Vincenza Granata1, Damiano Caruso2, Roberto Grassi3,4, Salvatore Cappabianca3, Alfonso Reginelli3, Roberto Rizzati5, Gabriele Masselli6, Rita Golfieri7, Marco Rengo2, Daniele Regge8,9, Giuseppe Lo Re10, Silvia Pradella11, Roberta Fusco1, Lorenzo Faggioni12, Andrea Laghi2, Vittorio Miele11, Emanuele Neri4,12, Francesca Coppola7. 1. Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy. 2. Department of Medical-Surgical and Translational Medicine-Radiology Unit, Sapienza University of Rome, 00185 Rome, Italy. 3. Division of Radiology, Università degli Studi della Campania Luigi Vanvitelli, 80127 Naples, Italy. 4. SIRM Foundation, Italian Society of Medical and Interventional Radiology, 20122 Milan, Italy. 5. Division of Radiology, SS.ma Annunziata Hospital, Azienda USL di Ferrara, 44121 Ferrara, Italy. 6. Department of Radiological Sciences, Oncology and Pathology, Sapienza University of Rome, 00161 Rome, Italy. 7. Division of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy. 8. Department of Surgical Sciences, University of Turin, 10124 Turin, Italy. 9. Radiology Unit, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, 10060 Turin, Italy. 10. Section of Radiological Sciences, DIBIMED, University of Palermo, 90127 Palermo, Italy. 11. Division of Radiology, Azienda Ospedaliera Universitaria Careggi, 50139 Florence, Italy. 12. Department of Translational Research, University of Pisa, 56126 Pisa, Italy.
Abstract
BACKGROUND: Structured reporting (SR) in oncologic imaging is becoming necessary and has recently been recognized by major scientific societies. The aim of this study was to build MRI-based structured reports for rectal cancer (RC) staging and restaging in order to provide clinicians all critical tumor information. MATERIALS AND METHODS: A panel of radiologist experts in abdominal imaging, called the members of the Italian Society of Medical and Interventional Radiology, was established. The modified Delphi process was used to build the SR and to assess the level of agreement in all sections. The Cronbach's alpha (Cα) correlation coefficient was used to assess the internal consistency of each section and to measure the quality analysis according to the average inter-item correlation. The intraclass correlation coefficient (ICC) was also evaluated. RESULTS: After the second Delphi round of the SR RC staging, the panelists' single scores and sum of scores were 3.8 (range 2-4) and 169, and the SR RC restaging panelists' single scores and sum of scores were 3.7 (range 2-4) and 148, respectively. The Cα correlation coefficient was 0.79 for SR staging and 0.81 for SR restaging. The ICCs for the SR RC staging and restaging were 0.78 (p < 0.01) and 0.82 (p < 0.01), respectively. The final SR version was built and included 53 items for RC staging and 50 items for RC restaging. CONCLUSIONS: The final version of the structured reports of MRI-based RC staging and restaging should be a helpful and promising tool for clinicians in managing cancer patients properly. Structured reports collect all Patient Clinical Data, Clinical Evaluations and relevant key findings of Rectal Cancer, both in staging and restaging, and can facilitate clinical decision-making.
BACKGROUND: Structured reporting (SR) in oncologic imaging is becoming necessary and has recently been recognized by major scientific societies. The aim of this study was to build MRI-based structured reports for rectal cancer (RC) staging and restaging in order to provide clinicians all critical tumor information. MATERIALS AND METHODS: A panel of radiologist experts in abdominal imaging, called the members of the Italian Society of Medical and Interventional Radiology, was established. The modified Delphi process was used to build the SR and to assess the level of agreement in all sections. The Cronbach's alpha (Cα) correlation coefficient was used to assess the internal consistency of each section and to measure the quality analysis according to the average inter-item correlation. The intraclass correlation coefficient (ICC) was also evaluated. RESULTS: After the second Delphi round of the SR RC staging, the panelists' single scores and sum of scores were 3.8 (range 2-4) and 169, and the SR RC restaging panelists' single scores and sum of scores were 3.7 (range 2-4) and 148, respectively. The Cα correlation coefficient was 0.79 for SR staging and 0.81 for SR restaging. The ICCs for the SR RC staging and restaging were 0.78 (p < 0.01) and 0.82 (p < 0.01), respectively. The final SR version was built and included 53 items for RC staging and 50 items for RC restaging. CONCLUSIONS: The final version of the structured reports of MRI-based RC staging and restaging should be a helpful and promising tool for clinicians in managing cancerpatients properly. Structured reports collect all Patient Clinical Data, Clinical Evaluations and relevant key findings of Rectal Cancer, both in staging and restaging, and can facilitate clinical decision-making.
Entities:
Keywords:
magnetic resonance imaging; re-staging; rectal cancer; staging; structured reporting
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