Bridging communication gaps between radiologists, referring physicians, and patients through standardized structured cancer imaging reporting: The experience with female pelvic MRI assessment using O-RADS and a simulated cohort patient group Journal Article
| Authors: | Woo, S.; Andrieu, P. C.; Abu-Rustum, N. R.; Broach, V.; Zivanovic, O.; Sonoda, Y.; Chi, D. S.; Aviki, E.; Ellis, A.; Carayon, P.; Hricak, H.; Vargas, H. A. |
| Article Title: | Bridging communication gaps between radiologists, referring physicians, and patients through standardized structured cancer imaging reporting: The experience with female pelvic MRI assessment using O-RADS and a simulated cohort patient group |
| Abstract: | Rationale and Objectives: This study aimed to evaluate whether implementing structured reporting based on Ovarian-Adnexal Reporting and Data System (O-RADS) magnetic resonance imaging (MRI) in women with sonographically indeterminate adnexal masses improves communication between radiologists, referrers, and patients/caregivers and enhances diagnostic performance for determining adnexal malignancy. Materials and Methods: We retrospectively analyzed prospectively issued MRI reports in 2019–2022 performed for characterizing adnexal masses before and after implementing O-RADS MRI; 56 patients/caregivers and nine gynecologic oncologists (“referrers”) were surveyed about report interpretability/clarity/satisfaction; responses for pre- and post-implementation reports were compared using Fisher's exact and Chi-squared tests. Diagnostic performance was assessed using receiver operating characteristic curves. Results: A total of 123 reports from before and 119 reports from after O-RADS MRI implementation were included. Survey response rates were 35.7% (20/56) for patients/caregivers and 66.7% (6/9) for referrers. For patients/caregivers, O-RADS MRI reports were clearer (p < 0.001) and more satisfactory (p < 0.001) than unstructured reports, but interpretability did not differ significantly (p = 0.14), as 28.0% (28/100) of postimplementation and 38.0% (38/100) of preimplementation reports were considered difficult to interpret. For referrers, O-RADS MRI reports were clearer, more satisfactory, and easier to interpret (p < 0.001); only 1.3% (1/77) were considered difficult to interpret. For differentiating benign from malignant adnexal lesions, O-RADS MRI showed area under the curve of 0.92 (95% confidence interval [CI], 0.85–0.99), sensitivity of 0.81 (95% CI, 0.58–0.95), and specificity of 0.91 (95% CI, 0.83–0.96). Diagnostic performance of reports before implementation could not be calculated due to many different phrases used to describe the likelihood of malignancy. Conclusion: Implementing standardized structured reporting using O-RADS MRI for characterizing adnexal masses improved clarity and satisfaction for patients/caregivers and referrers. Interpretability improved for referrers but remained limited for patients/caregivers. © 2024 The Association of University Radiologists |
| Keywords: | retrospective studies; nuclear magnetic resonance imaging; magnetic resonance imaging; sensitivity and specificity; neoplasm; neoplasms; pathology; retrospective study; physicians; radiologist; echography; communication; physician; structured reporting; ultrasonography; patient; procedures; adnexa disease; adnexal diseases; radiologists; humans; human; female; o-rads mri; referrer |
| Journal Title: | Academic Radiology |
| Volume: | 31 |
| Issue: | 4 |
| ISSN: | 1076-6332 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2024-04-01 |
| Start Page: | 1388 |
| End Page: | 1397 |
| Language: | English |
| DOI: | 10.1016/j.acra.2023.08.005 |
| PUBMED: | 37661555 |
| PROVIDER: | scopus |
| PMCID: | PMC11206174 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Sungmin Woo -- Source: Scopus |
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