Evidence map›Paper›PMID 29743736›Full record

ArticleRadiologia brasileira

Proposal for a structured computed tomography report in the evaluation of pancreatic neoplasms based on expert opinions.

Paulo Gustavo Maciel Lopes, Carlos Alberto Matsumoto, Edson José Lobo, Giuseppe D'Ippolito

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Article in Radiologia brasileira. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Paulo Gustavo Maciel LopesMD, Radiologist in the Department of Diagnostic Imaging of the Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), for the Laboratório DASA, and for the Laboratório CDB, São Paulo, SP, Brazil.
Carlos Alberto MatsumotoMD, Radiologist in the Department of Diagnostic Imaging of the Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp) and for Fleury Medicina Diagnóstica, São Paulo, SP, Brazil.
Edson José LoboAssociate Professor in the Department of Surgery of the Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), SP, Brazil.
Giuseppe D'IppolitoTenured Adjunct Professor in the Department of Diagnostic Imaging of the Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo create a structured computed tomography (CT) report for the systematic evaluation of pancreatic ductal adenocarcinoma (PDAC), based on the opinions of clinicians and surgeons. MATERIALS AND

methodsThis was a prospective study in which we applied a 21-item questionnaire to experts in pancreatic diseases in order to create a model of a structured abdominal CT report. The questionnaire addressed the location and size of PDACs, as well as their effects on adjacent structures and on the vasculature, together with metastases. We used a Likert scale to determine which of those parameters should be included in the model.

resultsA total of 18 experts (12 surgeons and 6 clinicians) from 9 institutions completed the questionnaire. All of the experts agreed that the following (if present) should be described in the CT report on a PDAC: the degree of enhancement; the diameter and location of the lesion; pancreatic duct obstruction; biliary dilatation; pancreatic atrophy; liver metastases; peritoneal nodules; ascites; lymph node enlargement; and invasion of adjacent structures. More than 80% of the experts agreed that the report should also describe the relationship between the PDAC and the surrounding vasculature.

conclusionWe have developed a template for a CT report on patients with PDAC, based on the opinions of experts involved in the treatment of such patients.

Indexed as

ConsensusNeoplasm stagingPancreatic neoplasms/diagnostic imagingTomography, X-ray computed

Identifiers

PMID29743736
PMCPMC5935402

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