Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS Di Napoli, Naples, Italy.
Medical Oncology Division, Igea SpA, Naples, Italy.
Radiol Med. 2023 Feb;128(2):222-233. doi: 10.1007/s11547-023-01596-8. Epub 2023 Jan 19.
To develop a structured reporting (SR) template for whole-body CT examinations of polytrauma patients, based on the consensus of a panel of emergency radiology experts from the Italian Society of Medical and Interventional Radiology.
A multi-round Delphi method was used to quantify inter-panelist agreement for all SR sections. Internal consistency for each section and quality analysis in terms of average inter-item correlation were evaluated by means of the Cronbach's alpha (Cα) correlation coefficient.
The final SR form included 118 items (6 in the "Patient Clinical Data" section, 4 in the "Clinical Evaluation" section, 9 in the "Imaging Protocol" section, and 99 in the "Report" section). The experts' overall mean score and sum of scores were 4.77 (range 1-5) and 257.56 (range 206-270) in the first Delphi round, and 4.96 (range 4-5) and 208.44 (range 200-210) in the second round, respectively. In the second Delphi round, the experts' overall mean score was higher than in the first round, and standard deviation was lower (3.11 in the second round vs 19.71 in the first round), reflecting a higher expert agreement in the second round. Moreover, Cα was higher in the second round than in the first round (0.97 vs 0.87).
Our SR template for whole-body CT examinations of polytrauma patients is based on a strong agreement among panel experts in emergency radiology and could improve communication between radiologists and the trauma team.
基于意大利医学和介入放射学会急诊放射学专家小组的共识，为多发伤患者的全身 CT 检查制定一个结构化报告（SR）模板。
采用多轮 Delphi 法对所有 SR 部分进行小组间一致性的量化。通过 Cronbach's alpha（Cα）相关系数评估每个部分的内部一致性以及每个项目之间的平均相关性的质量分析。
最终的 SR 表格包括 118 个项目（“患者临床数据”部分 6 项，“临床评估”部分 4 项，“成像协议”部分 9 项，“报告”部分 99 项）。在第一轮 Delphi 中，专家的总体平均得分为 4.77（范围 1-5），总分为 257.56（范围 206-270）；在第二轮 Delphi 中，专家的总体平均得分为 4.96（范围 4-5），总分为 208.44（范围 200-210）。在第二轮 Delphi 中，专家的总体平均得分高于第一轮，标准差较低（第二轮为 3.11，第一轮为 19.71），反映出第二轮专家的共识度更高。此外，第二轮的 Cα高于第一轮（0.97 对 0.87）。
我们为多发伤患者全身 CT 检查制定的 SR 模板基于急诊放射学专家小组的强烈共识，可改善放射科医生与创伤团队之间的沟通。
