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12.08.2021 | Gastrointestinal

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)

verfasst von: Maria Antonietta Mazzei, Giulio Bagnacci, Francesco Gentili, Iacopo Capitoni, Gianni Mura, Daniele Marrelli, Roberto Petrioli, Luca Brunese, Salvatore Cappabianca, Marco Catarci, Maurizio Degiuli, Giovanni De Manzoni, Marco De Prizio, Annibale Donini, Uberto Fumagalli Romario, Luigi Funicelli, Andrea Laghi, Giuseppe Minetti, Paolo Morgagni, Enrico Petrella, Frida Pittiani, Stefano Rausei, Laura Romanini, Riccardo Rosati, Amato Antonio Stabile Ianora, Guido A. M. Tiberio, Luca Volterrani, Franco Roviello, Roberto Grassi

Erschienen in: European Radiology | Ausgabe 2/2022

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Abstract

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.

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Titel: 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)
verfasst von: Maria Antonietta Mazzei
Giulio Bagnacci
Francesco Gentili
Iacopo Capitoni
Gianni Mura
Daniele Marrelli
Roberto Petrioli
Luca Brunese
Salvatore Cappabianca
Marco Catarci
Maurizio Degiuli
Giovanni De Manzoni
Marco De Prizio
Annibale Donini
Uberto Fumagalli Romario
Luigi Funicelli
Andrea Laghi
Giuseppe Minetti
Paolo Morgagni
Enrico Petrella
Frida Pittiani
Stefano Rausei
Laura Romanini
Riccardo Rosati
Amato Antonio Stabile Ianora
Guido A. M. Tiberio
Luca Volterrani
Franco Roviello
Roberto Grassi
Publikationsdatum: 12.08.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 2/2022
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-021-08205-0

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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)