Structured Reporting of Lung Cancer Staging: A Consensus Proposal

Vincenza Granata¹, Roberto Grassi^{2

3}, Vittorio Miele^{3

4}, Anna Rita Larici⁵, Nicola Sverzellati⁶, Salvatore Cappabianca², Luca Brunese⁷, Nicola Maggialetti⁸, Andrea Borghesi⁹, Roberta Fusco¹⁰, Maurizio Balbi⁶, Fabrizio Urraro², Duccio Buccicardi¹¹, Chandra Bortolotto¹², Roberto Prost¹³, Marco Rengo¹⁴, Elisa Baratella¹⁵, Massimo De Filippo¹⁶, Carmelo Barresi¹⁷, Stefano Palmucci¹⁸, Marco Busso¹⁹, Lucio Calandriello²⁰, Mario Sansone²¹, Emanuele Neri^{3

22}, Francesca Coppola²³, Lorenzo Faggioni²²

Affiliations

¹ Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli", 80131 Naples, Italy.
² Division of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", 80128 Naples, Italy.
³ Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, Via della Signora 2, 20122 Milan, Italy.
⁴ Division of Radiology, "Azienda Ospedaliera Universitaria Careggi", 50134 Florence, Italy.
⁵ Institute of Radiology, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, 00168 Rome, Italy.
⁶ Section of Diagnostic Imaging, Department of Surgery, University of Parma, 43100 Parma, Italy.
⁷ Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Via Francesco De Sanctis 1, 86100 Campobasso, Italy.
⁸ Section of Radiodiagnostic, DSMBNOS, "Aldo Moro" University, 70121 Bari, Italy.
⁹ Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, ASST Spedali Civili of Brescia, Piazzale Spedali Civili, 1, 25123 Brescia, Italy.
¹⁰ Medical Oncology Division, Igea SpA, 80013 Naples, Italy.
¹¹ Imaging Department, San Paolo Hospital, 17100 Savona, Italy.
¹² Department of Radiology, I.R.C.C.S. Policlinico San Matteo Foundation, 27100 Pavia, Italy.
¹³ Radiology Unit, Azienda Ospedaliera Brotzu, 09134 Cagliari, Italy.
¹⁴ Department of Radiological Sciences, Oncology and Pathology, I.C.O.T. Hospital, "Sapienza", University of Rome, 00195 Latina, Italy.
¹⁵ Department of Radiology, Cattinara Hospital, University of Trieste, 34128 Trieste, Italy.
¹⁶ Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, 43126 Parma, Italy.
¹⁷ Division of Radiology, Azienda Ospedaliera Universitaria Senese, 53100 Siena, Italy.
¹⁸ Department of Medical Surgical Sciences and Advanced Technologies GF Ingrassia, University Hospital Policlinico "G.Rodolico-San Marco", University of Catania, 95123 Catania, Italy.
¹⁹ Radiology Unit, Department of Oncology, San Luigi Gonzaga University Hospital, University of Turin, 10043 Turin, Italy.
²⁰ Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology-Diagnostic Imaging Area, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
²¹ Department of Electrical Engineering and Information Technology (DIETI), University of Naples Federico II, via Claudio 21, 80125 Naples, Italy.
²² Department of Translational Research, University of Pisa, 56126 Pisa, Italy.
²³ Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni 15, 40138, Bologna, Italy.

PMID: 34573911
PMCID: PMC8465460
DOI: 10.3390/diagnostics11091569

Structured Reporting of Lung Cancer Staging: A Consensus Proposal

Vincenza Granata et al. Diagnostics (Basel). 2021.

. 2021 Aug 30;11(9):1569.

doi: 10.3390/diagnostics11091569.

