These limitations can be overcome by adopting a structured and reproducible form of reporting imaging studies to help clinicians in deciding the best treatment strategy for each patient. There is a growing need to establish standardized radiology reporting templates for specific disease processes. One such example involves patients with pancreatic ductal adenocarcinoma, as imaging findings determine the treatment arm to which the patient is assigned. In this presentation, we outline a list of essential features that need to be included in a structured report and highlight this with illustrative case examples.

摘要

除了临床病史和评估外,实验室检查和影像学研究的结果也有助于临床医生确定治疗策略。影像学在肿瘤患者的管理中起着核心作用,包括初始诊断、分期和随访以评估治疗反应。历史上,放射科医生依赖自由式口述来传达放射学报告中影像学发现的结果给转诊临床医生。这些非结构化的自由式口述可能会导致挫折,因为可能会遗漏或难以从报告中提取出指导治疗所需的相关信息,从而限制了报告的完整性和有用性。通过采用结构化和可重复的影像学报告形式,可以克服这些限制,帮助临床医生为每个患者决定最佳治疗策略。越来越需要为特定疾病过程建立标准化的放射学报告模板。一个这样的例子涉及胰腺导管腺癌患者,因为影像学发现决定了患者被分配到的治疗组。在本次演讲中,我们列出了结构化报告中需要包含的一系列基本特征,并通过说明性病例示例突出了这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec1/3781606/dca0c1d5df56/ci13902001.jpg

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