论著摘要 |【AI-CT】有超链接的放射学报告在癌症试验中改进靶病变选择和测量一致性(双语版)

2018-01-31 11:15:21 admin 0
标签:   人工智能 肿瘤评估 CT PACS 泌尿生殖道癌 放射学报告 实体瘤治疗疗效评价标准 多媒体

Radiology Reports With Hyperlinks Improve Target Lesion Selection and Measurement Concordance in Cancer Trials.

发表日期: 2017.02.01   来源:AJR Am J Roentgenol. 2017 Feb;208(2):W31-W37.

作者:

Laura B. Machado1, Andrea B. Apolo2, Seth M. Steinberg3 and Les R. Folio1.

作者介绍:

1. Radiology and Imaging Sciences, National Institutes of Health Clinical Center, 9000 Rockville Pike, Bldg 10, Bethesda, MD 20892.

2. Genitourinary Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.

3. Biostatistics and Data Management Section, Office of the Clinical Director, National Cancer Institute, Rockville, MD.

摘要

Abstact

目标

放射学报告经常缺乏肿瘤临床试验所需的靶病变的测量。如果可用的话,放射学报告中的测量结果通常与用于计算治疗反应的记录中的测量结果不一致。本研究评估了PACS多媒体增强放射学报告中的超链接肿瘤测量的临床价值,以及放射科医师助理在评估肿瘤负荷的过程中的临床价值。

Objective

Radiology reports often lack the measurements of target lesions that are needed for oncology clinical trials. When available, the measurements in theradiology reports often do not match those in the records used to calculate therapeutic response. This study assessed the clinical value of hyperlinked tumor measurements in multimedia-enhanced radiology reports in the PACS and the inclusion of a radiologist assistant in the process of assessing tumor burden.

材料和方法

我们评估了在两项治疗试验中纳入的转移性泌尿生殖道癌71例患者的232例CT检查中的489例靶病变。我们分析了PACS中肿瘤学记录(用于计算治疗反应)和两种放射学报告之间的靶病变选择和测量一致性:多媒体增强放射学报告和纯文本报告。对于统计检验,我们使用Wilcoxon符号秩,Wilcoxon秩和检验和Fisher方法来结合成对和不成对结果的p值。Fisher精确检验用于比较整体测量的一致性。

Materials and methods

We assessed 489 target lesions in 232 CT examinations of 71 patients with metastatic genitourinary cancer enrolled in two therapeutic trials. We analyzed target lesion selection and measurement concordance between oncology records (used to calculate therapeutic response) and two types of radiology reports in the PACS: multimedia-enhanced radiology reports and text-only reports. For statistical tests, we used the Wilcoxon signed rank, Wilcoxon rank sum test, and Fisher method to combine p values from the paired and unpaired results. The Fisher exact test was used to compare overall measurement concordance.

结果

多媒体增强放射学报告(78%)的目标病变选择的一致性高于纯文本报告(52%)(p = 0.0050)。与仅有文本的报告(38%)相比,多媒体增强放射学报告的整体测量结果也有所改善(68%)(p < 0.0001)。

Results

Concordance on target lesion selection was greater for multimedia-enhanced radiology reports (78%) than the text-only reports (52%) (p =0.0050). There was also improved overall measurement concordance with the multimedia-enhanced radiology reports (68%) compared with the text-only reports (38%) (p < 0.0001).

结论

与纯文本报告相比,超链接多媒体增强放射学报告改善了靶病变选择和测量与用于计算治疗反应的测量值的一致性。

Conclusions

Compared with text-only reports, hyperlinked multimedia-enhanced radiology reports improved concordance of target lesion selection and measurement with the measurements used to calculate therapeutic response.

关键词:

实体瘤治疗疗效评价标准1.1;超链接;多媒体;放射学报告;肿瘤评估

Keywords:

Response Evaluation Criteria in Solid Tumors (RECIST) 1.1; hyperlinks; multimedia; radiology reports; tumor assessment

阅读原文:PMID: 28112557  DOI: 10.2214/AJR.16.16845


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