Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal

BackgroundStructured reporting (SR) in radiology is becoming increasingly necessary and has been recognized recently by major scientific societies. This study aims to build structured CT-based reports in Neuroendocrine Neoplasms during the staging phase in order to improve communication between the...

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Autores principales: Vincenza Granata, Francesca Coppola, Roberta Grassi, Roberta Fusco, Salvatore Tafuto, Francesco Izzo, Alfonso Reginelli, Nicola Maggialetti, Duccio Buccicardi, Barbara Frittoli, Marco Rengo, Chandra Bortolotto, Roberto Prost, Giorgia Viola Lacasella, Marco Montella, Eleonora Ciaghi, Francesco Bellifemine, Federica De Muzio, Ginevra Danti, Giulia Grazzini, Massimo De Filippo, Salvatore Cappabianca, Carmelo Barresi, Franco Iafrate, Luca Pio Stoppino, Andrea Laghi, Roberto Grassi, Luca Brunese, Emanuele Neri, Vittorio Miele, Lorenzo Faggioni
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:5220edf0a511411ebccb29a0e3cd06002021-12-01T20:31:20ZStructured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal1664-239210.3389/fendo.2021.748944https://doaj.org/article/5220edf0a511411ebccb29a0e3cd06002021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.748944/fullhttps://doaj.org/toc/1664-2392BackgroundStructured reporting (SR) in radiology is becoming increasingly necessary and has been recognized recently by major scientific societies. This study aims to build structured CT-based reports in Neuroendocrine Neoplasms during the staging phase in order to improve communication between the radiologist and members of multidisciplinary teams.Materials and MethodsA panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A Modified Delphi process was used to develop the SR and to assess a level of agreement for all report sections. Cronbach’s alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to measure quality analysis according to the average inter-item correlation.ResultsThe final SR version was built by including n=16 items in the “Patient Clinical Data” section, n=13 items in the “Clinical Evaluation” section, n=8 items in the “Imaging Protocol” section, and n=17 items in the “Report” section. Overall, 54 items were included in the final version of the SR. Both in the first and second round, all sections received more than a good rating: a mean value of 4.7 and range of 4.2-5.0 in the first round and a mean value 4.9 and range of 4.9-5 in the second round. In the first round, the Cα correlation coefficient was a poor 0.57: the overall mean score of the experts and the sum of scores for the structured report were 4.7 (range 1-5) and 728 (mean value 52.00 and standard deviation 2.83), respectively. In the second round, the Cα correlation coefficient was a good 0.82: the overall mean score of the experts and the sum of scores for the structured report were 4.9 (range 4-5) and 760 (mean value 54.29 and standard deviation 1.64), respectively.ConclusionsThe present SR, based on a multi-round consensus-building Delphi exercise following in-depth discussion between expert radiologists in gastro-enteric and oncological imaging, derived from a multidisciplinary agreement between a radiologist, medical oncologist and surgeon in order to obtain the most appropriate communication tool for referring physicians.Vincenza GranataFrancesca CoppolaRoberta GrassiRoberta GrassiRoberta FuscoSalvatore TafutoFrancesco IzzoAlfonso ReginelliNicola MaggialettiDuccio BuccicardiBarbara FrittoliMarco RengoChandra BortolottoRoberto ProstGiorgia Viola LacasellaMarco MontellaEleonora CiaghiFrancesco BellifemineFederica De MuzioGinevra DantiGiulia GrazziniMassimo De FilippoSalvatore CappabiancaCarmelo BarresiFranco IafrateLuca Pio StoppinoAndrea LaghiRoberto GrassiRoberto GrassiLuca BruneseEmanuele NeriEmanuele NeriVittorio MieleVittorio MieleLorenzo FaggioniFrontiers Media S.A.articleradiology reportstructured reportstagingneuroendocrine neoplasmcomputed tomographyDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic radiology report
structured report
staging
neuroendocrine neoplasm
computed tomography
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle radiology report
structured report
staging
neuroendocrine neoplasm
computed tomography
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Vincenza Granata
Francesca Coppola
Roberta Grassi
Roberta Grassi
