The LELEX initiative to enhance cancer imaging communication: development of a consensus-based structured reporting template and lexicon for general oncologic imaging.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Horvat Natally, Ynoe Moraes Fabio, Antunes Chagas Lucia, Freitas Bratti Vanessa, Tachibana Adriano, Bitencourt Almir Galvão Vieira, Peres Salvajoli Bernardo, Trolez Amancio Camila, Dos Anjos Carlos Augusto, Jorge Racy Douglas, Morbeck Coelho Fernando, D'Ippolito Giuseppe, Campos Oliveira Graziela, Horvat Joao V, Araujo-Filho Jose de Arimateia, Machado Colli Leandro, Barros Luciana Holtz de C, de Souza Godoy Luis Filipe, Paulo Kowalski Luiz, Araujo Queiroz Marcelo, Yamada Sawamura Márcio Valente, Clara Fernandes Maria, Riscalla Madi Marisa, Ignez Braghiroli Maria, Helito Paulo Victor Partezani, Gian Do Richard Kinh, Sampaio Chiarantano Rodrigo, Pamplona Polizio Rodrigo, Chojniak Rubens, Ribeiro Junior Ulysses, Francisco Muglia Valdair, Gehm Hoff Paulo Marcelo, Alberto Buchpiguel Carlos, Guido Cerri Giovanni, Hricak Hedvig, Higa Nomura Cesar
Аннотация
METHODS: The São Paulo Radiology Society and Brazilian Society of Medical Oncology assembled a 27-member multidisciplinary consensus panel that included radiologists, medical and radiation oncologists, surgeons, and a patient representative. A literature review identified relevant oncologic reporting frameworks to guide the creation of a draft template and lexicon by the LELEX executive committee. Panelists were surveyed to assess current reporting practices and preferences between free-text and structured reports. Consensus (i.e., agreement by more than 80% of panelists) on the final lexicon and reporting system was reached through post-survey panel discussions.
RESULTS: Compared with a traditional free-text report, a structured report incorporating the LELEX lexicon received significantly higher ratings for precision and was deemed better for guiding clinical decisions by > 88% of panelists. In post-survey discussions, consensus was achieved for all lexicon components, including diagnostic certainty terms, lesion count descriptors, and longitudinal comparison language. The structured report template was also agreed upon by the panel members.
CONCLUSION: The LELEX initiative established a consensus-driven structured reporting system and lexicon for general oncologic imaging baseline and follow-up assessments.