caa a22 4500 605493618 CHVBK 20210128100521.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00261-015-0420-1 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0420-1 Analysis of free-form radiology dictations for completeness and clarity for pancreatic cancer staging [Elektronische Daten] [Leonardo Marcal, Patricia Fox, Douglas Evans, Jason Fleming, Gauri Varadhachary, Matthew Katz, Eric Tamm] Purpose: To assess the completeness and clarity of current free-form radiology reports for pancreatic cancer staging by evaluating them against the elements of the RSNA CT oncology primary pancreas mass dictation template. Methods: This retrospective study was approved by our Institutional Review Board (IRB). 295 free-form computed tomography (CT) reports for baseline staging of pancreatic cancer (PC) generated between August 2008 and December 2010 were evaluated by one of two radiologists with expertise in pancreatic cancer imaging. Reports which indicated that metastatic disease was present were excluded. The completeness and clarity of the reports were analyzed against the elements of the RSNA CT pancreas mass dictation template. Fisher's exact tests were used to analyze differences by year and type of radiologist. Results: Primary lesion location, size, and effect on bile duct (BD) were provided in 93.9% (277/295), 69.8% (206/295), and 67.5% (199/295) of reports, respectively. Standard terms to describe vascular involvement were used in 47.5% (140/295) of reports. In 20.3% (60/295), the resectability status could not be defined based on the report alone. In 36.9% (109/295) of reports, review of CT images was necessary to understand vascular involvement. Radiologists expert in pancreatic oncology had a higher proportion of reports using standardized terminology and reports in which vascular involvement was understood without revisiting the images. Conclusions: Free-form reports were more likely to use ambiguous terminology and/or require review of the actual images for understanding resectability status. The use of a standardized reporting template may improve the usefulness of pancreatic cancer staging reports. Springer Science+Business Media New York, 2015 Structured reporting nationallicence Pancreatic cancer staging nationallicence Pancreatic cancer CT nationallicence Marcal Leonardo Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut Fox Patricia Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut Evans Douglas Department of Surgery, The University of Wisconsin, 8701 Watertown Plank Rd., 53226, Milwaukee, WI, USA aut Fleming Jason Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut Varadhachary Gauri Department of GI Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut Katz Matthew Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut Tamm Eric Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/7(2015-10-01), 2391-2397 0942-8925 40:7<2391 2015 40 261 https://doi.org/10.1007/s00261-015-0420-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0420-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marcal Leonardo Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Fox Patricia Department of Biostatistics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Evans Douglas Department of Surgery, The University of Wisconsin, 8701 Watertown Plank Rd., 53226, Milwaukee, WI, USA aut NATIONALLICENCE 700 1- Fleming Jason Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Varadhachary Gauri Department of GI Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Katz Matthew Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Tamm Eric Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/7(2015-10-01), 2391-2397 0942-8925 40:7<2391 2015 40 261