PDF herunterladen
Rofo 2020; 192(07): 641-656
DOI: 10.1055/a-1150-8217
Consensus

Structured Reporting of Solid and Cystic Pancreatic Lesions in CT and MRI: Consensus-Based Structured Report Templates of the German Society of Radiology (DRG)

Artikel in mehreren Sprachen: English | deutsch
Thorsten Persigehl
1   Department of Radiology, University of Cologne, Germany
,
Matthias Baumhauer
2   Mint Medical GmbH, Heidelberg, Germany
,
Bettina Baeßler
1   Department of Radiology, University of Cologne, Germany
27   Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Switzerland
,
Lukas Philipp Beyer
3   Department of Radiology, University Medical Center Regensburg, Germany
,
Marc Bludau
4   General, Visceral and Cancer Surgery, University of Cologne, Germany
,
Christiane Bruns
4   General, Visceral and Cancer Surgery, University of Cologne, Germany
,
Alexander Christian Bunck
1   Department of Radiology, University of Cologne, Germany
,
Christoph-Thomas Germer
5   Department of General, Visceral, Vascular and Pediatric Surgery, Würzburg University Hospital, Würzburg, Germany
,
Lars Grenacher
6   Imaging and Prevention Center, Conradia Radiology Munich, Germany
,
Thomas Hackländer
7   Department of Radiology, HELIOS-Universitätsklinikum Wuppertal, Germany
,
Stefan Haneder
1   Department of Radiology, University of Cologne, Germany
,
Stefan Heinrich
8   General, Visceral and Transplantation Surgery, Mainz University, Mainz, Germany
,
Philipp Heusch
9   Department of Radiology, University Hospital Düsseldorf, Germany
,
Matthias Hoffmann
10   Department of General and Visceral Surgery, Raphaelsklinik Münster, Germany
,
Markus S. Juchems
11   Department of Radiology, Hospital Konstanz, Germany
,
Jan Robert Kröger
1   Department of Radiology, University of Cologne, Germany
,
Elmar Kotter
12   Department of Radiology, Freiburg University Hospital, Freiburg, Germany
,
Günter Layer
13   Department of Radiology, Hospital Ludwigshafen, Germany
,
David Maintz
1   Department of Radiology, University of Cologne, Germany
,
Jan Menke
14   Department of Diagnostic Radiology, University Hospital Göttingen, Germany
,
Moritz Palmowski
15   Department of Radiology, Radiology Baden-Baden, Baden-Baden, Germany
28   Institute of Experimental Molecular Imaging (ExMI), RTW Aachen, Germany
,
Dimitrios Pantelis
16   Department of Surgery, Sankt-Marien-Hospital Bonn GmbH, Bonn, Germany
,
Daniel Pinto dos Santos
1   Department of Radiology, University of Cologne, Germany
,
Felix Christoph Popp
4   General, Visceral and Cancer Surgery, University of Cologne, Germany
,
Nico Schäfer
17   Department of Surgery, Hospital Leverkusen, Germany
,
Heinz-Peter Schlemmer
18   Department of Radiology, Deutsches Krebsforschungszentrum, Heidelberg, Germany
,
Andreas G. Schreyer
19   Institute for Diagnostic and Interventional Radiology, Brandenburg Medical School Theodor Fontane, Brandenburg a. d. Havel, Germany
,
Florian Siedek
1   Department of Radiology, University of Cologne, Germany
,
Dirk Stippel
20   Department of General, Visceral and Cancer Surgery, University of Cologne, Germany
,
Martin Völker
21   DRG, German Roentgen Society “Deutsche Röntgengesellschaft”, Berlin, Germany
,
Dirk Thomas Waldschmidt
22   Department of Gastroenterology and Hepatology, University of Cologne, Germany
,
Tim Frederik Weber
23   Department of Radiology, University Hospital Heidelberg, Germany
,
Moritz von Winterfeld
24   Institute of Pathology, University Hospital Heidelberg, Germany
,
Christian Wybranski
1   Department of Radiology, University of Cologne, Germany
,
Thomas Zander
25   Department of Internal Medicine, University of Cologne, Germany
,
Johannes Wessling
26   Department of Radiology, Clemens-Hospital GmbH Münster, Germany
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Background Radiological reports of pancreatic lesions are currently widely formulated as free texts. However, for optimal characterization, staging and operation planning, a wide range of information is required but is sometimes not captured comprehensively. Structured reporting offers the potential for improvement in terms of completeness, reproducibility and clarity of interdisciplinary communication.

Method Interdisciplinary consensus finding of structured report templates for solid and cystic pancreatic tumors in computed tomography (CT) and magnetic resonance imaging (MRI) with representatives of the German Society of Radiology (DRG), German Society for General and Visceral Surgery (DGAV), working group Oncological Imaging (ABO) of the German Cancer Society (DKG) and other radiologists, oncologists and surgeons.

Results Among experts in the field of pancreatic imaging, oncology and pancreatic surgery, as well as in a public online survey, structured report templates were developed by consensus. These templates are available on the DRG homepage under www.befundung.drg.de and will be regularly revised to the current state of scientific knowledge by the participating specialist societies and responsible working groups.

Conclusion This article presents structured report templates for solid and cystic pancreatic tumors to improve clinical staging (cTNM, ycTNM) in everyday radiology.

