Evidence map›Paper›PMID 35690733›Full record

ArticleBMC medical imaging2022

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

Alain Tremblay, Nicole Ezer, Paul Burrowes, John Henry MacGregor, Andrew Lee, Gavin A Armstrong, Raoul Pereira, Michael Bristow, Jana L Taylor, Paul MacEachern and 3 more

Abstract read
In one paragraph

Article in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

3 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
4 · The record

Corrections and comments

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

13 authors.

Alain TremblayDepartment of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada. alain.tremblay@ucalgary.ca.
Nicole EzerDepartment of Medicine, McGill University Health Centre, McGill University, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada.
Paul BurrowesDepartment of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.
John Henry MacGregorDepartment of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.
Andrew LeeDepartment of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.
Gavin A ArmstrongDepartment of Radiology and Diagnostic Imaging, University of Alberta, 2A2.41, 8440 112 St NW, Edmonton, AB, T6G 2B7, Canada.
Raoul PereiraDepartment of Radiology and Diagnostic Imaging, University of Alberta, 2A2.41, 8440 112 St NW, Edmonton, AB, T6G 2B7, Canada.
Michael BristowDepartment of Diagnostic Imaging, Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, T2N 2T9, Canada.
Jana L TaylorDepartment of Diagnostic Radiology, McGill University Health Centre, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada.
Paul MacEachernDepartment of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
Niloofar TaghizadehDepartment of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
Rommy KoetzlerDepartment of Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
Eric BedardDepartment of Surgery, Faculty of Medicine and Dentistry, Walter C. MacKenzie Health Sciences Centre, University of Alberta, Edmonton, 2J2.00T6G 2R7, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterpretation 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.

methodsWe 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.

resultsFifty 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.

conclusionsWe 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.

Indexed as

Early Detection of CancerLung NeoplasmsElectronicsHumansThoraxTomography, X-Ray ComputedCT scanLung cancer screeningRadiology reportSynoptic report

Identifiers

PMID35690733
PMCPMC9188213

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.