Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal

被引：14

作者：

Granata, Vincenza ^{[1
]}

Fusco, Roberta ^{[2
]}

Cozzi, Diletta ^{[3
,4
]}

Danti, Ginevra ^{[3
,4
]}

Faggioni, Lorenzo ^{[5
]}

Buccicardi, Duccio ^{[6
]}

Prost, Roberto ^{[7
]}

Ferrari, Riccardo ^{[8
]}

Trinci, Margherita ^{[8
]}

Galluzzo, Michele ^{[8
,11
]}

Iacobellis, Francesca ^{[9
,12
]}

Scaglione, Mariano ^{[10
]}

Tonerini, Michele ^{[11
]}

Coppola, Francesca ^{[12
]}

Bortolotto, Chandra ^{[13
]}

Caruso, Damiano ^{[14
]}

Ciaghi, Eleonora ^{[15
]}

Gabelloni, Michela ^{[5
]}

Rengo, Marco ^{[16
]}

Giacobbe, Giuliana ^{[9
]}

Grassi, Francesca ^{[17
]}

Romano, Luigia ^{[9
]}

Pinto, Antonio ^{[18
]}

Caranci, Ferdinando ^{[17
]}

Bertelli, Elena ^{[3
]}

D'Andrea, Paolo ^{[19
]}

Neri, Emanuele ^{[4
,5
]}

Giovagnoni, Andrea ^{[20
,21
]}

Grassi, Roberto ^{[4
,17
]}

Miele, Vittorio ^{[3
,4
]}

机构：

[1] Ist Nazl Tumori IRCCS Fdn Pascale IRCCS Napoli, Div Radiol, Naples, Italy

[2] Igea SpA, Med Oncol Div, Naples, Italy

[3] Azienda Osped Univ Careggi, Div Radiol, Florence, Italy

[4] SIRM Fdn, Italian Soc Med & Intervent Radiol SIRM, Milan, Italy

[5] Univ Pisa, Dept Translat Res, Acad Radiol, Via Roma 67, I-56126 Pisa, Italy

[6] San Paolo Hosp, Imaging Dept, Savona, Italy

[7] Azienda Osped Brotzu, Radiol Unit, Cagliari, Italy

[8] Azienda Osped San Camillo Forlanini, Dept Emergency Radiol, Rome, Italy

[9] A Cardarelli Hosp, Dept Gen & Emergency Radiol, Naples, Italy

[10] Univ Sassari, Dept Clin & Expt Med, Sassari, Italy

[11] Univ Hosp Pisa, Dept Emergency Radiol, Pisa, Italy

[12] AUSL Romagna, Dept Radiol, Faenza, Italy

[13] IRCCS Policlin San Matteo Fdn, Dept Radiol, Pavia, Italy

[14] Sapienza Univ Rome, Dept Med Surg Sci & Translat Med, Rome, Italy

[15] Exprivia Spa, Res & Dev, Bari, Italy

[16] Sapienza Univ Rome, Dept Radiol Sci Oncol & Anat Pathol, Rome, Italy

[17] Univ Campania Luigi Vanvitelli, Div Radiol, Naples, Italy

[18] CTO Hosp, Radiol Unit, Azienda Ospedaliera Colli, Naples, Italy

[19] Sant Anna & San Sebastiano Hosp, Radiol Unit, Caserta, Italy

[20] Univ Politecn Marche, Dept Clin Special & Dent Sci, Ancona, Italy

[21] Univ Hosp Azienda Osped Univ Marche, Dept Radiol, Ancona, Italy

来源：

RADIOLOGIA MEDICA | 2023年 / 128卷 / 02期

关键词：

Radiology report; Structured report; Polytrauma; Computed tomography; RADIOLOGY; CT; ULTRASOUND; MANAGEMENT; ALPHA; MRI;

D O I：

10.1007/s11547-023-01596-8

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

ObjectivesTo develop a structured reporting (SR) template for whole-body CT examinations of polytrauma patients, based on the consensus of a panel of emergency radiology experts from the Italian Society of Medical and Interventional Radiology.MethodsA multi-round Delphi method was used to quantify inter-panelist agreement for all SR sections. Internal consistency for each section and quality analysis in terms of average inter-item correlation were evaluated by means of the Cronbach's alpha (C alpha) correlation coefficient.ResultsThe final SR form included 118 items (6 in the "Patient Clinical Data" section, 4 in the "Clinical Evaluation" section, 9 in the "Imaging Protocol" section, and 99 in the "Report" section). The experts' overall mean score and sum of scores were 4.77 (range 1-5) and 257.56 (range 206-270) in the first Delphi round, and 4.96 (range 4-5) and 208.44 (range 200-210) in the second round, respectively.In the second Delphi round, the experts' overall mean score was higher than in the first round, and standard deviation was lower (3.11 in the second round vs 19.71 in the first round), reflecting a higher expert agreement in the second round. Moreover, C alpha was higher in the second round than in the first round (0.97 vs 0.87).ConclusionsOur SR template for whole-body CT examinations of polytrauma patients is based on a strong agreement among panel experts in emergency radiology and could improve communication between radiologists and the trauma team.

引用

页码：222 / 233

页数：12

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