Objectives: To evaluate the quality of the reports of loco-regional staging computed tomography (CT) or magnetic resonance imaging (MRI) in head and neck (H&N) cancer. Methods: Consecutive reports of staging CT and MRI of all H&N cancer cases from 2018 to 2020 were collected. We created lists of quality indicators for tumor (T) for each district and for node (N). We marked these as 0 or 1 in the report calculating a report score (RS) and a maximum sum (MS) of each list. Two radiologists and two otolaryngologists in consensus classified reports as low quality (LQ) if the RS fell in the percentage range 0–59% of MS and as high quality (HQ) if it fell in the range 60–100%, annotating technique and district. We evaluated the distribution of reports in these categories. Results: Two hundred thirty-seven reports (97 CT and 140 MRI) of 95 oral cavity, 52 laryngeal, 47 oropharyngeal, 19 hypo-pharyngeal, 14 parotid, and 10 nasopharyngeal cancers were included. Sixty-six percent of all the reports were LQ for T, 66% out of all the MRI reports, and 65% out of all CT reports were LQ. Eight-five percent of reports were HQ for N, 85% out of all the MRI reports, and 82% out of all CT reports were HQ. Reports of oral cavity, oro-nasopharynx, and parotid were LQ, respectively, in 76%, 73%, 100% and 92 out of cases. Conclusion: Reports of staging CT/MRI in H&N cancer were LQ for T description and HQ for N description.

An approach to evaluate the quality of radiological reports in Head and Neck cancer loco-regional staging: experience of two Academic Hospitals / C. Giannitto, A.A. Esposito, G. Spriano, A. De Virgilio, E. Avola, G. Beltramini, G. Carrafiello, E. Casiraghi, A. Coppola, V. Cristofaro, D. Farina, F. Gaino, G. Lastella, L. Lofino, R. Maroldi, F. Piccoli, L. Pignataro, L. Preda, E. Russo, L. Solimeno, G. Vatteroni, A. Vidiri, L. Balzarini, G. Mercante. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 127:4(2022 Apr), pp. 407-413. [10.1007/s11547-022-01464-x]

An approach to evaluate the quality of radiological reports in Head and Neck cancer loco-regional staging: experience of two Academic Hospitals

E. Avola;G. Beltramini;G. Carrafiello;E. Casiraghi;A. Coppola;V. Cristofaro;G. Lastella;L. Pignataro;L. Solimeno;
2022

Abstract

Objectives: To evaluate the quality of the reports of loco-regional staging computed tomography (CT) or magnetic resonance imaging (MRI) in head and neck (H&N) cancer. Methods: Consecutive reports of staging CT and MRI of all H&N cancer cases from 2018 to 2020 were collected. We created lists of quality indicators for tumor (T) for each district and for node (N). We marked these as 0 or 1 in the report calculating a report score (RS) and a maximum sum (MS) of each list. Two radiologists and two otolaryngologists in consensus classified reports as low quality (LQ) if the RS fell in the percentage range 0–59% of MS and as high quality (HQ) if it fell in the range 60–100%, annotating technique and district. We evaluated the distribution of reports in these categories. Results: Two hundred thirty-seven reports (97 CT and 140 MRI) of 95 oral cavity, 52 laryngeal, 47 oropharyngeal, 19 hypo-pharyngeal, 14 parotid, and 10 nasopharyngeal cancers were included. Sixty-six percent of all the reports were LQ for T, 66% out of all the MRI reports, and 65% out of all CT reports were LQ. Eight-five percent of reports were HQ for N, 85% out of all the MRI reports, and 82% out of all CT reports were HQ. Reports of oral cavity, oro-nasopharynx, and parotid were LQ, respectively, in 76%, 73%, 100% and 92 out of cases. Conclusion: Reports of staging CT/MRI in H&N cancer were LQ for T description and HQ for N description.
Cancer; Head and neck; Interdisciplinary Health Team; Quality; Radiology; Structured reporting;
Settore MED/01 - Statistica Medica
Settore MED/36 - Diagnostica per Immagini e Radioterapia
apr-2022
8-mar-2022
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/915013
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