Department of Clinical Radiology, Lincoln Wing, St James' University Hospital, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, LS9 7TF, UK.
Epidemiology and Biostatistics, Section of Pathology and Data Analytics, Medical Research at St. James's, University of Leeds, St James's Institute of Oncology, St James's University Hospital, Leeds, LS9 7TF, UK.
Clin Radiol. 2019 Aug;74(8):637-642. doi: 10.1016/j.crad.2019.04.015. Epub 2019 May 11.
To evaluate the current opinion of magnetic resonance imaging (MRI) reports amongst specialist clinicians involved in colorectal cancer multidisciplinary teams (CRC MDTs).
Active participants at 16 UK CRC MDTs across a population of 5.7 million were invited to complete a questionnaire, this included 22 closed and three open questions. Closed questions used ordinal (Likert) scales to judge the subjective inclusion of tumour descriptors and impressions on the clarity and consistency of the MRI report. Open (free-text) questions allowed overall feedback and suggestions.
A total of 69 participants completed the survey (21 radiologists and 48 other CRC MDT clinicians). Both groups highlighted that reports commonly omit the status of the circumferential resection margin (CRM; 83% versus 81% inclusion, other clinicians and radiologists, respectively, p>0.05), presence or absence of extra-mural venous invasion (EMVI; 67% versus 57% inclusion, p>0.05), and lymph node status (90% inclusion in both groups). Intra-radiologist agreement across MRI examinations is reported as 75% by other clinicians. Free-text comments included suggestions for template-style reports.
Both groups recognise a proportion of MRI reports are suboptimal with key tumour descriptors omitted. There are also concerns around the presentation style of MRI reports and inter- and intra-radiologist report variability. The widespread implementation of standardised report templates may improve completeness and clarity of MRI reports for rectal cancer and thus clinical management and outcomes in rectal cancer.
评估参与结直肠癌多学科团队（CRC MDT）的专业临床医生对磁共振成像（MRI）报告的当前看法。
邀请英国 16 个 CRC MDT 中的活跃参与者（覆盖 570 万人口）完成一份问卷，其中包括 22 个封闭问题和 3 个开放问题。封闭问题使用有序（Likert）量表来判断肿瘤描述符的主观纳入情况以及对 MRI 报告的清晰度和一致性的印象。开放（自由文本）问题允许提供总体反馈和建议。
共有 69 名参与者完成了调查（21 名放射科医生和 48 名其他 CRC MDT 临床医生）。这两个组都强调报告通常会遗漏环周切缘（CRM）的状态（分别为 83%和 81%的纳入率，其他临床医生和放射科医生，p>0.05）、是否存在壁外静脉侵犯（EMVI；分别为 67%和 57%的纳入率，p>0.05）以及淋巴结状态（两组均为 90%的纳入率）。其他临床医生报告的 MRI 检查中，放射科医生之间的内部一致性为 75%。自由文本评论包括对模板式报告的建议。
两个组都认为一部分 MRI 报告不够理想，关键肿瘤描述符被遗漏。MRI 报告的呈现风格以及放射科医生之间和内部报告的可变性也存在问题。标准化报告模板的广泛实施可能会提高直肠癌 MRI 报告的完整性和清晰度，从而改善直肠癌的临床管理和结果。
