Structured MRI reporting increases completeness of radiological reports and requesting physicians’ satisfaction in the diagnostic workup for pelvic endometriosis

Barbisan, Cinthia Callegari; Andres, Marina Paula; Torres, Lucas Rios; Libânio, Bruna Brandão; Torres, Ulysses S.; D'Ippólito, Giuseppe; Racy, Douglas Jorge; Abrão, Maurício Simões

doi:10.1007/s00261-021-02966-4

Cited by 7 publications

(6 citation statements)

References 37 publications

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“…Prior studies have mainly focused on changes in report completeness, quality, clarity, and interpretation after implementation of structured reports [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. In addition to completeness of information, our study sheds light on how changing the presentation format of the report from free-text to structured style, without any changes in information content or completeness, improves surgeons' feedback regarding ease of information extraction and interpretation for next clinical management steps and also reduces the requirement for additional radiologist consultation.…”

Section: Discussionmentioning

confidence: 86%

“…Key features of structured reports include presentation of findings in a modular and ordered fashion using a predefined template design, often with terminology drawn from a standard lexicon [8,9]. Structured reports have been shown to improve report clarity, quality, and completeness, information transmission, user satisfaction, inclusion of key tumor descriptors, and result interpretation by referring physicians compared to traditional free-text reports [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Therefore, imaging studies reported in a structured format, particularly for tumor staging, may enhance clinical decision-making.…”

Section: Introductionmentioning

confidence: 99%

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Structured CT reporting of pancreatic ductal adenocarcinoma: impact on completeness of information and interdisciplinary communication for surgical planning

et al. 2021

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Purpose With the rise in popularity of structured reports in radiology, we sought to evaluate whether free-text CT reports on pancreatic ductal adenocarcinoma (PDAC) staging at our institute met published guidelines and assess feedback of pancreatic surgeons comparing free-text and structured report styles with the same information content. Methods We retrospectively evaluated 298 free-text preoperative CT reports from 2015 to 2017 for the inclusion of key tumor descriptors. Two surgeons independently evaluated 50 free-text reports followed by evaluation of the same reports in a structured format using a 7-question survey to assess the usefulness and ease of information extraction. Fisher's exact test and Chi-square test for independence were utilized for categorical responses and an independent samples t test for comparing mean ratings of report quality as rated on a 5-point Likert scale. ResultsThe most commonly included descriptors in free-text reports were tumor location (99%), liver lesions (97%), and suspicious lymph nodes (97%). The most commonly excluded descriptors were variant arterial anatomy and peritoneal/ omental nodularity, which were present in only 23% and 42% of the reports, respectively. For vascular involvement, a mention of the presence or absence of perivascular disease with the main portal vein was most commonly included (87%). Both surgeons' rating of overall report quality was significantly higher for structured reports (p < 0.001). ConclusionOur results indicate that free-text reports may not include key descriptors for staging PDAC. Surgeons rated structured reports that presented the same information as free-text reports but in a template format superior for guiding clinical management, convenience of use, and overall report quality.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Structured CT reporting of pancreatic ductal adenocarcinoma: impact on completeness of information and interdisciplinary communication for surgical planning

et al. 2021

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“…For instance, although round ligaments are not specifically mentioned in the #Enzian classification, involvement by endometriosis should be reported. Round ligaments have intraperitoneal and extraperitoneal components, both of which can be involved by DIE [ 42 ], being especially important to report extraperitoneal disease, as this is not routinely explored during surgery [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

MRI of endometriosis in correlation with the #Enzian classification: applicability and structured report

