Structured reporting of computed tomography in the staging of colon cancer: a Delphi consensus proposal

Granata, Vincenza; Faggioni, Lorenzo; Grassi, Roberta; Fusco, Roberta; Reginelli, Alfonso; Rega, Daniela; Maggialetti, Nicola; Buccicardi, Duccio; Frittoli, Barbara; Rengo, Marco; Bortolotto, Chandra; Prost, Roberto; Lacasella, Giorgia Viola; Montella, Marco; Ciaghi, Eleonora; Bellifemine, Francesco; Muzio, Federica De; Grazzini, Giulia; Filippo, Massimo De; Cappabianca, Salvatore; Laghi, Andréa; Grassi, Roberto; Brunese, Luca; Neri, Emanuele; Miele, Vittorio; Coppola, Francesca

doi:10.1007/s11547-021-01418-9

Cited by 38 publications

(19 citation statements)

References 46 publications

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“…However, inconsistencies with regard to content, style, and presentation can hamper information transfer and diminish the clarity of the reports, which can in turn adversely affect the extraction of the required key information by the referring physician. Therefore, FRT should be organized and re-orientated toward structured reports (SR) [ 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 ]. According to the European Society of Radiology (ESR) paper on SR in radiology, the three main goals for moving from FTR to SR are quality, datafication/quantification and accessibility [ 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 ].…”

Section: Radiologists: How We Should Reportmentioning

confidence: 99%

“…Therefore, FRT should be organized and re-orientated toward structured reports (SR) [ 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 ]. According to the European Society of Radiology (ESR) paper on SR in radiology, the three main goals for moving from FTR to SR are quality, datafication/quantification and accessibility [ 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 ]. With regard to quality, this is correlated to standardization.…”

Section: Radiologists: How We Should Reportmentioning

confidence: 99%

“…In this scenario, by using a dedicated report template, the radiologist has a list of predefined relevant items for the case at hand, ensuring that no important data is missed. This should not only guarantee a consistently high quality of final report, but also aid in the management of patients [ 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 ].…”

Section: Radiologists: How We Should Reportmentioning

confidence: 99%

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Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Granata

Fusco

Muzio

et al. 2022

JCM

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One of the major fields of application of ablation treatment is liver tumors. With respect to HCC, ablation treatments are considered as upfront treatments in patients with early-stage disease, while in colorectal liver metastases (CLM), they can be employed as an upfront treatment or in association with surgical resection. The main prognostic feature of ablation is the tumor size, since the goal of the treatment is the necrosis of all viable tumor tissue with an adequate tumor-free margin. Radiofrequency ablation (RFA) and microwave ablation (MWA) are the most employed ablation techniques. Ablation therapies in HCC and liver metastases have presented a challenge to radiologists, who need to assess response to determine complication-related treatment. Complications, defined as any unexpected variation from a procedural course, and adverse events, defined as any actual or potential injury related to the treatment, could occur either during the procedure or afterwards. To date, RFA and MWA have shown no statistically significant differences in mortality rates or major or minor complications. To reduce the rate of major complications, patient selection and risk assessment are essential. To determine the right cost-benefit ratio for the ablation method to be used, it is necessary to identify patients at high risk of infections, coagulation disorders and previous abdominal surgery interventions. Based on risk assessment, during the procedure as part of surveillance, the radiologists should pay attention to several complications, such as vascular, biliary, mechanical and infectious. Multiphase CT is an imaging tool chosen in emergency settings. The radiologist should report technical success, treatment efficacy, and complications. The complications should be assessed according to well-defined classification systems, and these complications should be categorized consistently according to severity and time of occurrence.

