Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination

Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management d...
Ausführliche Beschreibung

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Autor*in:	Tremblay, Alain [verfasserIn] Ezer, Nicole Burrowes, Paul MacGregor, John Henry Lee, Andrew Armstrong, Gavin A. Pereira, Raoul Bristow, Michael Taylor, Jana L. MacEachern, Paul Taghizadeh, Niloofar Koetzler, Rommy Bedard, Eric

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Radiology report Lung cancer screening CT scan Synoptic report

Anmerkung:	© The Author(s) 2022

Übergeordnetes Werk:	Enthalten in: BMC medical imaging - London : BioMed Central, 2001, 22(2022), 1 vom: 11. Juni
Übergeordnetes Werk:	volume:22 ; year:2022 ; number:1 ; day:11 ; month:06

Links:	Volltext

DOI / URN:	10.1186/s12880-022-00837-y

Katalog-ID:	SPR050776908

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520			\|a Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications.
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allfields	10.1186/s12880-022-00837-y doi (DE-627)SPR050776908 (SPR)s12880-022-00837-y-e DE-627 ger DE-627 rakwb eng Tremblay, Alain verfasserin aut Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. Radiology report (dpeaa)DE-He213 Lung cancer screening (dpeaa)DE-He213 CT scan (dpeaa)DE-He213 Synoptic report (dpeaa)DE-He213 Ezer, Nicole aut Burrowes, Paul aut MacGregor, John Henry aut Lee, Andrew aut Armstrong, Gavin A. aut Pereira, Raoul aut Bristow, Michael aut Taylor, Jana L. aut MacEachern, Paul aut Taghizadeh, Niloofar aut Koetzler, Rommy aut Bedard, Eric aut Enthalten in BMC medical imaging London : BioMed Central, 2001 22(2022), 1 vom: 11. Juni (DE-627)33679911X (DE-600)2061975-3 1471-2342 nnns volume:22 year:2022 number:1 day:11 month:06 https://dx.doi.org/10.1186/s12880-022-00837-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 11 06
spelling	10.1186/s12880-022-00837-y doi (DE-627)SPR050776908 (SPR)s12880-022-00837-y-e DE-627 ger DE-627 rakwb eng Tremblay, Alain verfasserin aut Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. Radiology report (dpeaa)DE-He213 Lung cancer screening (dpeaa)DE-He213 CT scan (dpeaa)DE-He213 Synoptic report (dpeaa)DE-He213 Ezer, Nicole aut Burrowes, Paul aut MacGregor, John Henry aut Lee, Andrew aut Armstrong, Gavin A. aut Pereira, Raoul aut Bristow, Michael aut Taylor, Jana L. aut MacEachern, Paul aut Taghizadeh, Niloofar aut Koetzler, Rommy aut Bedard, Eric aut Enthalten in BMC medical imaging London : BioMed Central, 2001 22(2022), 1 vom: 11. Juni (DE-627)33679911X (DE-600)2061975-3 1471-2342 nnns volume:22 year:2022 number:1 day:11 month:06 https://dx.doi.org/10.1186/s12880-022-00837-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 11 06
allfields_unstemmed	10.1186/s12880-022-00837-y doi (DE-627)SPR050776908 (SPR)s12880-022-00837-y-e DE-627 ger DE-627 rakwb eng Tremblay, Alain verfasserin aut Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. Radiology report (dpeaa)DE-He213 Lung cancer screening (dpeaa)DE-He213 CT scan (dpeaa)DE-He213 Synoptic report (dpeaa)DE-He213 Ezer, Nicole aut Burrowes, Paul aut MacGregor, John Henry aut Lee, Andrew aut Armstrong, Gavin A. aut Pereira, Raoul aut Bristow, Michael aut Taylor, Jana L. aut MacEachern, Paul aut Taghizadeh, Niloofar aut Koetzler, Rommy aut Bedard, Eric aut Enthalten in BMC medical imaging London : BioMed Central, 2001 22(2022), 1 vom: 11. Juni (DE-627)33679911X (DE-600)2061975-3 1471-2342 nnns volume:22 year:2022 number:1 day:11 month:06 https://dx.doi.org/10.1186/s12880-022-00837-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 11 06
allfieldsGer	10.1186/s12880-022-00837-y doi (DE-627)SPR050776908 (SPR)s12880-022-00837-y-e DE-627 ger DE-627 rakwb eng Tremblay, Alain verfasserin aut Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. Radiology report (dpeaa)DE-He213 Lung cancer screening (dpeaa)DE-He213 CT scan (dpeaa)DE-He213 Synoptic report (dpeaa)DE-He213 Ezer, Nicole aut Burrowes, Paul aut MacGregor, John Henry aut Lee, Andrew aut Armstrong, Gavin A. aut Pereira, Raoul aut Bristow, Michael aut Taylor, Jana L. aut MacEachern, Paul aut Taghizadeh, Niloofar aut Koetzler, Rommy aut Bedard, Eric aut Enthalten in BMC medical imaging London : BioMed Central, 2001 22(2022), 1 vom: 11. Juni (DE-627)33679911X (DE-600)2061975-3 1471-2342 nnns volume:22 year:2022 number:1 day:11 month:06 https://dx.doi.org/10.1186/s12880-022-00837-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 11 06
