使用模板报告结肠癌分期。

Reporting colon cancer staging using a template.

作者信息

Pedersen Malene Roland V, Dam Claus, Loft Martina, Rafaelsen Søren R

机构信息

Department of Radiology, Vejle Hospital - University Hospital of Southern Denmark, Vejle, Denmark.

Danish Colorectal Cancer Center South, Vejle Hospital, Vejle, Denmark.

出版信息

Eur J Radiol Open. 2020 Jan 29;7:100213. doi: 10.1016/j.ejro.2020.01.002. eCollection 2020.

DOI:10.1016/j.ejro.2020.01.002

PMID:32021880

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994830/

Abstract

PURPOSE

The purpose of this study was to evaluate the effect of completeness of the radiological reports in primary local staging colon cancer when using a template.

METHODS

The study used primary staging reports retrieved from the departments RIS/PACS. Five key tumour descriptors were evaluated within each report: tumour morphology (polypoid or annular), information on tumour breach of the colon wall (≥ T3), tumour out-growth in mm, nodal status and TNM in conclusion. The failure to provide a description of the presence or absence of a feature in a report counted as 'not reported'. To allow comparisons between reporting styles, the template or free-text style of reporting was also recorded.

RESULTS

During a two year period, a total of 666 patients CT reports were evaluated at the colorectal center multidisciplinary team (MDT) conference. In 200 of these reports a template was used. Information on tumour morphology (polypoid or annular) was present in 81% of the template reports vs 9% in free-text style. The figures in percentage for information on tumour breach of the colon wall (≥ T3) were 93% vs 48 %, tumour out-growth in mm: 51% vs 17%, nodal status: 99% vs 86% and TNM in conclusion: 98% vs 51%. P < 0.0001.

CONCLUSION

The present study provides additional support for the routine use of template reports to improve imaging reporting standards in colonic cancer.

摘要

目的

本研究旨在评估使用模板时，放射学报告完整性对原发性结肠癌局部分期的影响。

方法

本研究使用从放射信息系统/图像存档与通信系统（RIS/PACS）科室检索到的原发性分期报告。在每份报告中评估五个关键肿瘤描述符：肿瘤形态（息肉样或环形）、结肠壁肿瘤侵犯信息（≥T3）、肿瘤向外生长的毫米数、淋巴结状态以及结论中的TNM分期。报告中未对某一特征的存在与否进行描述计为“未报告”。为便于比较报告风格，还记录了报告的模板或自由文本风格。

结果

在两年期间，结直肠中心多学科团队（MDT）会议共评估了666例患者的CT报告。其中200份报告使用了模板。模板报告中肿瘤形态（息肉样或环形）信息的占比为81%，自由文本风格报告中的占比为9%。结肠壁肿瘤侵犯信息（≥T3）的百分比分别为93%和48%，肿瘤向外生长的毫米数：51%和17%，淋巴结状态：99%和86%，结论中的TNM分期：98%和51%。P<0.0001。