Glazer Daniel I, Mayo-Smith William W, Remer Erick M, Caoili Elaine M, Song Julie H, Taffel Myles T, Lee James T, Brook Olga R, Shinagare Atul B, Blake Michael A, Elsayes Khaled M, Schieda Nicola, Westphalen Antonio C, Campbell Michael J, Corwin Michael T
Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Department of Imaging, Dana Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA.
Abdom Radiol (NY). 2023 Mar;48(3):952-975. doi: 10.1007/s00261-022-03729-5. Epub 2022 Dec 16.
Substantial variation in imaging terms used to describe the adrenal gland and adrenal findings leads to ambiguity and uncertainty in radiology reports and subsequently their understanding by referring clinicians. The purpose of this study was to develop a standardized lexicon to describe adrenal imaging findings at CT and MRI.
Fourteen members of the Society of Abdominal Radiology adrenal neoplasm disease-focused panel (SAR-DFP) including one endocrine surgeon participated to develop an adrenal lexicon using a modified Delphi process to reach consensus. Five radiologists prepared a preliminary list of 35 imaging terms that was sent to the full group as an online survey (19 general imaging terms, 9 specific to CT, and 7 specific to MRI). In the first round, members voted on terms to be included and proposed definitions; subsequent two rounds were used to achieve consensus on definitions (defined as ≥ 80% agreement).
Consensus for inclusion was reached on 33/35 terms with two terms excluded (anterior limb and normal adrenal size measurements). Greater than 80% consensus was reached on the definitions for 15 terms following the first round, with subsequent consensus achieved for the definitions of the remaining 18 terms following two additional rounds. No included term had remaining disagreement.
Expert consensus produced a standardized lexicon for reporting adrenal findings at CT and MRI. The use of this consensus lexicon should improve radiology report clarity, standardize clinical and research terminology, and reduce uncertainty for referring providers when adrenal findings are present.
用于描述肾上腺及肾上腺检查结果的影像学术语存在很大差异，这导致放射学报告中出现模糊性和不确定性，进而影响临床转诊医生对报告的理解。本研究的目的是制定一个标准化词汇表，用于描述CT和MRI检查时的肾上腺影像学表现。
腹部放射学会肾上腺肿瘤疾病重点小组（SAR-DFP）的14名成员（包括一名内分泌外科医生）参与，采用改良的德尔菲法制定肾上腺词汇表以达成共识。5名放射科医生准备了一份包含35个影像学术语的初步清单，并作为在线调查问卷发送给全体成员（19个通用影像学术语、9个CT特有的术语和7个MRI特有的术语）。在第一轮中，成员们对纳入的术语进行投票并提出定义；随后两轮用于就定义达成共识（定义为≥80%的一致意见）。
35个术语中有33个达成了纳入共识，排除了两个术语（前肢和正常肾上腺大小测量）。第一轮后，15个术语的定义达成了超过80%的共识，在另外两轮之后，其余18个术语的定义也达成了共识。没有一个纳入的术语存在剩余分歧。
专家共识产生了一个用于报告CT和MRI肾上腺检查结果的标准化词汇表。使用这个共识词汇表应能提高放射学报告的清晰度，规范临床和研究术语，并减少肾上腺检查结果出现时临床转诊医生的不确定性。
