학술논문
Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination.
Document Type
Academic Journal
Author
Tremblay A; Department of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada. alain.tremblay@ucalgary.ca.; Ezer N; Department of Medicine, McGill University Health Centre, McGill University, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada.; Burrowes P; Department of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.; MacGregor JH; Department of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.; Lee A; Department of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.; Armstrong GA; Department of Radiology and Diagnostic Imaging, University of Alberta, 2A2.41, 8440 112 St NW, Edmonton, AB, T6G 2B7, Canada.; Pereira R; Department of Radiology and Diagnostic Imaging, University of Alberta, 2A2.41, 8440 112 St NW, Edmonton, AB, T6G 2B7, Canada.; Bristow M; Department of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.; Taylor JL; Department of Diagnostic Radiology, McGill University Health Centre, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada.; MacEachern P; Department of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.; Taghizadeh N; Department of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.; Koetzler R; Department of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.; Bedard E; Department of Surgery, Faculty of Medicine and Dentistry, Walter C. MacKenzie Health Sciences Centre, University of Alberta, Edmonton, 2J2.00T6G 2R7, Canada.
Source
Publisher: BioMed Central Country of Publication: England NLM ID: 100968553 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2342 (Electronic) Linking ISSN: 14712342 NLM ISO Abbreviation: BMC Med Imaging Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists' interpretation to the screening program or clinicians driving management decision.
Methods: We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program.
Results: Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system's performance in its application in 2815 CT reports is then summarized.
Conclusions: We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications.
(© 2022. The Author(s).)
Methods: We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program.
Results: Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system's performance in its application in 2815 CT reports is then summarized.
Conclusions: We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications.
(© 2022. The Author(s).)