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Open Access 01-12-2022 | Lung Cancer | Research

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

Authors: Alain Tremblay, Nicole Ezer, Paul Burrowes, John Henry MacGregor, Andrew Lee, Gavin A. Armstrong, Raoul Pereira, Michael Bristow, Jana L. Taylor, Paul MacEachern, Niloofar Taghizadeh, Rommy Koetzler, Eric Bedard

Published in: BMC Medical Imaging | Issue 1/2022

Abstract

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.

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Title: Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
Authors: Alain Tremblay
Nicole Ezer
Paul Burrowes
John Henry MacGregor
Andrew Lee
Gavin A. Armstrong
Raoul Pereira
Michael Bristow
Jana L. Taylor
Paul MacEachern
Niloofar Taghizadeh
Rommy Koetzler
Eric Bedard
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Lung Cancer
Lung Cancer
Lung Cancer
Published in: BMC Medical Imaging / Issue 1/2022
Electronic ISSN: 1471-2342
DOI: https://doi.org/10.1186/s12880-022-00837-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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