Moir John, Radhakrishna Ganesh, Valle Juan W, Al-Adhami Abdullah Saad, Albazaz Raneem
HPB Unit, Freeman Hospital, Newcastle upon Tyne, UK.
Department of Clinical Oncology, The Christie Hospital NHS Trust, Manchester, UK.
BMJ Oncol. 2023 Nov 20;2(1):e000055. doi: 10.1136/bmjonc-2023-000055. eCollection 2023.
Appropriate staging of pancreatic cancer is essential to ensure patients are offered all treatment options. This multispecialty national collaborative consensus project aimed to develop a succinct radiological reporting template, using the concept of structured reporting, to allow a more standardised means of reporting pancreatic cancer and ultimately optimise both patient care and research protocol design.
In stage one, a core group of stakeholders (oncologists, radiologists and surgeons) identified the current landscape of radiological reporting, including a blinded radiological validation study and a national survey of consultant HPB surgeons. Stage two used consensus panel development methodology to generate a provisional template draft. Stage three involved trialling the template across all UK HPB units, with feedback assisting the development of a final version of the template.
Stage one results identified a core dataset to develop a provisional template. Every UK Hepatopancreatobiliary (HPB) unit trialled this in clinical practice, leading to further refinements via consensus meetings. Ideal factors regarding tumour staging, extent of vascular involvement and response to systemic anticancer therapy were identified. This resulted in the generation of the PACT-UK (PAncreatic Cancer reporting Template-UK) template that is presented within the manuscript, as well as a user guide.
This project has successfully produced the first consensus-driven radiological reporting template for pancreatic cancer, with the aim of its use becoming standard practice in the UK, while upcoming workshops facilitated by Royal College of Radiologists/British Society of Gastrointestinal and Abdominal Radiology will establish buy-in from radiologists at all HPB units. Plans for the use of PACT-UK within national audit and clinical trials are underway.
胰腺癌的恰当分期对于确保为患者提供所有治疗选择至关重要。这个多专业的全国性协作共识项目旨在利用结构化报告的概念开发一个简洁的放射学报告模板，以实现更标准化的胰腺癌报告方式，并最终优化患者护理和研究方案设计。
在第一阶段，一组核心利益相关者（肿瘤学家、放射科医生和外科医生）确定了放射学报告的现状，包括一项盲法放射学验证研究和对英国肝脏胰胆外科顾问医生的全国性调查。第二阶段采用共识小组开发方法生成临时模板草案。第三阶段涉及在英国所有肝脏胰胆科单位试用该模板，并根据反馈意见协助开发模板的最终版本。
第一阶段的结果确定了一个核心数据集，用于开发临时模板。英国每个肝脏胰胆科单位都在临床实践中试用了该模板，并通过共识会议进一步完善。确定了关于肿瘤分期、血管受累程度和全身抗癌治疗反应的理想因素。这导致生成了本文中展示的英国胰腺癌报告模板（PACT-UK）以及一份用户指南。
该项目成功制定了首个由共识驱动的胰腺癌放射学报告模板，目标是使其在英国成为标准做法，同时由皇家放射学院/英国胃肠和腹部放射学会举办的即将到来的研讨会将促使所有肝脏胰胆科单位的放射科医生接受该模板。目前正在制定在全国性审计和临床试验中使用PACT-UK的计划。