allfieldsSound	10.1186/s12880-022-00837-y doi (DE-627)SPR050776908 (SPR)s12880-022-00837-y-e DE-627 ger DE-627 rakwb eng Tremblay, Alain verfasserin aut Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. Radiology report (dpeaa)DE-He213 Lung cancer screening (dpeaa)DE-He213 CT scan (dpeaa)DE-He213 Synoptic report (dpeaa)DE-He213 Ezer, Nicole aut Burrowes, Paul aut MacGregor, John Henry aut Lee, Andrew aut Armstrong, Gavin A. aut Pereira, Raoul aut Bristow, Michael aut Taylor, Jana L. aut MacEachern, Paul aut Taghizadeh, Niloofar aut Koetzler, Rommy aut Bedard, Eric aut Enthalten in BMC medical imaging London : BioMed Central, 2001 22(2022), 1 vom: 11. Juni (DE-627)33679911X (DE-600)2061975-3 1471-2342 nnns volume:22 year:2022 number:1 day:11 month:06 https://dx.doi.org/10.1186/s12880-022-00837-y kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 11 06
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source	Enthalten in BMC medical imaging 22(2022), 1 vom: 11. Juni volume:22 year:2022 number:1 day:11 month:06
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Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. 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author	Tremblay, Alain
spellingShingle	Tremblay, Alain misc Radiology report misc Lung cancer screening misc CT scan misc Synoptic report Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
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topic_title	Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination Radiology report (dpeaa)DE-He213 Lung cancer screening (dpeaa)DE-He213 CT scan (dpeaa)DE-He213 Synoptic report (dpeaa)DE-He213
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title	Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
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title_full	Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
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author_browse	Tremblay, Alain Ezer, Nicole Burrowes, Paul MacGregor, John Henry Lee, Andrew Armstrong, Gavin A. Pereira, Raoul Bristow, Michael Taylor, Jana L. MacEachern, Paul Taghizadeh, Niloofar Koetzler, Rommy Bedard, Eric
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doi_str_mv	10.1186/s12880-022-00837-y
title_sort	development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
title_auth	Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
abstract	Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. © The Author(s) 2022
abstractGer	Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. © The Author(s) 2022
abstract_unstemmed	Background Interpretation of Low Dose CT scans and protocol driven management of findings is a key aspect of lung cancer screening program performance. Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. We demonstrate the successful implementation of a radiology synoptic reporting system for use in lung cancer screening, and the use of this information to drive program management and communications. © The Author(s) 2022
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title_short	Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination
url	https://dx.doi.org/10.1186/s12880-022-00837-y
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author2	Ezer, Nicole Burrowes, Paul MacGregor, John Henry Lee, Andrew Armstrong, Gavin A. Pereira, Raoul Bristow, Michael Taylor, Jana L. MacEachern, Paul Taghizadeh, Niloofar Koetzler, Rommy Bedard, Eric
author2Str	Ezer, Nicole Burrowes, Paul MacGregor, John Henry Lee, Andrew Armstrong, Gavin A. Pereira, Raoul Bristow, Michael Taylor, Jana L. MacEachern, Paul Taghizadeh, Niloofar Koetzler, Rommy Bedard, Eric
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up_date	2024-07-03T17:42:44.309Z
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Reliable and reproducible methods are needed to communicate radiologists’ interpretation to the screening program or clinicians driving management decision. Methods We performed an audit of a subset of dictated reports from the PANCAN study to assess for omissions. We developed an electronic synoptic reporting tool for radiologists embedded in a clinical documentation system software. The tool was then used for reporting as part of the Alberta Lung Cancer Screening Study and McGill University Health Centre Pilot Lung Cancer Screening Program. Results Fifty reports were audited for completeness. At least one omission was noted in 30 (70%) of reports, with a major omission (missing lobe, size, type of nodule in report or actionable incidental finding in recommendation section of report) in 24 (48%). Details of the reporting template and functionality such as automated nodule cancer risk assessment, Lung-RADS category assignment, auto-generated narrative type report as well as personalize participant results letter is provided. A description of the system’s performance in its application in 2815 CT reports is then summarized. Conclusions We found that narrative type radiologist reports for lung cancer screening CT examinations frequently lacked specific discrete data elements required for management. 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Development and application of an electronic synoptic report for reporting and management of low-dose computed tomography lung cancer screening examination

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