ArticleScientific reports2025
NECKCHECK PROJECT: enhancing diagnostic accuracy in oropharyngeal squamous cell carcinoma through computer-based radiological tools.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- NECKCHECK project: development and validation of a digital checklist for radiologic assessment of oral cavity squamous cell carcinoma.Clinical oral investigations · 2026Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
The interpretation of radiological images for head and neck tumors often lacks standardized protocols, increasing the risk of diagnostic inconsistencies. This study introduces a computerized radiological checklist designed to enhance diagnostic accuracy and standardize the evaluation of oropharyngeal squamous cell carcinoma (OPSCC) imaging among otolaryngologists (ENTs). A radiological checklist was developed based on a comprehensive literature review and digitized into an intuitive interface. A concordance study involving 15 ENTs was conducted, assessing 90 OPSCC cases in two phases: before and after using the checklist. Diagnostic agreement with radiologists was measured using Cohen's kappa coefficient, and a mixed-effects linear model evaluated accuracy improvements, accounting for patient sex, age, stage, and HPV status. The checklist significantly improved diagnostic concordance, increasing Cohen's kappa from 0.28 (95% CI: 0.09-0.46) without it to 0.66 (95% CI: 0.55-0.77) with it (p < 0.01). The mixed-effects model showed a mean improvement of 2.66 correct responses in the checklist group (SE 0.31, p < 0.001). This study supports the effectiveness of this checklist in improving the diagnostic consistency and accuracy of OPSCC imaging. This method shows promise as a practical tool to reduce errors and enhance clinical practice among ENT specialists.
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