Imaging Evaluation of the Head and Neck Oncology Patient

Prasad, Ravi; Chen, Beth

doi:10.1007/978-3-319-65421-8_5

Cited by 6 publications

(3 citation statements)

References 60 publications

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“…Therefore, the use of SRs may be of help over the course of the learning process. There is evidence, that structured reporting reduces the number of missed pathologies [13, 26, 27].…”

Section: Introductionmentioning

confidence: 99%

Impact of structured reporting on developing head and neck ultrasound skills

et al. 2019

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Background Reports of head and neck ultrasound examinations are frequently written by hand as free texts. This is a serious obstacle to the learning process of the modality due to a missing report structure and terminology. Therefore, there is a great inter-observer variability in overall report quality. Aim of the present study was to evaluate the impact of structured reporting on the learning process as indicated by the overall report quality of head and neck ultrasound examinations within medical school education. Methods Following an immersion course on head and neck ultrasound, previously documented images of three common pathologies were handed out to 58 medical students who asked to create both standard free text reports (FTR) and structured reports (SR). A template for structured reporting of head and neck ultrasound examinations was created using a web-based approach. FTRs and SRs were evaluated with regard to overall quality, completeness, required time to completion and readability by two independent raters (Paired Wilcoxon test, 95% CI). Ratings were assessed for inter-rater reliability (Fleiss’ kappa). Additionally, a questionnaire was utilized to evaluate user satisfaction. Results SRs received significantly better ratings in terms of report completeness (97.7% vs. 53.5%, p < 0.001) regarding all items. In addition, pathologies were described in more detail using SRs (70% vs. 51.1%, p < 0.001). Readability was significantly higher in all SRs when compared to FTRs (100% vs. 54.4%, p < 0.001). Mean time to complete was significantly lower (79.6 vs. 205.4 s, p < 0.001) and user satisfaction was significantly higher when using SRs (8.5 vs. 4.1, p < 0.001). Also, inter-rater reliability was very high (Fleiss’ kappa 0.93). Conclusions SRs of head and neck ultrasound examinations provide more detailed information with a better readability in a time-saving manner within medical education. Also, medical students may benefit from SRs in their learning process due to the structured approach and standardized terminology.

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“…Therefore, the use of SRs may be of help over the course of the learning process. There is evidence, that structured reporting reduces the number of missed pathologies [13, 26, 27].…”

Section: Introductionmentioning

confidence: 99%

Impact of structured reporting on developing head and neck ultrasound skills

et al. 2019

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“…Mouth opening is mainly treated via the use of jaw-mobilizing devices and exercises once any radiotherapy is completed. The cervical region may be treated with stretching exercises and cervical traction (horizontal plane), while the shoulder should be subjected to passive and active range of motion exercises to prevent adhesive capsulitis [48]. Both regions should be treated as soon as possible after any surgery.…”

Section: Discussionmentioning

confidence: 99%

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Ortiz-Comino¹,

Fernández-Lao²,

Speksnijder³

et al. 2020

PLoS ONE

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Background Upper body motor function and swallowing may be affected after curative treatment for head and neck cancer. The aims of this study are to compare maximum mouth opening (MMO), temporomandibular dysfunction (TMD), cervical and shoulder active range of motion (AROM) and strength, and swallowing difficulty between survivors of head and neck cancer (sHNC) and healthy matched controls (HMC) and to examine the correlations between these outcomes in sHNC. Methods Thirty-two sHNC and 32 HMC participated on the study. MMO, TMD, cervical and shoulder AROM, cervical and shoulder strength, the SPADI shoulder pain and disability indices, the Eating Assessment Tool (EAT-10) score, swallowing difficulty as determined using a visual analogue scale (VAS), and the location of disturbances in swallowing, were recorded. Results MMO and cervical and shoulder AROM and strength were significantly lower in sHNC, whereas FAI, SPADI score, EAT-10 and VAS were higher. The MMO, TMD, cervical and shoulder AROM, and cervical shoulder strength values showed significant correlations (some direct, others inverse) with one another. Swallowing difficulty was inversely associated with the MMO, cervical AROM and shoulder strength.

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“…This may be highly desirable not only from a surgical perspective, but also from radiologists' point of view in order to maximize the clinical value of their reports leading to higher satisfaction of referring physicians. Additionally, it decreases the risk that atypical anatomical structures, which may be concealed by extensive paranasal sinus disease, are missed, both by radiologists and otolaryngologists, and therefore compromised during surgery [41][42][43].…”

Section: Plos Onementioning

confidence: 99%

The role of structured reporting and structured operation planning in functional endoscopic sinus surgery

et al. 2020

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Computed tomography (CT) scans represent the gold standard in the planning of functional endoscopic sinus surgeries (FESS). Yet, radiologists and otolaryngologists have different perspectives on these scans. In general, residents often struggle with aspects involved in both reporting and operation planning. The aim of this study was to compare the completeness of structured reports (SR) of preoperative CT images and structured operation planning (SOP) to conventional reports (CR) and conventional operation planning (COP) to potentially improve future treatment decisions on an individual level. In total, 30 preoperative CT scans obtained for surgical planning of patients scheduled for FESS were evaluated using SR and CR by radiology residents. Subsequently, otolaryngology residents performed a COP using free texts and a SOP using a specific template. All radiology reports and operation plannings were evaluated by two experienced FESS surgeons regarding their completeness for surgical planning. User satisfaction of otolaryngology residents was assessed by using visual analogue scales. Overall radiology report completeness was significantly higher using SRs regarding surgically important structures compared to CRs (84.4 vs. 22.0%, p<0.001). SOPs produced significantly higher completeness ratings (97% vs. 39.4%, p<0.001) regarding pathologies and anatomical variances. Moreover, time efficiency was not significantly impaired by implementation of SR (148 s vs. 160 s, p = 0.61) and user satisfaction was significantly higher for SOP (VAS 8.1 vs. 4.1, p<0.001). Implementation of SR and SOP results in a significantly increased completeness of radiology reports and operation planning for FESS. Consequently, the combination of both facilitates surgical planning and may decrease potential risks during FESS.

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Imaging Evaluation of the Head and Neck Oncology Patient

Cited by 6 publications

References 60 publications

Impact of structured reporting on developing head and neck ultrasound skills

Impact of structured reporting on developing head and neck ultrasound skills

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

The role of structured reporting and structured operation planning in functional endoscopic sinus surgery

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