Key Points: 

  • Structured report templates offer the potential of optimized radiological reporting with regard to completeness, reproducibility and differential diagnosis.

  • This article presents consensus-based, structured reports for solid and cystic pancreatic lesions in CT and MRI.

  • These structured reports are available open source on the homepage of the German Society of Radiology (DRG) under www.befundung.drg.de.

Citation Format

  • Persigehl T, Baumhauer M, Baeßler B et al. Structured Reporting of Solid and Cystic Pancreatic Lesions in CT and MRI: Consensus-Based Structured Report Templates of the German Society of Radiology (DRG). Fortschr Röntgenstr 2020; 192: 641 – 655

Key words

pancreas - structured reporting - template - MRI - CT

Supplement

Supplement



Publikationsverlauf

Eingereicht: 29. August 2019

Angenommen: 25. Januar 2020

Artikel online veröffentlicht:
02. Juli 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • References

  • 1 Pinto Dos Santos D, Hempel JM, Mildenberger P. et al Structured Reporting in Clinical Routine. Rofo 2019; 191: 33-39 . doi:10.1055/a-0636-3851
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 2 Schwartz LH, Panicek DM, Berk AR. et al Improving communication of diagnostic radiology findings through structured reporting. Radiology 2011; 260: 174-181 . doi:10.1148/radiol.11101913
    CrossrefPubMedGoogle Scholar
  • 3 Brook OR, Brook A, Vollmer CM. et al Structured reporting of multiphasic CT for pancreatic cancer: potential effect on staging and surgical planning. Radiology 2015; 274: 464-472 . doi:10.1148/radiol.14140206
    CrossrefPubMedGoogle Scholar
  • 4 Kabadi SJ, Krishnaraj A. Strategies for Improving the Value of the Radiology Report: A Retrospective Analysis of Errors in Formally Over-read Studies. J Am Coll Radiol 2016; DOI: 10.1016/j.jacr.2016.08.033.
    CrossrefPubMedGoogle Scholar
  • 5 Al-Hawary MM, Francis IR, Chari ST. et al Pancreatic ductal adenocarcinoma radiology reporting template: consensus statement of the Society of Abdominal Radiology and the American Pancreatic Association. Radiology 2014; 270: 248-260 . doi:10.1148/radiol.13131184
    CrossrefPubMedGoogle Scholar
  • 6 Pancreas ESGoCTot. European evidence-based guidelines on pancreatic cystic neoplasms. Gut 2018; 67: 789-804 . doi:10.1136/gutjnl-2018-316027
    CrossrefPubMedGoogle Scholar
  • 7 Qayyum A, Tamm EP. Expert Panel on Gastrointestinal I,. et al ACR Appropriateness Criteria((R)) Staging of Pancreatic Ductal Adenocarcinoma. J Am Coll Radiol 2017; 14: S560-S569 . doi:10.1016/j.jacr.2017.08.050
    CrossrefPubMedGoogle Scholar
  • 8 Tempero MA, Malafa MP, Al-Hawary M. et al Pancreatic Adenocarcinoma, Version 2.2017, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw 2017; 15: 1028-1061 . doi:10.6004/jnccn.2017.0131
    PubMedGoogle Scholar
  • 9 Ducreux M, Cuhna AS, Caramella C. et al Cancer of the pancreas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2015; 26 (Suppl. 05) v56-v68 . doi:10.1093/annonc/mdv295
    CrossrefPubMedGoogle Scholar
  • 10 Seufferlein T, Porzner M, Becker T. et al S3-guideline exocrine pancreatic cancer. Z Gastroenterol 2013; 51: 1395-1440 . doi:10.1055/s-0033-1356220
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 11 Tempero MA, Malafa MP, Chiorean EG. et al Pancreatic Adenocarcinoma, Version 1.2019. J Natl Compr Canc Netw 2019; 17: 202-210 . doi:10.6004/jnccn.2019.0014
    CrossrefPubMedGoogle Scholar
  • 12 Buerke B, Heindel W, Wessling J. Differential diagnosis and radiological management of cystic pancreatic lesions. Rofo 2010; 182: 852-860 . doi:10.1055/s-0029-1245502
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 13 Brambs HJ, Juchems M. Cystic tumors of the pancreas. Radiologe 2008; 48: 740-751 . doi:10.1007/s00117-008-1671-4
    CrossrefPubMedGoogle Scholar
  • 14 Schlitter AMEE, Klöppel G. Klassifikation und Diagnose zystischer Pankreastumoren. Gastrointestinal Medicine and Surgery 2011; 27: 182-188 . doi:10.1159/000329194
    PubMedGoogle Scholar
  • 15 Buerke B, Domagk D, Heindel W. et al Diagnostic and radiological management of cystic pancreatic lesions: important features for radiologists. Clin Radiol 2012; 67: 727-737 . doi:10.1016/j.crad.2012.02.008
    CrossrefPubMedGoogle Scholar
  • 16 Arnold et al. Pankreas. In: Frenzel. Hrsg. Kap. 3.5. Tumorerfassung.. Thieme; 2012. 1. Aufl.
    Google Scholar
  • 17 Grenacher L, Juchems M. Criteria for resectability of pancreatic cancer and postoperative imaging. Radiologe 2017; 57: 1075-1090 . doi:10.1007/s00117-017-0326-8
    CrossrefPubMedGoogle Scholar