Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.
Department of Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, USA.
Eur Radiol. 2019 Sep;29(9):4851-4860. doi: 10.1007/s00330-019-06037-7. Epub 2019 Feb 28.
To assess a disease-specific structured report (dsSR) for CT staging of ovarian malignancy compared to a simple structured report (sSR).
This is a HIPAA-compliant, IRB-approved study with waiver of informed consent. An adnexal mass-specific structured reporting CT template was developed in collaboration between gynecologic oncologists and diagnostic radiologists. The study population included 24 consecutive women who had a staging CT prior to undergoing debulking surgery for a primary ovarian malignancy. Objective evaluation by radiologists for the presence of 19 key features and subjective evaluation by gynecologic oncologists were performed to assess the clarity and usefulness for procedural planning of dsSR and sSR. Accuracy, sensitivity, and specificity were assessed using operating room notes and pathology reports as the reference standard.
Fewer key features were missing from dsSR than sSR: 0.2 ± 0.8 (range 0-2) vs.10.2 ± 1.7 (range 7-14), respectively (p < 0.0001). Compared to sSR, gynecologic oncologists deemed dsSR more helpful (4.3 ± 0.7 vs. 3.7 ± 0.8, p < 0.0001) and easier to understand (4.3 ± 0.6 vs. 3.9 ± 0.7, p = 0.0057) (on a scale 0-5, 0 not helpful/very difficult to understand; 5 extremely helpful/very clear to understand). Gynecologic oncologists reported a higher rate of potential to modify their surgical approach based on dsSR (33-42%) compared to sSR (13-17%), p = 0.004.
Disease-specific structured reports were more reliable than simple structured reports in describing key features essential for procedural planning. dsSR was described as more helpful and easier to understand and more likely to lead to modification of the surgical approach by gynecologic oncologists compared to sSR.
• Disease-specific structured report is easier to understand and more helpful for planning gynecological surgery as compared with simple structured report. • Disease-specific structured report for pre-operative evaluation of ovarian cancer provides better documentation of essential features required for surgical planning as compared with simple structured report. • Disease-specific structured report has the potential to modify the surgical approach as assessed by gynecologic oncologists.
评估一种针对卵巢恶性肿瘤 CT 分期的特定疾病的结构化报告（dsSR）与简单结构化报告（sSR）相比。
这是一项符合 HIPAA 规定、IRB 批准的研究，豁免了知情同意。在妇科肿瘤学家和诊断放射科医生之间合作开发了一种附件肿块特定的结构化报告 CT 模板。研究人群包括 24 名连续女性，她们在接受原发性卵巢恶性肿瘤减瘤手术前进行了分期 CT。由放射科医生对 19 个关键特征进行客观评估，由妇科肿瘤学家进行主观评估，以评估 dsSR 和 sSR 的清晰程度和对手术计划的有用性。使用手术室记录和病理报告作为参考标准评估准确性、敏感性和特异性。
dsSR 比 sSR 缺失的关键特征更少：分别为 0.2±0.8（范围 0-2）和 10.2±1.7（范围 7-14）（p<0.0001）。与 sSR 相比，妇科肿瘤学家认为 dsSR 更有帮助（4.3±0.7 与 3.7±0.8，p<0.0001），更容易理解（4.3±0.6 与 3.9±0.7，p=0.0057）（在 0-5 的尺度上，0 表示无帮助/非常难以理解；5 表示非常有帮助/非常清晰易懂）。妇科肿瘤学家报告说，根据 dsSR 修改手术方法的可能性更高（33-42%），而不是 sSR（13-17%），p=0.004。
与简单的结构化报告相比，特定疾病的结构化报告在描述对手术计划至关重要的关键特征方面更可靠。与 sSR 相比，dsSR 被描述为更有帮助和更容易理解，并且更有可能导致妇科肿瘤学家修改手术方法。
