Flusberg Milana, Ganeles Jeremy, Ekinci Tulay, Goldberg-Stein Shlomit, Paroder Viktoriya, Kobi Mariya, Chernyak Victoria
Department of Radiology, Montefiore Medical Center, Bronx, New York.
Department of Radiology, Montefiore Medical Center, Bronx, New York.
J Am Coll Radiol. 2017 Sep;14(9):1206-1211. doi: 10.1016/j.jacr.2017.02.050. Epub 2017 May 6.
To assess the impact of a Liver Imaging Reporting and Data System (LI-RADS) structured template on quality of reports for hepatocellular carcinoma (HCC).
A departmental structured LI-RADS template was adopted in April 2015. CT and MRI reports from September 2014 to February 2016 with probable or definite HCC were reviewed. Reporting of the following was recorded for each lesion and compared between template and free-text reports: (1) LI-RADS category, (2) Couinaud segment, and (3) unequivocal description of presence or absence of major LI-RADS HCC features: arterial phase hyperenhancement, "washout," diameter, threshold growth, and "capsule."
There were 306 definite or probable HCCs, 125 (40.8%) reported with free text and 181 (59.2%) with the template. LI-RADS category was reported in 23 of 125 (18.4%) HCCs with free text and in 178 of 181 (98.3%) HCCs with the template (P < .001). Couinaud segment was reported in 102 of 125 (81.6%) HCCs with free text and in 181 of 181 (100%) HCCs with the template (P < .001). Diameter was reported in 118 of 125 (94.4%) HCCs with free text and in 181 of 181 (100%) HCCs with the template (P = .001). Threshold growth was reported in 36 of 125 (28.8%) HCCs with free text and in 169 of 181 (93.4%) HCCs with the template (P < .001). Arterial phase hyperenhancement was reported in 101 of 125 (80.8%) HCCs with free text and in 177 of 181 (97.8%) HCCs with the template (P < .001). Washout was reported in 93 of 125 (74.4%) HCCs with free text and in 178 of 181 (98.3%) HCCs with the template (P < .001). Capsule was reported in 24 of 125 (19.2%) HCCs with free text and in 176 of 181 (97.2%) HCCs with the template (P < .001).
Use of structured LI-RADS template resulted in more comprehensive and consistent reporting of major HCC features and LI-RADS category compared with free-text reporting.
评估肝脏影像报告和数据系统（LI-RADS）结构化模板对肝细胞癌（HCC）报告质量的影响。
2015年4月采用科室结构化LI-RADS模板。回顾2014年9月至2016年2月间可能或确诊为HCC的CT和MRI报告。记录每个病灶的以下报告内容，并在模板报告和自由文本报告之间进行比较：（1）LI-RADS类别，（2）肝段，（3）对主要LI-RADS HCC特征（动脉期强化、“廓清”、直径、阈值生长和“包膜”）存在与否的明确描述。
共有306个确诊或可能的HCC，其中125个（40.8%）采用自由文本报告，181个（59.2%）采用模板报告。125个HCC中有23个（18.4%）采用自由文本报告了LI-RADS类别，181个HCC中有178个（98.3%）采用模板报告了LI-RADS类别（P <.001）。125个HCC中有102个（81.6%）采用自由文本报告了肝段，181个HCC中有181个（100%）采用模板报告了肝段（P <.001）。125个HCC中有118个（94.4%）采用自由文本报告了直径，181个HCC中有181个（100%）采用模板报告了直径（P =.001）。125个HCC中有36个（28.8%）采用自由文本报告了阈值生长，181个HCC中有169个（93.4%）采用模板报告了阈值生长（P <.001）。125个HCC中有101个（80.8%）采用自由文本报告了动脉期强化，181个HCC中有177个（97.8%）采用模板报告了动脉期强化（P <.001）。125个HCC中有93个（74.4%）采用自由文本报告了廓清，181个HCC中有178个（98.3%）采用模板报告了廓清（P <.001）。125个HCC中有24个（19.2%）采用自由文本报告了包膜，181个HCC中有176个（97.2%）采用模板报告了包膜（P <.001）。
与自由文本报告相比，使用结构化LI-RADS模板可使主要HCC特征和LI-RADS类别的报告更全面、更一致。
