Structured and shared CT radiological report of gastric cancer: a consensus proposal by the Italian Research Group for Gastric Cancer (GIRCG) and the Italian Society of Medical and Interventional Radiology (SIRM)

Maria Antonietta Mazzei, Giulio Bagnacci, Francesco Gentili, Iacopo Capitoni, Gianni Mura, Daniele Marrelli, Roberto Petrioli, Luca Brunese, Salvatore Cappabianca, Marco Catarci, Maurizio Degiuli, Giovanni De Manzoni, Marco De Prizio, Annibale Donini, Uberto Fumagalli Romario, Luigi Funicelli, Andrea Laghi, Giuseppe Minetti, Paolo Morgagni, Enrico PetrellaFrida Pittiani, Stefano Rausei, Laura Romanini, Riccardo Rosati, Amato Antonio Stabile Ianora, Guido A.M. Tiberio, Luca Volterrani, Franco Roviello, Roberto Grassi

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
JournalEuropean Radiology
DOIs
Publication statusAccepted/In press - 2021

Keywords

  • CT scan
  • Report
  • Stomach neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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