Neri E, Coppola F, Larici A R, Sverzellati N, Mazzei M A, Sacco P, Dalpiaz G, Feragalli B, Miele V, Grassi R
Diagnostic and Interventional Radiology, Department of Translational Research, Università degli Studi di Pisa, Radiodiagnostica 3, Via Roma 67 -, 56126, Pisa, SD, Italy.
Malpighi Radiology Unit, Department of Diagnostic and Preventive Medicine, University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Insights Imaging. 2020 Aug 12;11(1):92. doi: 10.1186/s13244-020-00901-7.
The need of a standardized reporting scheme and language, in imaging of COVID-19 pneumonia, has been welcomed by major scientific societies. The aim of the study was to build the reporting scheme of chest CT in COVID-19 pneumonia.
A team of experts, of the Italian Society of Medical and Interventional Radiology (SIRM), has been recruited to compose a consensus panel. They used a modified Delphi process to build a reporting scheme and expressed a level of agreement for each section of the report. To measure the internal consistency of the panelist ratings for each section of the report, a quality analysis based on the average inter-item correlation was performed with Cronbach's alpha (Cα) correlation coefficient.
The overall mean score of the experts and the sum of score were 3.1 (std.dev. ± 0.11) and 122 in the second round, and improved to 3.75 (std.dev. ± 0.40) and 154 in the third round. The Cronbach's alpha (Cα) correlation coefficient was 0.741 (acceptable) in the second round and improved to 0.789 in the third round. The final report was built in the management of radiology report template (MRRT) and includes n = 4 items in the procedure information, n = 5 items in the clinical information, n = 16 in the findings, and n = 3 in the impression, with overall 28 items.
The proposed structured report could be of help both for expert radiologists and for the less experienced who are faced with the management of these patients. The structured report is conceived as a guideline, to recommend the key items/findings of chest CT in COVID-19 pneumonia.
主要科学协会对在新型冠状病毒肺炎（COVID-19肺炎）影像学检查中采用标准化报告方案和语言的需求表示欢迎。本研究的目的是构建COVID-19肺炎胸部CT的报告方案。
招募了意大利医学与介入放射学会（SIRM）的一组专家组成共识小组。他们采用改良的德尔菲法构建报告方案，并对报告的每个部分表示一致同意的程度。为了测量小组成员对报告各部分评分的内部一致性，使用克朗巴赫α（Cα）相关系数进行了基于平均项目间相关性的质量分析。
第二轮专家的总体平均得分和得分总和分别为3.1（标准差±0.11）和122，第三轮提高到3.75（标准差±0.40）和154。第二轮克朗巴赫α（Cα）相关系数为0.741（可接受），第三轮提高到0.789。最终报告在放射学报告模板管理（MRRT）中构建，包括程序信息中的n = 4项、临床信息中的n = 5项、检查结果中的n = 16项和印象中的n = 3项，共28项。
所提出的结构化报告对专家放射科医生和处理这些患者的经验较少者均有帮助。结构化报告被视为一项指南，用于推荐COVID-19肺炎胸部CT的关键项目/检查结果。
