Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination

Simple item page
dc.contributor.authorTremblay, Alain
dc.contributor.authorEzer, Nicole
dc.contributor.authorBurrowes, Paul
dc.contributor.authorMacGregor, John H.
dc.contributor.authorLee, Andrew
dc.contributor.authorArmstrong, Gavin A.
dc.contributor.authorPereira, Raoul
dc.contributor.authorBristow, Michael
dc.contributor.authorTaylor, Jana L.
dc.contributor.authorMacEachern, Paul
dc.contributor.authorTaghizadeh, Niloofar
dc.contributor.authorKoetzler, Rommy
dc.contributor.authorBedard, Eric
dc.date.accessioned2022-06-12T00:03:20Z
dc.date.available2022-06-12T00:03:20Z
dc.date.issued2022-06-11
dc.date.updated2022-06-12T00:03:20Z
dc.description.abstractAbstract Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications.
dc.identifier.citationBMC Medical Imaging. 2022 Jun 11;22(1):111
dc.identifier.doihttps://doi.org/10.1186/s12880-022-00837-y
dc.identifier.urihttp://hdl.handle.net/1880/114721
dc.identifier.urihttps://doi.org/10.11575/PRISM/45058
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleDevelopment and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
dc.typeJournal Article
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
12880_2022_Article_837.pdf
Size:
1.46 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Open Access Publications