Impact of a Structured Report Template on the Quality of CT and MRI Reports for Hepatocellular Carcinoma Diagnosis
Impact of a Structured Report Template on the Quality of CT and MRI Reports for Hepatocellular Carcinoma Diagnosis
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DOI：
10.1016/j.jacr.2017.02.050
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发表时间：
2017-09-01
影响因子：
4.5
通讯作者：
Chernyak, Victoria
中科院分区：
文献类型：
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作者：
Flusberg, Milana;Ganeles, Jeremy;Chernyak, Victoria
目的：为了评估肝脏成像报告和数据系统（LI-RADS）结构化模板对肝细胞癌（HCC）报告质量的影响，材料和方法：2015年4月采用了部门结构化LI-RADS模板。审查了2014年9月至2016年2月期间可能或明确HCC的CT和MRI报告。记录每个病灶的以下报告，并在模板和自由文本报告之间进行比较：（1）LI-RADS类别，（2）Couinaud节段，（3）明确描述是否存在主要LI-RADS HCC特征：动脉期增强、“洗脱”、直径、阈值生长和“包膜”。结果：有306例明确或可能的HCC，125例（40.8%）采用自由文本报告，181例（59.2%）采用模板报告。在125例使用自由文本的HCC中有23例（18.4%）报告了LI-RADS类别，而在181例使用模板的HCC中有178例（98.3%）报告了LI-RADS类别（P
Purpose: To assess the impact of a Liver Imaging Reporting and Data System (LI-RADS) structured template on quality of reports for hepatocellular carcinoma (HCC).Materials and Methods: A departmental structured LI-RADS template was adopted in April 2015. CT and MRI reports from September 2014 to February 2016 with probable or definite HCC were reviewed. Reporting of the following was recorded for each lesion and compared between template and free-text reports: (1) LI-RADS category, (2) Couinaud segment, and (3) unequivocal description of presence or absence of major LI-RADS HCC features: arterial phase hyperenhancement, "washout," diameter, threshold growth, and "capsule."Results: There were 306 definite or probable HCCs, 125 (40.8%) reported with free text and 181 (59.2%) with the template. LI-RADS category was reported in 23 of 125 (18.4%) HCCs with free text and in 178 of 181 (98.3%) HCCs with the template (P