Maria Antonietta Mazzei1,2, Giulio Bagnacci1,2, Francesco Gentili3,4, Iacopo Capitoni1, Gianni Mura5, Daniele Marrelli6, Roberto Petrioli7, Luca Brunese8,9, Salvatore Cappabianca9,10, Marco Catarci11, Maurizio Degiuli12, Giovanni De Manzoni13, Marco De Prizio5, Annibale Donini14, Uberto Fumagalli Romario15, Luigi Funicelli2,9,15, Andrea Laghi16,17, Giuseppe Minetti2,18, Paolo Morgagni19, Enrico Petrella20, Frida Pittiani2,21, Stefano Rausei22, Laura Romanini23, Riccardo Rosati24, Amato Antonio Stabile Ianora25, Guido A M Tiberio26, Luca Volterrani1,9, Franco Roviello6, Roberto Grassi10,27. 1. Department of Medical, Surgical and Neuro Sciences, University of Siena and Department of Radiological Sciences, Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy. 2. SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy. 3. SIRM, Italian College of Computed Tomography, Italian Society of Medical and Interventional Radiology, Milan, Italy. francescogentili@gmail.com. 4. Unit of Diagnostic Imaging, Azienda Ospedaliera Universitaria Senese, Siena, Italy. francescogentili@gmail.com. 5. Department of Surgery, Division of General Surgery, Arezzo Hospital, Arezzo, Italy. 6. Department of Medicine, Surgery and Neuroscience, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy. 7. Department of Oncology, Unit of Medical Oncology, Azienda Ospedaliera Universitaria Senese, Siena, Italy. 8. Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy. 9. SIRM, Italian College of Oncology, Italian Society of Medical and Interventional Radiology, Milan, Italy. 10. Division of Radiology, University of Campania Luigi Vanvitelli, Naples, Italy. 11. FACS; UOC Chirurgia Generale; Ospedale Sandro Pertini - ASL Roma 2, Roma, Italy. 12. Surgical Oncology and Digestive Surgery Unit, Department of Oncology, University of Turin; San Luigi University Hospital, Orbassano, Italy. 13. Unit of General and Upper GI Surgery, University of Verona, Verona, Italy. 14. Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy. 15. Digestive Surgery, IEO European Institute of Oncology - IRCCS, Milan, Italy. 16. Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome - Sant'Andrea University Hospital, Rome, Italy. 17. SIRM, Italian College of Gastroenterology, Italian Society of Medical and Interventional Radiology, Milan, Italy. 18. Radiology Department, Ospedale Policlinico San Martino, IRCCS per L'Oncologia e le Neuroscienze, Genoa, Italy. 19. General and Oncologic Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy. 20. Radiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, Forlì, Italy. 21. Department of Radiology, ASST Spedali Civili Brescia, Brescia, Italy. 22. Department of Surgery, ASST Valle Olona, Gallarate, Varese, Italy. 23. Department of Radiology, ASST Cremona, Cremona, Italy. 24. Endocrine Unit, Department of Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy. 25. Interdisciplinary Department of Medicine, Section of Radiology and Radiation Oncology, University of Bari, Bari, Italy. 26. Surgical Unit, Department of Experimental and Clinical Sciences, University of Brescia, Brescia, Italy. 27. SIRM Foundation, Italian Society of Medical and Interventional Radiology, Milan, Italy.
Abstract
OBJECTIVES: Written radiological report remains the most important means of communication between radiologist and referring medical/surgical doctor, even though CT reports are frequently just descriptive, unclear, and unstructured. The Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Research Group for Gastric Cancer (GIRCG) promoted a critical shared discussion between 10 skilled radiologists and 10 surgical oncologists, by means of multi-round consensus-building Delphi survey, to develop a structured reporting template for CT of GC patients. METHODS: Twenty-four items were organized according to the broad categories of a structured report as suggested by the European Society of Radiology (clinical referral, technique, findings, conclusion, and advice) and grouped into three "CT report sections" depending on the diagnostic phase of the radiological assessment for the oncologic patient (staging, restaging, and follow-up). RESULTS: In the final round, 23 out of 24 items obtained agreement ( ≥ 8) and consensus ( ≤ 2) and 19 out 24 items obtained a good stability (p > 0.05). CONCLUSIONS: The structured report obtained, shared by surgical and medical oncologists and radiologists, allows an appropriate, clearer, and focused CT report essential to high-quality patient care in GC, avoiding the exclusion of key radiological information useful for multidisciplinary decision-making. KEY POINTS: • Imaging represents the cornerstone for tailored treatment in GC patients. • CT-structured radiology report in GC patients is useful for multidisciplinary decision making.
