Lexicon for renal mass terms at CT and MRI: a consensus of the society of abdominal radiology disease-focused panel on renal cell carcinoma.
Lexicon for renal mass terms at CT and MRI: a consensus of the society of abdominal radiology disease-focused panel on renal cell carcinoma.
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DOI：
10.1007/s00261-020-02644-x
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Silverman SG
中科院分区：
文献类型：
--
作者：
Shinagare AB;Davenport MS;Park H;Pedrosa I;Remer EM;Chandarana H;Doshi AM;Schieda N;Smith AD;Vikram R;Wang ZJ;Silverman SG
用于描述肾脏肿块特征的放射学术语存在很大差异，导致临床放射学报告和研究中的歧义和不一致。本研究的目的是建立一个标准化的词汇来描述CT和MRI上的肾脏肿块。这个多机构的、前瞻性的、质量改进的项目免于审查委员会的监督。隶属于腹部放射学会（SAR）疾病聚焦小组的13名放射科医生代表9个学术机构参与了一项改进的德尔菲程序，以创建用于描述CT和MRI肾脏肿块影像学特征的术语词典。在第一轮中，成员们投票决定要纳入的术语并提出定义；随后的几轮投票和一次电话会议达成了共识。一名无表决权成员编制了调查表和综合答复。一致定义为≥80%的同意。在37项拟议条款中，有6项经协商一致同意予以排除。31个术语中的30个达成了纳入共识（13/14个基本成像术语，8/8个CT术语，6/6个MRI术语和3/3个杂项术语）。尽管最初对“肾肿块”、“坏死”、“脂肪”和“弥散受限”的定义存在很大分歧，但最终各方达成了共识。对于“固体质量”的定义仍然存在分歧。改进的德尔菲法产生了首选术语和定义的词典，用于在CT和MRI上描述肾脏肿块。该词典应提高与肾肿块相关的放射学报告和研究的清晰度和一致性。
There is substantial variation in the radiologic terms used to characterize renal masses, leading to ambiguity and inconsistency in clinical radiology reports and research studies. The purpose of this study was to develop a standardized lexicon to describe renal masses at CT and MRI. This multi-institutional, prospective, quality improvement project was exempt from IRB oversight. Thirteen radiologists belonging to the Society of Abdominal Radiology (SAR) disease-focused panel on renal cell carcinoma representing nine academic institutions participated in a modified Delphi process to create a lexicon of terms used to describe imaging features of renal masses at CT and MRI. In the first round, members voted on terms to be included and proposed definitions; subsequent voting rounds and a teleconference established consensus. One non-voting member developed the questionnaire and consolidated responses. Consensus was defined as ≥80% agreement. Of 37 proposed terms, 6 had consensus to be excluded. Consensus for inclusion was reached for 30 of 31 terms (13/14 basic imaging terms, 8/8 CT terms, 6/6 MRI terms and 3/3 miscellaneous terms). Despite substantial initial disagreement about definitions of ‘renal mass’, ‘necrosis’, ‘fat’, and ‘restricted diffusion’ in the first round, consensus for all was eventually reached. Disagreement remained for the definition of ‘solid mass’. A modified Delphi method produced a lexicon of preferred terms and definitions to be used in the description of renal masses at CT and MRI. This lexicon should improve clarity and consistency of radiology reports and research related to renal masses.
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影响因子：
19.7
作者：
Hindman, Nicole;Ngo, Long;Pedrosa, Ivan
通讯作者：
Pedrosa, Ivan
影响因子：
4.4
作者：
Filice, Ross W.;Kahn, Charles E., Jr.
通讯作者：
Kahn, Charles E., Jr.
影响因子：
3.8
作者：
Hasson, F;Keeney, S;McKenna, H
通讯作者：
McKenna, H
影响因子：
1.9
作者：
Liberman, L;Menell, JH
通讯作者：
Menell, JH
影响因子：
6.6
作者：
Kutikov, Alexander;Uzzo, Robert G.
通讯作者：
Uzzo, Robert G.