胰腺癌分期中计算机断层扫描和磁共振成像的结构化报告：德尔菲共识提案
Structured Reporting of Computed Tomography and Magnetic Resonance in the Staging of Pancreatic Adenocarcinoma: A Delphi Consensus Proposal.
作者信息
Granata Vincenza, Morana Giovanni, D'Onofrio Mirko, Fusco Roberta, Coppola Francesca, Grassi Francesca, Cappabianca Salvatore, Reginelli Alfonso, Maggialetti Nicola, Buccicardi Duccio, Barile Antonio, Rengo Marco, Bortolotto Chandra, Urraro Fabrizio, La Casella Giorgia Viola, Montella Marco, Ciaghi Eleonora, Bellifemine Francesco, De Muzio Federica, Danti Ginevra, Grazzini Giulia, Barresi Carmelo, Brunese Luca, Neri Emanuele, Grassi Roberto, Miele Vittorio, Faggioni Lorenzo
机构信息
Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.
Department of Radiology, Santa Maria di Ca' Foncello Hospital, 31100 Treviso, Italy.
出版信息
Diagnostics (Basel). 2021 Nov 3;11(11):2033. doi: 10.3390/diagnostics11112033.
BACKGROUND
Structured reporting (SR) in radiology has been recognized recently by major scientific societies. This study aims to build structured computed tomography (CT) and magnetic resonance (MR)-based reports in pancreatic adenocarcinoma during the staging phase in order to improve communication between the radiologist and members of multidisciplinary teams.
MATERIALS AND METHODS
A panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A modified Delphi process was used to develop the CT-SR and MRI-SR, assessing a level of agreement for all report sections. Cronbach's alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to measure quality analysis according to the average inter-item correlation.
RESULTS
The final CT-SR version was built by including n = 16 items in the "Patient Clinical Data" section, n = 11 items in the "Clinical Evaluation" section, n = 7 items in the "Imaging Protocol" section, and n = 18 items in the "Report" section. Overall, 52 items were included in the final version of the CT-SR. The final MRI-SR version was built by including n = 16 items in the "Patient Clinical Data" section, n = 11 items in the "Clinical Evaluation" section, n = 8 items in the "Imaging Protocol" section, and n = 14 items in the "Report" section. Overall, 49 items were included in the final version of the MRI-SR. In the first round for CT-SR, all sections received more than a good rating. The overall mean score of the experts was 4.85. The Cα correlation coefficient was 0.85. In the second round, the overall mean score of the experts was 4.87, and the Cα correlation coefficient was 0.94. In the first round, for MRI-SR, all sections received more than a good rating. The overall mean score of the experts was 4.73. The Cα correlation coefficient was 0.82. In the second round, the overall mean score of the experts was 4.91, and the Cα correlation coefficient was 0.93.
CONCLUSIONS
The CT-SR and MRI-SR are based on a multi-round consensus-building Delphi exercise derived from the multidisciplinary agreement of expert radiologists in order to obtain more appropriate communication tools for referring physicians.
背景
放射学中的结构化报告（SR）最近已得到主要科学协会的认可。本研究旨在构建基于结构化计算机断层扫描（CT）和磁共振成像（MR）的胰腺癌分期报告，以改善放射科医生与多学科团队成员之间的沟通。
材料与方法
成立了一个由意大利医学与介入放射学会成员组成的专家放射科医生小组。采用改良的德尔菲法来制定CT-SR和MRI-SR，评估所有报告部分的一致程度。使用克朗巴哈系数（Cα）相关系数来评估每个部分的内部一致性，并根据平均项目间相关性进行质量分析。
结果
最终的CT-SR版本在“患者临床数据”部分包含n = 16项，“临床评估”部分包含n = 11项，“成像方案”部分包含n = 7项，“报告”部分包含n = 18项。总体而言，CT-SR的最终版本包含52项。最终的MRI-SR版本在“患者临床数据”部分包含n = 16项，“临床评估”部分包含n = 11项，“成像方案”部分包含n = 8项，“报告”部分包含n = 14项。总体而言，MRI-SR的最终版本包含49项。在CT-SR的第一轮中，所有部分的评分都超过了良好。专家的总体平均分为4.85。Cα相关系数为0.85。在第二轮中，专家的总体平均分为4.87，Cα相关系数为0.94。在MRI-SR的第一轮中，所有部分的评分都超过了良好。专家的总体平均分为4.73。Cα相关系数为0.82。在第二轮中，专家的总体平均分为4.91，Cα相关系数为0.93。
结论
CT-SR和MRI-SR基于多轮共识构建的德尔菲法，该方法源自专家放射科医生的多学科共识，以便为转诊医生获得更合适的沟通工具。
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