et al. 2023

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Endometriosis represents one of the most common causes of life-impacting chronic pelvic pain and female infertility. Magnetic resonance imaging (MRI) plays an increasing role in the diagnosis and mapping of endometriosis, while diagnostic laparoscopy currently tends to be reserved for the patients with negative imaging results. The #Enzian, published in 2021, proposes a new comprehensive classification system of endometriosis, combining a complete staging of deep infiltrative endometriosis with the evaluation of peritoneal/ovarian/tubal localizations and the presence of adenomyosis. This article addresses in detail the applicability of the #Enzian classification, primarily based on surgical findings, to the MRI evaluation of the endometriosis. Overall, there is a significant matching between MRI features and the #Enzian classification criteria, two different perspectives of endometriosis mapping, with different goals and levels of detail. The main discrepancy lies in the evaluation of tubo-ovarian condition, which is not fully assessable by MRI. Furthermore, as endometriosis is a complex disease, usually multifocal, that can present with a myriad of imaging findings, MRI reporting should be clear and well organized. The authors group, both radiologists and gynecologists, propose a structured MRI report of endometriosis in correlation with the #Enzian classification, merging the detailed anatomical and pre-operative information provided by the MRI with the benefits of a comprehensive classification system of endometriosis in the clinical practice and research field.Critical relevance statement This article addresses in detail the applicability of the #Enzian classification, primarily based on surgical findings, to the MRI evaluation of the endometriosis and proposes a #Enzian-based structured MRI report. Graphical abstract

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“…Основное преимущество магнитно-резонансной томографии в диагностике эндометриоза заключается в том, что это неинвазивный метод с высоким пространственным разрешением, который позволяет проводить многоплоскостную оценку и дает хорошую характеристику тканей без использования ионизирующего излучения или йодсодержащих контрастных веществ. МРТ также позволяет выявить поражения, скрытые наличием спаек и иначе трудно различимые при лапароскопии, и оценить степень поражения брюшины эндометриозом [14].…”

Section: Abstract: Endometriosis Mri Deep Infiltrating Endometriosis ...unclassified

Correlation between MR semiotics and intensity of pelvic pain syndrome in female patients with deep infiltrating endometriosis of the posterior pelvic compartment

Marchenko,

Gramatikova,

Lukina

et al. 2024

Regional blood circulation and microcirculation

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Objective. To identify the correlation between magnetic resonance (MR) semiotics and the intensity of pelvic pain syndrome in female patients with deep infiltrating endometriosis of the posterior pelvic compartment. Material and methods. We performed a retro- and prospective analysis of MR studies of pelvic organs in 77 female patients with pelvic pain syndrome, aged from 24 to 39 years. We assessed the intensity of the pain syndrome using a visual analog scale (VAS). The patients were divided into 2 groups: 1st-patients with external genital endometriosis (EGE) without involving the posterior pelvic compartment, 2nd-patients with EGE of the posterior pelvic compartment. The patients of the second group were divided into subgroups: 1 – endometriosis of the posterior pelvic compartment without MR signs of intestinal wall invasion, 2 – posterior compartment endometriosis with MR signs of intestinal wall invasion. The study was conducted on a GE Signa 1.5 Tesla MRI scanner. Results. In the second group of patients with endometriosis of the posterior pelvic compartment, the pain syndrome (8.00 (7.00–9.00) was more intense than in the first group of patients without endometriosis of the posterior pelvic compartment 7.00 (5.00–7.00), p<0.001 and we evaluated a retrovaginal, retrocervical and posterior uterine localization. In the second subgroup of patients with signs of the intestinal wall invasion, the pelvic pain syndrome on the VAS was statistically significantly more intense 8.00 (8.00-10.00) than in the first subgroup of patients without signs of the intestinal wall invasion 7.00 (6.00–7.00) (P<0.001). Conclusion. Patients with identified deep infiltrating endometriosis of the posterior pelvic compartment have more pronounced manifestations of the pelvic pain syndrome then patients with endometriosis of other localizations.

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Structured MRI reporting increases completeness of radiological reports and requesting physicians’ satisfaction in the diagnostic workup for pelvic endometriosis

Cited by 7 publications

References 37 publications

Structured CT reporting of pancreatic ductal adenocarcinoma: impact on completeness of information and interdisciplinary communication for surgical planning

Structured CT reporting of pancreatic ductal adenocarcinoma: impact on completeness of information and interdisciplinary communication for surgical planning

MRI of endometriosis in correlation with the #Enzian classification: applicability and structured report

Correlation between MR semiotics and intensity of pelvic pain syndrome in female patients with deep infiltrating endometriosis of the posterior pelvic compartment

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