Proposta para padronização do relatório de tomografia computadorizada nos aneurismas da aorta abdominal

Abstract

OBJETIVO: Propor um modelo de padronização de relatório para aneurisma da aorta abdominal na tomografia computadorizada. MATERIAIS E MÉTODOS: Foram realizadas, no período de abril a outubro de 2004, entrevistas com integrantes da Disciplina de Cirurgia Vascular da nossa instituição, para elaboração de um modelo de padronização de relatório de tomografia computadorizada para o estudo do aneurisma da aorta abdominal. A partir deste modelo foi elaborado um questionário, enviado a nove outros cirurgiões, todos com experiência em cirurgia da aorta abdominal. O índice de resposta aos questionários foi de 55,5% (5/9). RESULTADOS: Os parâmetros de interesse citados mais freqüentemente para a avaliação dos aneurismas de aorta abdominal foram: diâmetro máximo do colo proximal, extensão do colo proximal até a artéria renal mais baixa, forma do colo proximal, diâmetro máximo do aneurisma e diâmetro das artérias ilíacas comuns. Estes dados permitiram elaborar uma proposta de modelo para padronização de relatório na tomografia computadorizada. CONCLUSÃO: Um modelo para a análise tomográfica padronizada do aneurisma de aorta abdominal permite atender às necessidades dos cirurgiões vasculares para acompanhar a evolução e planejar o tratamento destes pacientes. Unitermos: Aorta; Aneurisma; Tomografia computadorizada.A proposal for standardizing computed tomography reports on abdominal aortic aneurysms. OBJECTIVE: To propose a model to standardize computed tomography reports on abdominal aortic aneurysms. MATERIALS AND METHODS: Interviews were carried out with members of Vascular Surgery Division of our institution, in the period between April and October 2004, aiming at developing a standardized model of computed tomography reports on abdominal aortic aneurysms. Based on this model, a questionnaire was elaborated and sent to other nine surgeons, all of them experienced in the field of abdominal aortic surgery. The questionnaires response rate was 55.5% (5/9). RESULTS: The most frequently mentioned parameters of interest for evaluation of abdominal aortic aneurysms were: maximum diameter of proximal aortic neck, proximal aortic neck length to lower renal arteries, shape of proximal aortic neck, maximum diameter of the aneurysm and diameter of the common iliac arteries. These data allowed the development of a proposal for a model to standardize computed tomography reports. CONCLUSION: A model for standardized tomographic analysis of abdominal aortic aneurysms has met vascular surgeons' needs for following-up patients and planning their treatment.

Construction of an index of information from clinical practice in Radiology and Imaging Diagnosis based on text mining and thesaurus

“…This does not occur with the developed index, since its structure cannot stand a communication protocol between electronic healthcare systems. On the other hand, the established informational organization (37)(38)(39)(40) should facilitate the construction of an ontology model in Portuguese language compatible with the clinical practice.…”

“…of terminology for the clinical practice, at least in the recent decades, has become a matter of study for multidisciplinary basic and applied research (1)(2)(3) . The search and later conquest of medical information harmonization represent a great advance for the area of Health.…”

“…The search and later conquest of medical information harmonization represent a great advance for the area of Health. This occurs because they favor a better preparation of clinical data recordings (with greater agility, facility and lower maintenance costs), a more accurate administrative management of the stored information, a more accurate patients' history data retrieval and better management of the information for both public and private health segments (1)(2)(3)(4) .…”

“…), linguistic problems (pragmatism, neologism, orthography, redundancy, cohesion, lexical polysemy, synonyms, etc. ); logic problems (generally failures in structure and narrative density), and ontological problems (how the terms are related to each other in a certain knowledge domain), besides the prospect of using the medical language on the grounds of each professional excellence level in a health care institution (1)(2)(3)5) .…”

Proposal for a structured computed tomography report in the evaluation of pancreatic neoplasms based on expert opinions

“…Recently, several groups of specialists have suggested adopting structured imaging reports for various clinical situations, including aortic aneurysm ( 14 ) , rectal cancer ( 15 ) , prostate cancer ( 16 ) , head/neck cancer ( 17 ) , and pancreatic adenocarcinoma ( 18 , 19 ) . Although this model of structured reporting is desired by many specialists and could improve cancer patient care, it is still little used in the field of radiology ( 20 ) .…”