Do Radiologists Report the TNM Staging in Radiology Reports for Head and Neck Cancers? A National Survey Study
Do Radiologists Report the TNM Staging in Radiology Reports for Head and Neck Cancers? A National Survey Study
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DOI：
10.3174/ajnr.a4742
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发表时间：
2016-08-01
影响因子：
3.5
通讯作者：
Anzai, Y.
中科院分区：
文献类型：
--
作者：
Ko, B.;Parvathaneni, U.;Anzai, Y.
背景和目的：CT和MR成像广泛应用于头颈癌的分期。目前，还没有关于原发肿瘤、淋巴结、转移(TNM)分期是否被常规纳入放射学报告的数据。我们进行了一项全国性的调查，以确定放射科医生是否经常进行分期，特别是关于T(原发肿瘤)和N(结节)。材料和方法：该调查发送给了美国头颈放射学会的782名成员。调查询问他们是否在报告中指定TN分期。如果他们确实指定了TN分期，那么这样做的原因是什么？如果不是，没有将其包括在放射学报告中的障碍或原因是什么？结果：共回收229份问卷，应答率为29.3%。大约一半(49%；95%可信区间，43.55-54.5%)的应答者认为纳入TN分期很重要。然而，只有24.5%(95%的可信区间，19.8%-29.2%)表示他们在放射学报告中常规地指定了TN分期。最常见的障碍是害怕不准确(59%)和不记得分期(58.2%)；76.9%的人表示他们在3D中测量原发肿瘤。结论：基于影像的头颈癌分期是独特的挑战。近一半的应答者认为将TN分期纳入放射学报告很重要，尽管只有四分之一的人在实践中经常这样做。
BACKGROUND AND PURPOSE: CT and MR imaging are widely used for the staging of head and neck cancer. Currently, there are no data regarding whether the primary tumor, nodes, metastasis (TNM) staging is routinely incorporated into radiology reports. We conducted a national survey to determine whether radiologists routinely address staging, in particular regarding T (primary tumor) and N (nodal).MATERIALS AND METHODS: The survey was sent to 782 members of the American Society of Head and Neck Radiology. The survey asked whether they assign TN staging in reports. If they do assign TN staging, what are the reasons for doing so, and if not, what are the barriers or reasons for not including it in the radiology report? The method of measuring the size of the primary tumor and pathologic lymph nodes was also queried.RESULTS: A total of 229 responses were returned (29.3% response rate). Approximately half (49%; 95% confidence interval, 43.55-54.5%) of the responders thought that incorporating TN staging is important. However, only 24.5% (95% confidence interval, 19.8%-29.2%) stated that they routinely assigned TN staging in their radiology reports. The most common barriers were being afraid of being inaccurate (59%) and being unable to remember the staging classifications (58.2%); 76.9% indicated that they measure a primary tumor in 3D.CONCLUSIONS: Staging head and neck cancer based on imaging presents unique challenges. Nearly half of the responding radiologists think it is important to incorporate TN staging in radiology reports, though only a quarter of them routinely do so in practice.