Medical radiological procedures: which information would be chosen for the report?

Cornacchia, S.; Errico, Rosangela; Balzano, Rosario Francesco; Fusco, Vincenzo; Maldera, A.; Pierpaoli, E.; Ferrari, Cristina; Rubini, Giuseppe; Guglielmi, Giuseppe

doi:10.1007/s11547-019-01032-w

Cited by 8 publications

(7 citation statements)

References 8 publications

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“…At the same time, the use of structured reports in radiology in the future could be integrated with radiomic data correlated to prognosis or response to therapies, in order to facilitate the clinicians to understand the TA approach [204][205][206].…”

Section: Discussionmentioning

confidence: 99%

Radiomics as a New Frontier of Imaging for Cancer Prognosis: A Narrative Review

et al. 2021

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The evaluation of the efficacy of different therapies is of paramount importance for the patients and the clinicians in oncology, and it is usually possible by performing imaging investigations that are interpreted, taking in consideration different response evaluation criteria. In the last decade, texture analysis (TA) has been developed in order to help the radiologist to quantify and identify parameters related to tumor heterogeneity, which cannot be appreciated by the naked eye, that can be correlated with different endpoints, including cancer prognosis. The aim of this work is to analyze the impact of texture in the prediction of response and in prognosis stratification in oncology, taking into consideration different pathologies (lung cancer, breast cancer, gastric cancer, hepatic cancer, rectal cancer). Key references were derived from a PubMed query. Hand searching and clinicaltrials.gov were also used. This paper contains a narrative report and a critical discussion of radiomics approaches related to cancer prognosis in different fields of diseases.

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Section: Discussionmentioning

confidence: 99%

Radiomics as a New Frontier of Imaging for Cancer Prognosis: A Narrative Review

et al. 2021

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“…This background information illustrates that the role of radiologists is crucial in properly informing patients 3 , 5 , 6 about radiation dose in a way that is understood by patients, independently of their socio-economic status.…”

Section: Introductionmentioning

confidence: 94%

Communicating radiation dose in medical imaging: How to best inform our patients?

Salerno

Nardi

Pace

et al. 2023

Acta Radiologica Open

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Background The newly adopted European directive DE59/2013 mandates adequate patient information in procedures involving ionising radiation. Patient interest in knowing about their radiation dose and an effective communication method for dose exposure remain poorly investigated. Purpose This study is aimed at investigating both patient interest in radiation dose and an effective method to communicate radiation dose exposure. Material and methods The present analysis is based on a multi-centre cross-sectional data collection involving 1,084 patients from four different hospitals ‒ two general and two paediatric hospitals. Anonymous questionnaires were administered, consisting of an initial overview of radiation use in imaging procedures, a patient data section, and an explanatory section providing information in four modalities. Results 1009 patients were included in the analysis, with 75 refusing participation; 173 participants were relatives of paediatric patients. Initial information provided to patients was considered comprehensible. The information modality with symbols was considered the most readily understandable format by patients, with no appreciable differences in comprehension attributable to social or cultural background. The modality including dose numbers and diagnostic reference levels was preferred by patients with higher socio-economic background. The option ‘None of those’ was selected by one-third of our sample population, composed of four different clusters: female, over 60 years old, unemployed, and from low socio-economic backgrounds. Conclusions This study demonstrated a high level of interest amongst patients in knowing about radiation dose exposure. Pictorial representations were well understood by patients from a variety of different ages and education levels. However, a universally comprehensible model of communicating radiation dose information remains to be elucidated.

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“…Therefore, it is desirable that the main decisions are always taken by the MDT. Controversy has been solved in round number 2: "the radiologist should promote/recommend the discussion of the clinical case in a MDT" is the shared advise for staging and restaging sections of the CT report, whereas in the follow-up section of the CT report, the radiologist should suggest the most feasible type and site for biopsy in case a disease relapse is suspected [39][40][41][42].…”

Section: Statementmentioning

confidence: 99%

Structured and shared CT radiological report of gastric cancer: a consensus proposal by the Italian Research Group for Gastric Cancer (GIRCG) and the Italian Society of Medical and Interventional Radiology (SIRM)

et al. 2021

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Objectives Written radiological report remains the most important means of communication between radiologist and referring medical/surgical doctor, even though CT reports are frequently just descriptive, unclear, and unstructured. The Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Research Group for Gastric Cancer (GIRCG) promoted a critical shared discussion between 10 skilled radiologists and 10 surgical oncologists, by means of multi-round consensus-building Delphi survey, to develop a structured reporting template for CT of GC patients. Methods Twenty-four items were organized according to the broad categories of a structured report as suggested by the European Society of Radiology (clinical referral, technique, findings, conclusion, and advice) and grouped into three "CT report sections" depending on the diagnostic phase of the radiological assessment for the oncologic patient (staging, restaging, and follow-up). Results In the final round, 23 out of 24 items obtained agreement ( ≥ 8) and consensus ( ≤ 2) and 19 out 24 items obtained a good stability (p > 0.05). Conclusions The structured report obtained, shared by surgical and medical oncologists and radiologists, allows an appropriate, clearer, and focused CT report essential to high-quality patient care in GC, avoiding the exclusion of key radiological information useful for multidisciplinary decision-making. Key Points • Imaging represents the cornerstone for tailored treatment in GC patients.• CT-structured radiology report in GC patients is useful for multidisciplinary decision making. Keywords CT scan . Stomach neoplasms . Report Abbreviations GC Gastric cancer MDT Multidisciplinary team PC Peritoneal carcinomatosis Introduction/background Gastric cancer (GC) is an aggressive tumor and it remains the third cause of mortality for cancer worldwide [1]. Even if The Cancer Genome Atlas (TCGA) has recently allowed a comprehensive molecular characterization of GC,

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Medical radiological procedures: which information would be chosen for the report?

Cited by 8 publications

References 8 publications

Radiomics as a New Frontier of Imaging for Cancer Prognosis: A Narrative Review

Radiomics as a New Frontier of Imaging for Cancer Prognosis: A Narrative Review

Communicating radiation dose in medical imaging: How to best inform our patients?

Structured and shared CT radiological report of gastric cancer: a consensus proposal by the Italian Research Group for Gastric Cancer (GIRCG) and the Italian Society of Medical and Interventional Radiology (SIRM)

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