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胎儿磁共振成像的标准化和结构化报告:欧洲儿科放射学会胎儿工作组的建议。

Standardised and structured reporting in fetal magnetic resonance imaging: recommendations from the Fetal Task Force of the European Society of Paediatric Radiology.

机构信息

Department of Biomedical Sciences and Morphologic and Functional Imaging, University of Messina, Policlinico "G. Martino", Via Consolare Valeria 1, 98100, Messina, Italy.

Department of Radiology, University Hospitals Katholieke Universiteit (KU), Louvain, Belgium.

出版信息

Pediatr Radiol. 2024 Sep;54(10):1566-1578. doi: 10.1007/s00247-024-06010-7. Epub 2024 Aug 1.

DOI:10.1007/s00247-024-06010-7
PMID:39085531
Abstract

Over the last decades, magnetic resonance imaging (MRI) has emerged as a valuable adjunct to prenatal ultrasound for evaluating fetal malformations. Several radiological societies advocate for standardised and structured reporting practices to enhance the uniformity of imaging language. Compared to narrative formats, standardised and structured reports offer enhanced content quality, minimise reader variability, have the potential to save reporting time, and streamline the communication between specialists by employing a shared lexicon. Structured reporting holds promise for mitigating medico-legal liability, while also facilitating rigorous scientific data analyses and the development of standardised databases. While structured reporting templates for fetal MRI are already in use in some centres, specific recommendations and/or guidelines from international societies are scarce in the literature. The purpose of this paper is to propose a standardised and structured reporting template for fetal MRI to assist radiologists, particularly those with less experience, in delivering systematic reports. Additionally, the paper aims to offer an overview of the anatomical structures that necessitate reporting and the prevalent normative values for fetal biometrics found in current literature.

摘要

在过去几十年中,磁共振成像(MRI)已成为产前超声评估胎儿畸形的重要辅助手段。一些放射学学会提倡采用标准化和结构化的报告实践,以增强成像语言的一致性。与叙述格式相比,标准化和结构化报告具有更高的内容质量、最小化读者变异性、有节省报告时间的潜力,并通过使用共享词汇表来简化专家之间的沟通。结构化报告有望减轻医疗法律责任,同时也有利于严格的科学数据分析和标准化数据库的开发。虽然一些中心已经在使用胎儿 MRI 的结构化报告模板,但国际学会的具体建议和/或指南在文献中仍较为缺乏。本文旨在提出一种标准化和结构化的胎儿 MRI 报告模板,以帮助放射科医生,特别是那些经验较少的医生,提供系统的报告。此外,本文还旨在概述需要报告的解剖结构以及当前文献中发现的胎儿生物测量的常见正常值。

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本文引用的文献

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Structured reporting in fetal magnetic resonance imaging with congenital diaphragmatic hernia.先天性膈疝胎儿磁共振成像的结构化报告。
Prenat Diagn. 2024 Jul;44(8):988-995. doi: 10.1002/pd.6593. Epub 2024 May 26.
2
European Association of Urology Guidelines on Muscle-invasive and Metastatic Bladder Cancer: Summary of the 2023 Guidelines.欧洲泌尿外科学会肌层浸润性和转移性膀胱癌指南:2023 年指南摘要。
Eur Urol. 2024 Jan;85(1):17-31. doi: 10.1016/j.eururo.2023.08.016. Epub 2023 Oct 17.
3
Prenatal imaging of the normal and abnormal spinal cord: recommendations from the Fetal Task Force of the European Society of Paediatric Radiology (ESPR) and the European Society of Neuroradiology (ESNR) Pediatric Neuroradiology Committee.
正常和异常脊髓的产前影像学:欧洲儿科放射学会(ESPR)和欧洲神经放射学会(ESNR)儿科神经放射学委员会胎儿工作组的建议。
Pediatr Radiol. 2024 Apr;54(4):548-561. doi: 10.1007/s00247-023-05766-8. Epub 2023 Oct 7.
4
Quantitative measurements and morphological evaluation of fetal cardiovascular structures with fetal cardiac MRI.胎儿心脏 MRI 对胎儿心血管结构的定量测量和形态评估。
Eur J Radiol. 2023 Jun;163:110828. doi: 10.1016/j.ejrad.2023.110828. Epub 2023 Apr 8.
5
ISUOG Practice Guidelines (updated): performance of fetal magnetic resonance imaging.国际妇产科超声学会实践指南(更新版):胎儿磁共振成像的应用
Ultrasound Obstet Gynecol. 2023 Feb;61(2):278-287. doi: 10.1002/uog.26129.
6
Indications for magnetic resonance imaging of the fetal body (extra-central nervous system): recommendations from the European Society of Paediatric Radiology Fetal Task Force.胎儿身体(中枢神经系统以外)磁共振成像的指征:欧洲儿科放射学会胎儿工作组的建议
Pediatr Radiol. 2023 Feb;53(2):297-312. doi: 10.1007/s00247-022-05495-4. Epub 2022 Sep 26.
7
Exploration of the fetal skeleton by ultra-low-dose computed tomography: guidelines from the Fetal Imaging Task Force of the European Society of Paediatric Radiology.超低剂量计算机断层扫描对胎儿骨骼的探索:欧洲儿科放射学会胎儿影像工作组指南
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8
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9
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