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澳大利亚和新西兰肿瘤CT结构化报告的使用与认知

Use and Perceptions of Oncology CT Structured Reports in Australia and New Zealand.

作者信息

Brown K J, Agarwal A, Gormly K L

机构信息

The Royal Adelaide Hospital, South Australian Medical Imaging, Adelaide, South Australia, Australia.

Jones Radiology, South Australia, Australia.

出版信息

J Med Imaging Radiat Oncol. 2025 Aug;69(5):554-560. doi: 10.1111/1754-9485.13860. Epub 2025 Jul 2.

Abstract

INTRODUCTION

Structured oncology template (OT) reports are preferred by physicians. Promoted in Australia and New Zealand (ANZ) since 2008, this study investigates the current OT use in ANZ and perceptions around OT reporting.

METHODS

An online survey was created and sent to > 350 ANZ radiologists, aiming to gain insight into the current rates of OT reporting, demographic variations, OT types, implementation and perceived advantages and limitations. Statistical analyses were descriptive.

RESULTS

Of 164 respondents, 21% never used an OT; 49% used OTs for > 75% of oncology reports, highest rates were those with 10-20 years of experience (29/61) and reporting > 10 oncology CTs per week (10-20 cases 74% and > 20 cases 72%); 72% used tumour, lymph node and metastases headings; 57% used OTs for all diagnosed cancers; 37% used measurement tables; 70% used subjective terms in their conclusion; and only 4% used synoptic reports. Most selected advantage was 'More clarity and increased communication with clinicians'. Most selected disadvantage was 'lack of experience in template reporting' for those using an OT and 'Inflexible and limits creativity' for those who did not.

CONCLUSION

OT use is supported across ANZ. Use is higher in those reporting more oncology cases and with 10-20 years of experience. OT reports are perceived as beneficial by those using them, while those who do not perceive them as inflexible.

摘要

引言

结构化肿瘤学模板(OT)报告更受医生青睐。自2008年以来在澳大利亚和新西兰(ANZ)推广,本研究调查了ANZ目前对OT的使用情况以及对OT报告的看法。

方法

创建了一项在线调查并发送给350多名ANZ放射科医生,旨在深入了解OT报告的当前使用率、人口统计学差异、OT类型、实施情况以及感知到的优势和局限性。统计分析采用描述性方法。

结果

在164名受访者中,21%从未使用过OT;49%在超过75%的肿瘤学报告中使用OT,使用率最高的是那些有10至20年经验的人(29/61)以及每周报告超过10例肿瘤学CT的人(10 - 20例的为74%,超过20例的为72%);72%使用肿瘤、淋巴结和转移灶标题;57%在所有诊断出的癌症中使用OT;37%使用测量表;70%在结论中使用主观术语;只有4%使用概要报告。最常选择的优势是“更清晰并加强了与临床医生的沟通”。对于使用OT的人,最常选择的劣势是“模板报告经验不足”,对于未使用OT的人,最常选择的劣势是“不灵活且限制创造力”。

结论

ANZ各地都支持使用OT。在报告更多肿瘤学病例且有10至20年经验的人中使用率更高。使用OT的人认为OT报告有益,而未使用的人则认为其不灵活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba37/12317362/e9ce041d3e3c/ARA-69-554-g002.jpg

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