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Section: Radiologists: How We Should Reportmentioning

confidence: 99%

Section: Radiologists: How We Should Reportmentioning

confidence: 99%

Section: Radiologists: How We Should Reportmentioning

confidence: 99%

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Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Granata

Fusco

Muzio

et al. 2022

JCM

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“…In this context, SR could help and guide the radiologist, allowing them to identify all the significant features that could modify patient management [ 79 , 80 , 81 , 82 , 83 , 84 ].…”

Section: Perspectives and Clinical Settingsmentioning

confidence: 99%

Structured Reporting in Radiological Settings: Pitfalls and Perspectives

Granata

Muzio

Cutolo

et al. 2022

JPM

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Objective: The aim of this manuscript is to give an overview of structured reporting in radiological settings. Materials and Method: This article is a narrative review on structured reporting in radiological settings. Particularly, limitations and future perspectives are analyzed. RESULTS: The radiological report is a communication tool for the referring physician and the patients. It was conceived as a free text report (FTR) to allow radiologists to have their own individuality in the description of the radiological findings. However, this form could suffer from content, style, and presentation discrepancies, with a probability of transferring incorrect radiological data. Quality, datafication/quantification, and accessibility represent the three main goals in moving from FTRs to structured reports (SRs). In fact, the quality is related to standardization, which aims to improve communication and clarification. Moreover, a “structured” checklist, which allows all the fundamental items for a particular radiological study to be reported and permits the connection of the radiological data with clinical features, allowing a personalized medicine. With regard to accessibility, since radiological reports can be considered a source of research data, SR allows data mining to obtain new biomarkers and to help the development of new application domains, especially in the field of radiomics. Conclusions: Structured reporting could eliminate radiologist individuality, allowing a standardized approach.

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“…Preoperative RT, in combination with fluoropyrimidines alone or combination with oxaliplatin, is regarded as the standard of care in the treatment of patients with locally advanced rectal cancer (LARC) before radical surgery (mesorectal excision, TME) [ 1 , 2 , 3 , 4 , 5 , 6 ]. Chemo-radiotherapy (C-RT), in fact, decreases the rate of local relapse and prolongs the progression-free survival (PFS) of these patients, albeit its effects on overall survival (OS) are still to be proven [ 7 , 8 ]; additionally, it allows for less-invasive surgery with a lower frequency of complications [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Ability of Delta Radiomics to Predict a Complete Pathological Response in Patients with Loco-Regional Rectal Cancer Addressed to Neoadjuvant Chemo-Radiation and Surgery

Nardone

Reginelli

Grassi

et al. 2022

Cancers

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We performed a pilot study to evaluate the use of MRI delta texture analysis (D-TA) as a methodological item able to predict the frequency of complete pathological responses and, consequently, the outcome of patients with locally advanced rectal cancer addressed to neoadjuvant chemoradiotherapy (C-RT) and subsequently, to radical surgery. In particular, we carried out a retrospective analysis including 100 patients with locally advanced rectal adenocarcinoma who received C-RT and then radical surgery in three different oncological institutions between January 2013 and December 2019. Our experimental design was focused on the evaluation of the gross tumor volume (GTV) at baseline and after C-RT by means of MRI, which was contoured on T2, DWI, and ADC sequences. Multiple texture parameters were extracted by using a LifeX Software, while D-TA was calculated as percentage of variations in the two time points. Both univariate and multivariate analysis (logistic regression) were, therefore, carried out in order to correlate the above-mentioned TA parameters with the frequency of pathological responses in the examined patients’ population focusing on the detection of complete pathological response (pCR, with no viable cancer cells: TRG 1) as main statistical endpoint. ROC curves were performed on three different datasets considering that on the 21 patients, only 21% achieved an actual pCR. In our training dataset series, pCR frequency significantly correlated with ADC GLCM-Entropy only, when univariate and binary logistic analysis were performed (AUC for pCR was 0.87). A confirmative binary logistic regression analysis was then repeated in the two remaining validation datasets (AUC for pCR was 0.92 and 0.88, respectively). Overall, these results support the hypothesis that D-TA may have a significant predictive value in detecting the occurrence of pCR in our patient series. If confirmed in prospective and multicenter trials, these results may have a critical role in the selection of patients with locally advanced rectal cancer who may benefit form radical surgery after neoadjuvant chemoradiotherapy.

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Structured reporting of computed tomography in the staging of colon cancer: a Delphi consensus proposal

Cited by 38 publications

References 46 publications

Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Structured Reporting in Radiological Settings: Pitfalls and Perspectives

Ability of Delta Radiomics to Predict a Complete Pathological Response in Patients with Loco-Regional Rectal Cancer Addressed to Neoadjuvant Chemo-Radiation and Surgery

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