Insights into Structured Reporting Practices in Colorectal Cancer Imaging

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A survey conducted by Dr. Eric Loveday at North Bristol NHS Trust revealed the current landscape of structured reporting in MRI and CT scans for rectal and colon cancer. Results indicate a positive outlook towards implementing national standards for structured radiology reporting, with an emphasis on improving patient care. The potential for harmonizing reporting standards within the SWAG network was also explored, highlighting the need for leadership in standardizing reporting practices. Considerations for next steps include defining the scope of standardization efforts, deciding between uniform templates or specifying core data items, and addressing technical aspects for optimizing MRI reporting.


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  1. Survey of Structured Reporting in MRI of rectal cancer Dr Eric Loveday North Bristol NHS Trust

  2. 10 Invitations sent out to specialist reporters across the region using a SurveyMonkey in the following trusts: UHB, NBT, YDH, WGH, TST, GHT. 7 respondents (including myself!)

  3. MRI in rectal cancer 5/7 are using structured reports 4 using an agreed department template 2 using their own, 2 using national template based on Pelican etc. Agreement on the essential data items (location, CRM, TNM, EMVI etc)

  4. CT in colon cancer 3/7 using structured reports 1 of whom using an agreed dept template

  5. Do you think structured radiology reporting in colorectal cancer has the potential to improve patient care across the board? 6/7 answered yes Do you think the College should promote national standards for Structured Reporting? 6/7 answered yes

  6. In the absence of any leadership from the College, do you think the teams in the SWAG network should take a lead in harmonising reporting standards across the patch? 7/7 answered yes

  7. Considerations/next steps Is this the domain of the SSG? Is there benefit in encouraging a uniform template (as for pathology) or is it best to go for specifying the core data items (Pragmatism vs perfection) Do we offer guidance only or enforcement through inspection/audit (Compare similar work happening re. mpMRI prostate.) Any guidance should include technical aspects for optimising MRI.

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