Structured Reporting of Solid and Cystic Pancreatic Lesions in CT and MRI: Consensus-Based Structured Report Templates of the German Society of Radiology (DRG)

Thorsten Persigehl; Matthias Baumhauer; Bettina Baeßler; Lukas Philipp Beyer; Marc Bludau; Christiane Bruns; Alexander Christian Bunck; Christoph-Thomas Germer; Lars Grenacher; Thomas Hackländer; Stefan Haneder; Stefan Heinrich; Philipp Heusch; Matthias Hoffmann; Markus S Juchems; Jan Robert Kröger; Elmar Kotter; Günter Layer; David Maintz; Jan Menke; Moritz Palmowski; Dimitrios Pantelis; Daniel Pinto Dos Santos; Felix Christoph Popp; Nico Schäfer; Heinz-Peter Schlemmer; Andreas G Schreyer; Florian Siedek; Dirk Stippel; Martin Völker; Dirk Thomas Waldschmidt; Tim Frederik Weber; Moritz von Winterfeld; Christian Wybranski; Thomas Zander; Johannes Wessling

doi:10.1055/a-1150-8217

Structured Reporting of Solid and Cystic Pancreatic Lesions in CT and MRI: Consensus-Based Structured Report Templates of the German Society of Radiology (DRG)

Rofo. 2020 Jul;192(7):641-656. doi: 10.1055/a-1150-8217. Epub 2020 Jul 2.

[Article in English, German]

Authors

Thorsten Persigehl¹, Matthias Baumhauer², Bettina Baeßler^{1

3}, Lukas Philipp Beyer⁴, Marc Bludau⁵, Christiane Bruns⁵, Alexander Christian Bunck¹, Christoph-Thomas Germer⁶, Lars Grenacher⁷, Thomas Hackländer⁸, Stefan Haneder¹, Stefan Heinrich⁹, Philipp Heusch¹⁰, Matthias Hoffmann¹¹, Markus S Juchems¹², Jan Robert Kröger¹, Elmar Kotter¹³, Günter Layer¹⁴, David Maintz¹, Jan Menke¹⁵, Moritz Palmowski^{16

17}, Dimitrios Pantelis¹⁸, Daniel Pinto Dos Santos¹, Felix Christoph Popp⁵, Nico Schäfer¹⁹, Heinz-Peter Schlemmer²⁰, Andreas G Schreyer²¹, Florian Siedek¹, Dirk Stippel²², Martin Völker²³, Dirk Thomas Waldschmidt²⁴, Tim Frederik Weber²⁵, Moritz von Winterfeld²⁶, Christian Wybranski¹, Thomas Zander²⁷, Johannes Wessling²⁸

Affiliations

¹ Department of Radiology, University of Cologne, Germany.
² Mint Medical GmbH, Heidelberg, Germany.
³ Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Switzerland.
⁴ Department of Radiology, University Medical Center Regensburg, Germany.
⁵ General, Visceral and Cancer Surgery, University of Cologne, Germany.
⁶ Department of General, Visceral, Vascular and Pediatric Surgery, Würzburg University Hospital, Würzburg, Germany.
⁷ Imaging and Prevention Center, Conradia Radiology Munich, Germany.
⁸ Department of Radiology, HELIOS-Universitätsklinikum Wuppertal, Germany.
⁹ General, Visceral and Transplantation Surgery, Mainz University, Mainz, Germany.
¹⁰ Department of Radiology, University Hospital Düsseldorf, Germany.
¹¹ Department of General and Visceral Surgery, Raphaelsklinik Münster, Germany.
¹² Department of Radiology, Hospital Konstanz, Germany.
¹³ Department of Radiology, Freiburg University Hospital, Freiburg, Germany.
¹⁴ Department of Radiology, Hospital Ludwigshafen, Germany.
¹⁵ Department of Diagnostic Radiology, University Hospital Göttingen, Germany.
¹⁶ Department of Radiology, Radiology Baden-Baden, Baden-Baden, Germany.
¹⁷ Institute of Experimental Molecular Imaging (ExMI), RTW Aachen, Germany.
¹⁸ Department of Surgery, Sankt-Marien-Hospital Bonn GmbH, Bonn, Germany.
¹⁹ Department of Surgery, Hospital Leverkusen, Germany.
²⁰ Department of Radiology, Deutsches Krebsforschungszentrum, Heidelberg, Germany.
²¹ Institute for Diagnostic and Interventional Radiology, Brandenburg Medical School Theodor Fontane, Brandenburg a. d. Havel, Germany.
²² Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.
²³ DRG, German Roentgen Society "Deutsche Röntgengesellschaft", Berlin, Germany.
²⁴ Department of Gastroenterology and Hepatology, University of Cologne, Germany.
²⁵ Department of Radiology, University Hospital Heidelberg, Germany.
²⁶ Institute of Pathology, University Hospital Heidelberg, Germany.
²⁷ Department of Internal Medicine, University of Cologne, Germany.
²⁸ Department of Radiology, Clemens-Hospital GmbH Münster, Germany.

