ArticleBMC medical imaging2025
Structured reporting of gliomas based on VASARI criteria to improve report content and consistency.
Article in BMC medical imaging, 2025. 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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10 authors.
Funding
Abstract
purposeGliomas are the commonest malignant brain tumours. Baseline characteristics on structural MRI, such as size, enhancement proportion and eloquent brain involvement inform grading and treatment planning. Currently, free-text imaging reports depend on the individual style and experience of the radiologist. Standardisation may increase consistency of feature reporting.
methodsWe compared 100 baseline free-text reports for glioma MRI scans with a structured feature list based on VASARI criteria and performed a full second read to document which VASARI features were in the baseline report.
resultsWe found that quantitative features including tumour size and proportion of necrosis and oedema/infiltration were commonly not included in free-text reports. Thirty-three percent of reports gave a description of size only, and 38% of reports did not refer to tumour size at all. Detailed information about tumour location including involvement of eloquent areas and infiltration of deep white matter was also missing from the majority of free-text reports. Overall, we graded 6% of reports as having omitted some key VASARI features that would alter patient management.
conclusionsTumour size and anatomical information is often omitted by neuroradiologists. Comparison with a structured report identified key features that would benefit from standardisation and/or quantification. Structured reporting may improve glioma reporting consistency, clinical communication, and treatment decisions.
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