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Structured reporting of CT or MRI for perihilar cholangiocarcinoma: usefulness for clinical planning and interdisciplinary communication

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Abstract

Purpose

To compare the content and communication between the radiologist and the clinicians for treatment planning of structured reports (SRs) and narrative reports (NRs) for reporting CT/MRI findings in patients with perihilar cholangiocarcinoma.

Materials and method

This retrospective study included 54 patients with perihilar cholangiocarcinoma who underwent CT/MRI before ERCP or surgery. For all patients, we generated both NRs and SRs for perihilar cholangiocarcinoma and compared the number of key features between NRs and SRs. In addition, three clinicians performed a questionnaire evaluation that included three questions regarding assessment of the sufficiency of information for surgical or procedural planning, the effort required for information extraction, and the report quality rated on a Likert scale.

Results

SRs included significantly more predefined key features (6.89 ± 0.31) than NRs (5.87 ± 0.70) (p < 0.001). SRs provided greater sufficiency of information for clinical planning than NRs (89.9% vs. 18.5% of the cases, respectively; p < 0.001). Extraction of information was easier from SRs than NRs (94.4% vs. 9.3%, respectively) (p < 0.001). SRs received a higher overall report quality rating (5.96 ± 0.19) than NRs (4.31 ± 0.77) (p < 0.001).

Conclusions

SRs of CT/MRI findings for hilar cholangiocarcinoma can reveal more predefined key features, provide more sufficiency of information, and yield higher satisfaction levels, in comparison with NRs.

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Abbreviations

MDCT:

Multidetector computed tomography

MRI:

Magnetic resonance imaging

MRCP:

Magnetic resonance cholangiopancreatography

ERCP:

Endoscopic retrograde cholangiopancreaticography

NR:

Narrative report

SR:

Structured report

CBD:

Common bile duct

References

  1. DeOliveira ML, Cunningham SC, Cameron JL, Kamangar F, Winter JM, Lillemoe KD, et al. Cholangiocarcinoma: thirty-one-year experience with 564 patients at a single institution. Ann Surg. 2007;245(5):755–62.

    Article  Google Scholar 

  2. Deoliveira ML, Schulick RD, Nimura Y, Rosen C, Gores G, Neuhaus P, et al. New staging system and a registry for perihilar cholangiocarcinoma. Hepatology. 2011;53(4):1363–71.

    Article  Google Scholar 

  3. Sobin LH. TNM: principles, history, and relation to other prognostic factors. Cancer. 2001;91(8 Suppl):1589–92.

    Article  CAS  Google Scholar 

  4. Engelbrecht MR, Katz SS, van Gulik TM, Lameris JS, van Delden OM. Imaging of perihilar cholangiocarcinoma. AJR Am J Roentgenol. 2015;204(4):782–91.

    Article  Google Scholar 

  5. Joo I, Lee JM, Yoon JH. Imaging diagnosis of intrahepatic and perihilar cholangiocarcinoma: recent advances and challenges. Radiology. 2018;288(1):7–13.

    Article  Google Scholar 

  6. Rosch T, Meining A, Fruhmorgen S, Zillinger C, Schusdziarra V, Hellerhoff K, et al. A prospective comparison of the diagnostic accuracy of ERCP, MRCP, CT, and EUS in biliary strictures. Gastrointest Endosc. 2002;55(7):870–6.

    Article  Google Scholar 

  7. Anupindi SA, Victoria T. Magnetic resonance cholangiopancreatography: techniques and applications. Magn Reson Imaging Clin N Am. 2008;16(3):453–66.

    Article  Google Scholar 

  8. Jarnagin W, Winston C. Hilar cholangiocarcinoma: diagnosis and staging. HPB (Oxford). 2005;7(4):244–51.

    Article  Google Scholar 

  9. Bruegel M, Gaa J, Waldt S, Woertler K, Holzapfel K, Kiefer B, et al. Diagnosis of hepatic metastasis: comparison of respiration-triggered diffusion-weighted echo-planar MRI and five t2-weighted turbo spin-echo sequences. AJR Am J Roentgenol. 2008;191(5):1421–9.

    Article  Google Scholar 

  10. Lee KH, Lee JM, Park JH, Kim JH, Park HS, Yu MH, et al. MR imaging in patients with suspected liver metastases: value of liver-specific contrast agent gadoxetic acid. Korean J Radiol. 2013;14(6):894–904.

