Structured reporting of neuroendocrine tumors in PET/CT using [18F]SiTATE - impact on interdisciplinary communication

Hinterberger, Anna; Trupka, Lukas; Kortbein, Sophia; Ebner, Ricarda; Fink, Nicola; Froelich, Matthias F.; Nörenberg, Dominik; Wängler, Carmen; Wängler, Björn; Schirrmacher, Ralf; Holzgreve, Adrien; Brendel, Matthias; Corradini, Stefanie; Auernhammer, Christoph; Rübenthaler, Johannes; Grawe, Freba (2025): Structured reporting of neuroendocrine tumors in PET/CT using [18F]SiTATE - impact on interdisciplinary communication. Scientific Reports, 15: 4793. ISSN 2045-2322

Abstract

Our retrospective single-center study aims to evaluate the impact of structured reporting (SR) using a self-developed template on report quality compared to free-text reporting (FTR) in [ 18 F]SiTATE Positron Emission Tomography/Computer Tomography (PET/CT) for the primary staging and therapy monitoring of patients diagnosed with neuroendocrine tumors (NET). In total 50 patients were included. FTRs and SRs were generated post-examination. All reports were evaluated by a radiologist and a surgeon through a questionnaire to determine their contribution to facilitating clinical decision-making and to assess their completeness, linguistic quality, and overall quality. SR significantly increased the capacity of facilitating therapy decision-making from 32% in FTR to 55% in SR ( p < 0.001). Trust in the report was significantly higher in SR with a mean of 5.0 (SD = 0.5) vs. 4.7 (SD = 0.5) for FTR ( p < 0.001). SR received significantly higher mean ratings regarding linguistic quality with 4.7 for SR vs. 4.4 for FTR ( p = 0.004) and overall report quality with a mean of 4.9 for SR vs. 4.6 for FTR ( p < 0.001). Concluding that SR enhances the overall quality of reports in [ 18 F]SiTATE-PET/CTs for NET staging, serving as a tool to streamline clinical decision-making and enhance interdisciplinary communication in the future. completeness of information and interdisciplinary communication for surgical planning. Abdom. Radiol. 47 (2), 704–714 (2022). Ann. Nucl. Med. RA Werner 32 512 2018 10.1007/s12149-018-1291-7 Werner, R. A. et al. MI-RADS: molecular imaging reporting and data systems: Introduction of PSMA- and SSTR-RADS for radiotracers with potential theranostic implications. Ann. Nucl. Med. 32, 512–552 (2018). 10.1007/s00330-024-10788-3 Ebner, R. et al. Validation of the standardization framework SSTR-RADS 1.0 for neuroendocrine tumors using the novel SSTRtargeting peptide [18F]SiTATE. Eur Radiol. Epub ahead of print (2024). J. Cardiovasc. Comput. Tomogr BO Sabel 11 3 188 2017 10.1016/j.jcct.2017.02.008 Sabel, B. O. et al. Structured reporting of CT examinations in acute pulmonary embolism. J. Cardiovasc. Comput. Tomogr. 11 (3), 188–195 (2017). Radiology AJ Johnson 253 1 74 2009 10.1148/radiol.2531090138 Johnson, A. J. et al. Cohort study of structured reporting compared with conventional dictation. Radiology 253 (1), 74–80 (2009). AJR Am. J. Roentgenol. PD Poullos 210 4 766 2018 10.2214/AJR.17.18725 Poullos, P. D. et al. Structured reporting of Multiphasic CT for Hepatocellular Carcinoma: Effect on Staging and Suitability for Transplant. AJR Am. J. Roentgenol. 210 (4), 766–774 (2018). AJR Am. J. Roentgenol. MJ Magnetta 210 1 108 2018 10.2214/AJR.17.18260 Magnetta, M. J. et al. Evidence-based reporting: A method to optimize prostate MRI communications with referring Physicians. AJR Am. J. Roentgenol. 210 (1), 108–112 (2018). PLoS One C Wetterauer 14 2 e0212444 2019 10.1371/journal.pone.0212444 Wetterauer, C. et al. Structured reporting of prostate magnetic resonance imaging has the potential to improve interdisciplinary communication. PLoS One. 14 (2), e0212444 (2019). Mol. Imaging Biol. A Weich 24 4 631 2022 10.1007/s11307-022-01712-6 Weich, A. et al. Training on reporting and Data System (RADS) for somatostatin-receptor targeted Molecular Imaging can reduce the test anxiety of Inexperienced readers. Mol. Imaging Biol. 24 (4), 631–640 (2022). J. Am. Coll. Radiol. AJ Gunn 10 2 122 2013 10.1016/j.jacr.2012.08.013 Gunn, A. J. et al. Recent measures to improve radiology reporting: Perspectives from primary care physicians. J. Am. Coll. Radiol. 10 (2), 122–127 (2013). AJR Am. J. Roentgenol. MT Corwin 210 1 85 2018 10.2214/AJR.17.18416 Corwin, M. T. et al. Nonstandardized Terminology to describe focal liver lesions in patients at risk for Hepatocellular Carcinoma: Implications regarding clinical communication. AJR Am. J. Roentgenol. 210 (1), 85–90 (2018). J. Am. Coll. Radiol. RR de Haan 16 1 50 2019 10.1016/j.jacr.2018.08.011 de Haan, R. R. et al. Adrenal incidentaloma and adherence to International guidelines for Workup based on a Retrospective Review of the type of Language used in the Radiology Report. J. Am. Coll. Radiol. 16 (1), 50–55 (2019).

• Dokumententyp: Artikel (Klinikum der LMU)
• Organisationseinheit (Fakultäten): 07 Medizin > Klinikum der LMU München > Klinik für Allgemeine, Viszeral-, Gefäß- und Transplantationschirurgie; 07 Medizin > Klinikum der LMU München > Medizinische Klinik und Poliklinik IV (Endokrinologie, Nephrologie, weitere Sektionen); 07 Medizin > Klinikum der LMU München > Klinik und Poliklinik für Nuklearmedizin; 07 Medizin > Klinikum der LMU München > Klinik und Poliklinik für Strahlentherapie und Radioonkologie
• DFG-Fachsystematik der Wissenschaftsbereiche: Lebenswissenschaften
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 545058105
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 390857198