Roberta Fusco
Salvatore Tafuto
Francesco Izzo
Alfonso Reginelli
Nicola Maggialetti
Duccio Buccicardi
Barbara Frittoli
Marco Rengo
Chandra Bortolotto
Roberto Prost
Giorgia Viola Lacasella
Marco Montella
Eleonora Ciaghi
Francesco Bellifemine
Federica De Muzio
Ginevra Danti
Giulia Grazzini
Massimo De Filippo
Salvatore Cappabianca
Carmelo Barresi
Franco Iafrate
Luca Pio Stoppino
Andrea Laghi
Roberto Grassi
Roberto Grassi
Luca Brunese
Emanuele Neri
Emanuele Neri
Vittorio Miele
Vittorio Miele
Lorenzo Faggioni
Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal
description BackgroundStructured reporting (SR) in radiology is becoming increasingly necessary and has been recognized recently by major scientific societies. This study aims to build structured CT-based reports in Neuroendocrine Neoplasms during the staging phase in order to improve communication between the radiologist and members of multidisciplinary teams.Materials and MethodsA panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A Modified Delphi process was used to develop the SR and to assess a level of agreement for all report sections. Cronbach’s alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to measure quality analysis according to the average inter-item correlation.ResultsThe final SR version was built by including n=16 items in the “Patient Clinical Data” section, n=13 items in the “Clinical Evaluation” section, n=8 items in the “Imaging Protocol” section, and n=17 items in the “Report” section. Overall, 54 items were included in the final version of the SR. Both in the first and second round, all sections received more than a good rating: a mean value of 4.7 and range of 4.2-5.0 in the first round and a mean value 4.9 and range of 4.9-5 in the second round. In the first round, the Cα correlation coefficient was a poor 0.57: the overall mean score of the experts and the sum of scores for the structured report were 4.7 (range 1-5) and 728 (mean value 52.00 and standard deviation 2.83), respectively. In the second round, the Cα correlation coefficient was a good 0.82: the overall mean score of the experts and the sum of scores for the structured report were 4.9 (range 4-5) and 760 (mean value 54.29 and standard deviation 1.64), respectively.ConclusionsThe present SR, based on a multi-round consensus-building Delphi exercise following in-depth discussion between expert radiologists in gastro-enteric and oncological imaging, derived from a multidisciplinary agreement between a radiologist, medical oncologist and surgeon in order to obtain the most appropriate communication tool for referring physicians.
format article
author Vincenza Granata
Francesca Coppola
Roberta Grassi
Roberta Grassi
Roberta Fusco
Salvatore Tafuto
Francesco Izzo
Alfonso Reginelli
Nicola Maggialetti
Duccio Buccicardi
Barbara Frittoli
Marco Rengo
Chandra Bortolotto
Roberto Prost
Giorgia Viola Lacasella
Marco Montella
Eleonora Ciaghi
Francesco Bellifemine
Federica De Muzio
Ginevra Danti
Giulia Grazzini
Massimo De Filippo
Salvatore Cappabianca
Carmelo Barresi
Franco Iafrate
Luca Pio Stoppino
Andrea Laghi
Roberto Grassi
Roberto Grassi
Luca Brunese
Emanuele Neri
Emanuele Neri
Vittorio Miele
Vittorio Miele
Lorenzo Faggioni
author_facet Vincenza Granata
Francesca Coppola
Roberta Grassi
Roberta Grassi
Roberta Fusco
Salvatore Tafuto
Francesco Izzo
Alfonso Reginelli
Nicola Maggialetti
Duccio Buccicardi
Barbara Frittoli
Marco Rengo
Chandra Bortolotto
Roberto Prost
Giorgia Viola Lacasella
Marco Montella
Eleonora Ciaghi
Francesco Bellifemine
Federica De Muzio
Ginevra Danti
Giulia Grazzini
Massimo De Filippo
Salvatore Cappabianca
Carmelo Barresi
Franco Iafrate
Luca Pio Stoppino
Andrea Laghi
Roberto Grassi
Roberto Grassi
Luca Brunese
Emanuele Neri
Emanuele Neri
Vittorio Miele
Vittorio Miele
Lorenzo Faggioni
author_sort Vincenza Granata
title Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal
title_short Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal
title_full Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal
title_fullStr Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal
title_full_unstemmed Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal
title_sort structured reporting of computed tomography in the staging of neuroendocrine neoplasms: a delphi consensus proposal
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/5220edf0a511411ebccb29a0e3cd0600
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