    Article  Google Scholar 

  11. Yu MH, Lee JM, Hur BY, Kim TY, Jeong SY, Yi NJ, et al. Gadoxetic acid-enhanced MRI and diffusion-weighted imaging for the detection of colorectal liver metastases after neoadjuvant chemotherapy. Eur Radiol. 2015;25(8):2428–36.

    Article  Google Scholar 

  12. van Gulik TM, Kloek JJ, Ruys AT, Busch OR, van Tienhoven GJ, Lameris JS, et al. Multidisciplinary management of hilar cholangiocarcinoma (Klatskin tumor): extended resection is associated with improved survival. Eur J Surg Oncol. 2011;37(1):65–71.

    Article  Google Scholar 

  13. Bosmans JM, Weyler JJ, De Schepper AM, Parizel PM. The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology. 2011;259(1):184–95.

    Article  Google Scholar 

  14. Naik SS, Hanbidge A, Wilson SR. Radiology reports: examining radiologist and clinician preferences regarding style and content. AJR Am J Roentgenol. 2001;176(3):591–8.

    Article  CAS  Google Scholar 

  15. Brook OR, Brook A, Vollmer CM, Kent TS, Sanchez N, Pedrosa I. Structured reporting of multiphasic CT for pancreatic cancer: potential effect on staging and surgical planning. Radiology. 2015;274(2):464–72.

    Article  Google Scholar 

  16. Norenberg D, Sommer WH, Thasler W, D’Haese J, Rentsch M, Kolben T, et al. Structured reporting of rectal magnetic resonance imaging in suspected primary rectal cancer: potential benefits for surgical planning and interdisciplinary communication. Invest Radiol. 2017;52(4):232–9.

    Article  Google Scholar 

  17. Poullos PD, Tseng JJ, Melcher ML, Concepcion W, Loening AM, Rosenberg J, et al. Structured reporting of multiphasic CT for hepatocellular carcinoma: effect on staging and suitability for transplant. AJR Am J Roentgenol. 2018;210(4):766–74.

    Article  Google Scholar 

  18. Chun YS, Pawlik TM, Vauthey JN. 8th Edition of the AJCC cancer staging manual: pancreas and hepatobiliary cancers. Ann Surg Oncol. 2018;25(4):845–7.

    Article  Google Scholar 

  19. Langlotz CP. Structured radiology reporting: are we there yet? Radiology. 2009;253(1):23–5.

    Article  Google Scholar 

  20. Jarnagin WR, Fong Y, DeMatteo RP, Gonen M, Burke EC, Bodniewicz BJ, et al. Staging, resectability, and outcome in 225 patients with hilar cholangiocarcinoma. Ann Surg. 2001;234(4):507–17 (discussion 17-9).

    Article  CAS  Google Scholar 

  21. LaFemina J, Jarnagin WR. Surgical management of proximal bile duct cancers. Langenbecks Arch Surg. 2012;397(6):869–79.

    Article  Google Scholar 

  22. Van Gulik TM, Dinant S, Busch OR, Rauws EA, Obertop H, Gouma DJ. Original article: new surgical approaches to the Klatskin tumour. Aliment Pharmacol Ther. 2007;26(Suppl 2):127–32.

    Article  Google Scholar 

  23. Larson DB, Towbin AJ, Pryor RM, Donnelly LF. Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology. 2013;267(1):240–50.

    Article  Google Scholar 

  24. Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H. Improving communication of diagnostic radiology findings through structured reporting. Radiology. 2011;260(1):174–81.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Biomedical Research Institute, Pusan National University Hospital, and Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan, 49241, Korea

    Seung Baek Hong, Nam Kyung Lee, Suk Kim & Il Wan Son

  2. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, and Pusan National University School of Medicine, Busan, Korea

    Hyung Il Seo

  3. Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, and Pusan National University School of Medicine, Busan, Korea

    Dong Uk Kim & Sung Yong Han

  4. Department of Radiology, Biomedical Research Institute, Pusan National University Yansan Hospital, and Pusan National University school of Medicine, Yangsan, Korea

    Tae Un Kim

Authors
  1. Seung Baek Hong
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  2. Nam Kyung Lee
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  3. Suk Kim
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  4. Il Wan Son
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  5. Hyung Il Seo
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Correspondence to Nam Kyung Lee.

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Hong, S.B., Lee, N.K., Kim, S. et al. Structured reporting of CT or MRI for perihilar cholangiocarcinoma: usefulness for clinical planning and interdisciplinary communication. Jpn J Radiol 39, 349–356 (2021). https://doi.org/10.1007/s11604-020-01068-3

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  • DOI: https://doi.org/10.1007/s11604-020-01068-3

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