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).

Autor: Mazzei MA; Department of Medical, Surgical and Neuro Sciences, University of Siena and Department of Radiological Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.; SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy., Bagnacci G; Department of Medical, Surgical and Neuro Sciences, University of Siena and Department of Radiological Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.; SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy., Gentili F; SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy. francescogentili@gmail.com.; Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy. francescogentili@gmail.com., Capitoni I; Department of Medical, Surgical and Neuro Sciences, University of Siena and Department of Radiological Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy., Mura G; Department of Surgery, Division of General Surgery, Arezzo Hospital, Arezzo, Italy., Marrelli D; Department of Medicine, Surgery and Neuroscience, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy., Petrioli R; Department of Oncology, Unit of Medical Oncology, Azienda Ospedaliera Universitaria Senese, Siena, Italy., Brunese L; Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.; SIRM, Italian College of Oncology, Italian Society of Medical and Interventional Radiology, Milan, Italy., Cappabianca S; SIRM, Italian College of Oncology, Italian Society of Medical and Interventional Radiology, Milan, Italy.; Division of Radiology, University of Campania Luigi Vanvitelli, Naples, Italy., Catarci M; FACS; UOC Chirurgia Generale; Ospedale Sandro Pertini - ASL Roma 2, Roma, Italy., Degiuli M; Surgical Oncology and Digestive Surgery Unit, Department of Oncology, University of Turin; San Luigi University Hospital, Orbassano, Italy., De Manzoni G; Unit of General and Upper GI Surgery, University of Verona, Verona, Italy., De Prizio M; Department of Surgery, Division of General Surgery, Arezzo Hospital, Arezzo, Italy., Donini A; Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy., Romario UF; Digestive Surgery, IEO European Institute of Oncology - IRCCS, Milan, Italy., Funicelli L; SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy.; SIRM, Italian College of Oncology, Italian Society of Medical and Interventional Radiology, Milan, Italy.; Digestive Surgery, IEO European Institute of Oncology - IRCCS, Milan, Italy., Laghi A; Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome - Sant'Andrea University Hospital, Rome, Italy.; SIRM, Italian College of Gastroenterology, Italian Society of Medical and Interventional Radiology, Milan, Italy., Minetti G; SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy.; Radiology Department, Ospedale Policlinico San Martino, IRCCS per L'Oncologia e le Neuroscienze, Genoa, Italy., Morgagni P; General and Oncologic Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy., Petrella E; Radiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, Forlì, Italy., Pittiani F; SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy.; Department of Radiology, ASST Spedali Civili Brescia, Brescia, Italy., Rausei S; Department of Surgery, ASST Valle Olona, Gallarate, Varese, Italy., Romanini L; Department of Radiology, ASST Cremona, Cremona, Italy., Rosati R; Endocrine Unit, Department of Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy., Ianora AAS; Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari, Bari, Italy., Tiberio GAM; Surgical Unit, Department of Experimental and Clinical Sciences, University of Brescia, Brescia, Italy., Volterrani L; Department of Medical, Surgical and Neuro Sciences, University of Siena and Department of Radiological Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy.; SIRM, Italian College of Oncology, Italian Society of Medical and Interventional Radiology, Milan, Italy., Roviello F; Department of Medicine, Surgery and Neuroscience, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy., Grassi R; Division of Radiology, University of Campania Luigi Vanvitelli, Naples, Italy.; SIRM Foundation, Italian Society of Medical and Interventional Radiology, Milan, Italy.
Jazyk: angličtina
Zdroj: European radiology [Eur Radiol] 2022 Feb; Vol. 32 (2), pp. 938-949. Date of Electronic Publication: 2021 Aug 12.
DOI: 10.1007/s00330-021-08205-0
Abstrakt: 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.
(© 2021. European Society of Radiology.)
Databáze: MEDLINE
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