Department of Radiology, University Hospital, LMU Munich, Marchionistr. 15, 81377, Munich, Germany.
III. Department of Internal Medicine and Comprehensive Cancer Center, Technical University of Munich (TUM), Munich, Germany.
Eur Radiol. 2018 Sep;28(9):3702-3709. doi: 10.1007/s00330-018-5340-3. Epub 2018 Mar 29.
To evaluate whether template-based structured reports (SRs) add clinical value to primary CT staging in patients with diffuse large B-cell lymphoma (DLBCL) compared to free-text reports (FTRs).
In this two-centre study SRs and FTRs were acquired for 16 CT examinations. Thirty-two reports were independently scored by four haematologists using a questionnaire addressing completeness of information, structure, guidance for patient management and overall quality. The questionnaire included yes-no, 10-point Likert scale and 5-point scale questions. Altogether 128 completed questionnaires were evaluated. Non-parametric Wilcoxon signed-rank test and McNemar's test were used for statistical analysis.
SRs contained information on affected organs more often than FTRs (95 % vs. 66 %). More SRs commented on extranodal involvement (91 % vs. 62 %). Sufficient information for Ann-Arbor classification was included in more SRs (89 % vs. 64 %). Information extraction was quicker from SRs (median rating on 10-point Likert scale=9 vs. 6; 7-10 vs. 4-8 interquartile range). SRs had better comprehensibility (9 vs. 7; 8-10 vs. 5-8). Contribution of SRs to clinical decision-making was higher (9 vs. 6; 6-10 vs. 3-8). SRs were of higher quality (p < 0.001). All haematologists preferred SRs over FTRs.
Structured reporting of CT examinations for primary staging in patients with DLBCL adds clinical value compared to FTRs by increasing completeness of reports, facilitating information extraction and improving patient management.
• Structured reporting in CT helps clinicians to assess patients with lymphoma. • This two-centre study showed that structured reporting improves information content and extraction. • Patient management may be improved by structured reporting. • Clinicians preferred structured reports over free-text reports.
评估在弥漫性大 B 细胞淋巴瘤 (DLBCL) 患者的 CT 分期中，基于模板的结构化报告 (SR) 是否比自由文本报告 (FTR) 更具临床价值。
在这项双中心研究中，对 16 次 CT 检查获取了 SR 和 FTR。32 份报告由 4 名血液科医生独立使用一份调查问卷进行评分，该问卷针对信息的完整性、结构、对患者管理的指导以及整体质量进行评估。调查问卷包括是/否、10 分制 Likert 量表和 5 分制问题。共评估了 128 份完整的问卷。采用非参数 Wilcoxon 符号秩检验和 McNemar 检验进行统计学分析。
SR 比 FTR 更经常包含有关受影响器官的信息 (95% 比 66%)。更多的 SR 对结外累及进行了评论 (91% 比 62%)。更多的 SR 包含了用于 Ann-Arbor 分类的充分信息 (89% 比 64%)。从 SR 中提取信息的速度更快 (10 分制 Likert 量表的中位数评分为 9 比 6；7-10 比 4-8 四分位间距)。SR 具有更好的可理解性 (9 比 7；8-10 比 5-8)。SR 对临床决策的贡献更高 (9 比 6；6-10 比 3-8)。SR 的质量更高 (p < 0.001)。所有血液科医生都更喜欢 SR 而不是 FTR。
与 FTR 相比，在 DLBCL 患者的 CT 原发性分期中结构化报告通过增加报告的完整性、方便信息提取和改善患者管理，增加了临床价值。
• CT 中的结构化报告有助于临床医生评估淋巴瘤患者。
• 这项双中心研究表明，结构化报告提高了信息内容和提取的效率。
• 结构化报告可能改善患者管理。
• 临床医生更喜欢结构化报告而非自由文本报告。