PMID: 32615626
DOI: 10.1055/a-1150-8217

Abstract
in English, German

Background: Radiological reports of pancreatic lesions are currently widely formulated as free texts. However, for optimal characterization, staging and operation planning, a wide range of information is required but is sometimes not captured comprehensively. Structured reporting offers the potential for improvement in terms of completeness, reproducibility and clarity of interdisciplinary communication.

Method: Interdisciplinary consensus finding of structured report templates for solid and cystic pancreatic tumors in computed tomography (CT) and magnetic resonance imaging (MRI) with representatives of the German Society of Radiology (DRG), German Society for General and Visceral Surgery (DGAV), working group Oncological Imaging (ABO) of the German Cancer Society (DKG) and other radiologists, oncologists and surgeons.

Results: Among experts in the field of pancreatic imaging, oncology and pancreatic surgery, as well as in a public online survey, structured report templates were developed by consensus. These templates are available on the DRG homepage under www.befundung.drg.de and will be regularly revised to the current state of scientific knowledge by the participating specialist societies and responsible working groups.

Conclusion: This article presents structured report templates for solid and cystic pancreatic tumors to improve clinical staging (cTNM, ycTNM) in everyday radiology.

Key points: · Structured report templates offer the potential of optimized radiological reporting with regard to completeness, reproducibility and differential diagnosis.. · This article presents consensus-based, structured reports for solid and cystic pancreatic lesions in CT and MRI.. · These structured reports are available open source on the homepage of the German Society of Radiology (DRG) under www.befundung.drg.de..

Citation format: · Persigehl T, Baumhauer M, Baeßler B et al. Structured Reporting of Solid and Cystic Pancreatic Lesions in CT and MRI: Consensus-Based Structured Report Templates of the German Society of Radiology (DRG). Fortschr Röntgenstr 2020; 192: 641 - 655.

Hintergrund: In der klinischen Radiologie werden aktuell radiologische Befundberichte bei Pankreasläsionen weitverbreitet als Freitexte formuliert. Für die optimale klinische Versorgung, das Staging und die Operationsplanung sind mannigfaltige Informationen erforderlich, die mitunter nicht umfänglich erfasst werden. Die strukturierte Befundung bietet hier das Potenzial einer Verbesserung in Bezug auf Vollständigkeit, Reproduzierbarkeit sowie Klarheit der interdisziplinären Kommunikation.

Methode: Interdisziplinäre Erstellung von strukturierten Befundvorlagen für solide und zystische Pankreastumoren in der Computertomografie (CT) und in der Magnetresonanztomografie (MRT) mit Vertretern der Deutschen Röntgengesellschaft (DRG), der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV), der Arbeitsgemeinschaft Onkologische Bildgebung (ABO) der Deutschen Krebsgesellschaft (DKG) sowie weiteren Radiologen, Onkologen und Chirurgen.

Ergebnisse: Unter Experten auf dem Gebiet der Pankreasbildgebung, onkologischen Versorgung und Pankreaschirurgie sowie in einer öffentlichen Online-Umfrage wurden strukturierte Befundvorlagen im Konsensus-Verfahren entwickelt, die im weiteren Verlauf regelmäßig durch die beteiligten Fachgesellschaften und verantwortlichen Arbeitsgemeinschaften auf den aktuellen Stand der wissenschaftlichen Erkenntnis angepasst werden sollen.

Zusammenfassung: Dieser Artikel stellt strukturierte Befundvorlagen für solide und zystische Pankreastumoren vor, die im radiologischen Alltag helfen sollen, das klinische Staging (cTNM, ycTNM) zu verbessern.

Kernaussagen: · Strukturierte Befundvorlagen bieten das Potenzial einer optimierten radiologischen Befundung in Bezug auf Vollständigkeit, Reproduzierbarkeit und Differenzialdiagnose.. · Dieser Artikel stellt Konsensus-basierte, strukturierte Befundvorlagen für solide und zystische Pankreasläsionen im CT und MRT vor.. · Die von der Deutsche Röntgengesellschaft entwickelten Befundvorlagen werden unter www.befundung.drg.de zur Verfügung gestellt..

Zitierweise: · Persigehl T, Baumhauer M, Baeßler B et al. Structured Reporting of Solid and Cystic Pancreatic Lesions in CT and MRI: Consensus-Based Structured Report Templates of the German Society of Radiology (DRG). Fortschr Röntgenstr 2020; 192: 641 – 656.

Publication types

Consensus Development Conference

MeSH terms

Germany
Humans
Magnetic Resonance Imaging / methods*
Pancreatic Cyst / diagnostic imaging*
Pancreatic Diseases / diagnostic imaging*
Pancreatic Neoplasms / diagnostic imaging*
Radiology
Radiology Information Systems*
Research Design*
Societies, Medical
Tomography, X-Ray Computed / methods*

Abstract in English, German

Publication types

MeSH terms

Abstract
in English, German