OBJECTIVES: Written radiological report remains the most important means of communication between radiologist and referring medical/surgical doctor, even though CT reports are frequently just descriptive, unclear, and unstructured. The Italian Society of Medical and Interventional Radiology (SIRM) and the Italian Research Group for Gastric Cancer (GIRCG) promoted a critical shared discussion between 10 skilled radiologists and 10 surgical oncologists, by means of multi-round consensus-building Delphi survey, to develop a structured reporting template for CT of GC patients. METHODS: Twenty-four items were organized according to the broad categories of a structured report as suggested by the European Society of Radiology (clinical referral, technique, findings, conclusion, and advice) and grouped into three "CT report sections" depending on the diagnostic phase of the radiological assessment for the oncologic patient (staging, restaging, and follow-up). RESULTS: In the final round, 23 out of 24 items obtained agreement ( ≥ 8) and consensus ( ≤ 2) and 19 out 24 items obtained a good stability (p > 0.05). CONCLUSIONS: The structured report obtained, shared by surgical and medical oncologists and radiologists, allows an appropriate, clearer, and focused CT report essential to high-quality patient care in GC, avoiding the exclusion of key radiological information useful for multidisciplinary decision-making. KEY POINTS: • Imaging represents the cornerstone for tailored treatment in GC patients. • CT-structured radiology report in GC patients is useful for multidisciplinary decision making.
Authors: Francesco Gentili; Susanna Guerrini; Francesco Giuseppe Mazzei; Ilaria Monteleone; Nunzia Di Meglio; Letizia Sansotta; Armando Perrella; Sara Puglisi; Massimo De Filippo; Paolo Gennaro; Luca Volterrani; Maria Grazia Castagna; Francesco Dotta; Maria Antonietta Mazzei Journal: Gland Surg Date: 2020-12
Authors: Christoph Schuhmacher; Stephan Gretschel; Florian Lordick; Peter Reichardt; Werner Hohenberger; Claus F Eisenberger; Cornelie Haag; Murielle E Mauer; Baktiar Hasan; John Welch; Katja Ott; Arnulf Hoelscher; Paul M Schneider; Wolf Bechstein; Hans Wilke; Manfred P Lutz; Bernard Nordlinger; Eric Van Cutsem; Jörg R Siewert; Peter M Schlag Journal: J Clin Oncol Date: 2010-11-08 Impact factor: 44.544
Authors: Giovanni De Manzoni; Daniele Marrelli; Gian Luca Baiocchi; Paolo Morgagni; Luca Saragoni; Maurizio Degiuli; Annibale Donini; Uberto Fumagalli; Maria Antonietta Mazzei; Fabio Pacelli; Anna Tomezzoli; Mattia Berselli; Filippo Catalano; Alberto Di Leo; Massimo Framarini; Simone Giacopuzzi; Luigina Graziosi; Alberto Marchet; Mario Marini; Carlo Milandri; Gianni Mura; Elena Orsenigo; Vittorio Quagliuolo; Stefano Rausei; Riccardo Ricci; Fausto Rosa; Giandomenico Roviello; Andrea Sansonetti; Giovanni Sgroi; Guido Alberto Massimo Tiberio; Giuseppe Verlato; Carla Vindigni; Riccardo Rosati; Franco Roviello Journal: Gastric Cancer Date: 2016-06-02 Impact factor: 7.370
Authors: M A Mazzei; N Cioffi Squitieri; C Vindigni; S Guerrini; F Gentili; G Sadotti; P Mercuri; L Righi; G Lucii; F G Mazzei; D Marrelli; L Volterrani Journal: Abdom Radiol (NY) Date: 2020-10