Authors

Affiliations

¹ Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli", 80131 Naples, Italy.
² Division of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", 80128 Naples, Italy.
³ Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, Via della Signora 2, 20122 Milan, Italy.
⁴ Division of Radiology, "Azienda Ospedaliera Universitaria Careggi", 50134 Florence, Italy.
⁵ Institute of Radiology, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli, 00168 Rome, Italy.
⁶ Section of Diagnostic Imaging, Department of Surgery, University of Parma, 43100 Parma, Italy.
⁷ Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Via Francesco De Sanctis 1, 86100 Campobasso, Italy.
⁸ Section of Radiodiagnostic, DSMBNOS, "Aldo Moro" University, 70121 Bari, Italy.
⁹ Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, ASST Spedali Civili of Brescia, Piazzale Spedali Civili, 1, 25123 Brescia, Italy.
¹⁰ Medical Oncology Division, Igea SpA, 80013 Naples, Italy.
¹¹ Imaging Department, San Paolo Hospital, 17100 Savona, Italy.
¹² Department of Radiology, I.R.C.C.S. Policlinico San Matteo Foundation, 27100 Pavia, Italy.
¹³ Radiology Unit, Azienda Ospedaliera Brotzu, 09134 Cagliari, Italy.
¹⁴ Department of Radiological Sciences, Oncology and Pathology, I.C.O.T. Hospital, "Sapienza", University of Rome, 00195 Latina, Italy.
¹⁵ Department of Radiology, Cattinara Hospital, University of Trieste, 34128 Trieste, Italy.
¹⁶ Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, 43126 Parma, Italy.
¹⁷ Division of Radiology, Azienda Ospedaliera Universitaria Senese, 53100 Siena, Italy.
¹⁸ Department of Medical Surgical Sciences and Advanced Technologies GF Ingrassia, University Hospital Policlinico "G.Rodolico-San Marco", University of Catania, 95123 Catania, Italy.
¹⁹ Radiology Unit, Department of Oncology, San Luigi Gonzaga University Hospital, University of Turin, 10043 Turin, Italy.
²⁰ Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology-Diagnostic Imaging Area, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
²¹ Department of Electrical Engineering and Information Technology (DIETI), University of Naples Federico II, via Claudio 21, 80125 Naples, Italy.
²² Department of Translational Research, University of Pisa, 56126 Pisa, Italy.
²³ Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni 15, 40138, Bologna, Italy.

PMID: 34573911
PMCID: PMC8465460
DOI: 10.3390/diagnostics11091569

Abstract

Background: Structured reporting (SR) in radiology is becoming necessary and has recently been recognized by major scientific societies. This study aimed to build CT-based structured reports for lung cancer during the staging phase, in order to improve communication between radiologists, members of the multidisciplinary team and patients.

Materials and methods: A panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A modified Delphi exercise was used to build the structural report and to assess the level of agreement for all the report sections. The Cronbach's alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to perform a quality analysis according to the average inter-item correlation.

Results: The final SR version was built by including 16 items in the "Patient Clinical Data" section, 4 items in the "Clinical Evaluation" section, 8 items in the "Exam Technique" section, 22 items in the "Report" section, and 5 items in the "Conclusion" section. Overall, 55 items were included in the final version of the SR. The overall mean of the scores of the experts and the sum of scores for the structured report were 4.5 (range 1-5) and 631 (mean value 67.54, STD 7.53), respectively, in the first round. The items of the structured report with higher accordance in the first round were primary lesion features, lymph nodes, metastasis and conclusions. The overall mean of the scores of the experts and the sum of scores for staging in the structured report were 4.7 (range 4-5) and 807 (mean value 70.11, STD 4.81), respectively, in the second round. The Cronbach's alpha (Cα) correlation coefficient was 0.89 in the first round and 0.92 in the second round for staging in the structured report.

Conclusions: The wide implementation of SR is critical for providing referring physicians and patients with the best quality of service, and for providing researchers with the best quality of data in the context of the big data exploitation of the available clinical data. Implementation is complex, requiring mature technology to successfully address pending user-friendliness, organizational and interoperability challenges.

Keywords: computed tomography; free text report; lung cancer; radiology report; structured report.

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Conflict of interest statement

The authors declare no conflict of interest.

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Structured Reporting of Lung Cancer Staging: A Consensus Proposal

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Structured Reporting of Lung Cancer Staging: A Consensus Proposal

Authors

Affiliations

Abstract

Conflict of interest statement

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