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Review
. 2019 Apr 29;1(1):20190012.
doi: 10.1259/bjro.20190012. eCollection 2019.

Communicating with the hepatobiliary surgeon through structured report

Roberto Cannella  1 , Adele Taibbi  1 , Salvatore Pardo  1 , Giuseppe Lo Re  1 , Ludovico La Grutta  1 , Tommaso Vincenzo Bartolotta  1
Affiliations
Review

Communicating with the hepatobiliary surgeon through structured report

Roberto Cannella et al. BJR Open. .

Abstract

Communicating radiological findings to hepatobiliary surgeons is not an easy task due to the complexity of liver imaging, coexistence of multiple hepatic lesions and different surgical treatment options. Recently, the adoption and implementation of structured report in everyday clinical practice has been supported to achieve higher quality, more reproducibility in communication and closer adherence to current guidelines. In this review article, we will illustrate the main benefits, strengths and limitations of structured reporting, with particular attention on the advantages and challenges of structured template in the preoperative evaluation of cirrhotic and non-cirrhotic patients with focal liver lesions. Structured reporting may improve the preoperative evaluation, focusing on answering specific clinical questions that are requested by hepatobiliary surgeons in candidates to liver resection.

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Figures

Figure 1.
Figure 1.
Example of structured template of contrast-enhanced CT developed and proposed at our Institution for HCC screening in cirrhotic patients. HCC, hepatocellular carcinoma.
Figure 2.
Figure 2.
A 67-year-old male with HCV-related cirrhosis. Contrast-enhanced CT images on hepatic arterial (A) and portal venous phases (B) show a large hepatic mass with tumour in vein (arrows) of the right hepatic vein. The lesion is therefore considered unresectable. HCV, hepatitis C virus.
Figure 3.
Figure 3.
A 57-year-old female with intra hepatic cholangiocarcinoma. (A) Contrast-enhanced CT shows a rim-enhancing mass (arrow) in the right hepatic lobe. Patient underwent preoperative embolization of the right portal vein (B) to hypertrophy the left liver. Contrast-enhanced CT after resection (C) well demonstrates the hypertrophy of the remnant left liver.
Figure 4.
Figure 4.
Example of structured template of contrast-enhanced CT developed and proposed at our institution for preoperative evaluation of non-cirrhotic patients with colorectal liver metastasis.
See this image and copyright information in PMC

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