Randy Devereux Ernst MD, Presenter: Nothing to Disclose

Harmeet Kaur MD, Abstract Co-Author: Nothing to Disclose

Y. Nancy You MD, Abstract Co-Author: Nothing to Disclose

George J. Chang MD, Abstract Co-Author: Nothing to Disclose

Miguel Rodriguez-Bigas MD, Abstract Co-Author: Nothing to Disclose

Haesun Choi MD, Abstract Co-Author: Nothing to Disclose

Kimberly Kirschner MD, Abstract Co-Author: Nothing to Disclose

Eric P. Tamm MD, Abstract Co-Author: Consultant, General Electric Company

Implementation of a new diagnostic procedure is an ideal time to implement an associated standardized report. Our structured report outlines the information for referring colorectal surgeons and oncologists. Templates that follow staging models may be most useful for cancer centers. A sample report and key images are featured in our exhibit.

Traditional radiologic reporting is an art learned in residency and modified by the individual radiologist. Dictations are often free flowing with little structure. Referring clinicians prefer certain dictations over others based on organization and content but may have no input in determining the structure of the information. We implemented new sequences for initial staging of rectal cancer using high resolution MRI. A new exam provided an opportunity to define a standard radiographic report for pre-treatment evaluation in rectal cancer. We demonstrate the role of the radiologist in the team approach for treating patients with rectal cancer.

After reviewing literature and Radiology Report Templates from the RSNA wiki site, we discussed report content and structure with our Multidisciplinary Colorectal Cancer Group. We addressed the responses and requests of the colorectal surgeons and oncologists.

Because of the addition of new features in voice recognition software in PACS and RIS, an emphasis is placed on structured reporting. However many of the templates contain the traditional body organ system checklist. This structure fails to highlight patterns of tumor spread or the Tumor Node Metastases staging critical to prognosis in the oncologic patient population. Specialized exams call for unique templates. We learned that referring clinicians preferred us to label key images in our PACS. Our structured report targets the information required by referring colorectal surgeons and oncologists, and also formats the information suggested by recent literature.

Ernst, R, Kaur, H, You, Y, Chang, G, Rodriguez-Bigas, M, Choi, H, Kirschner, K, Tamm, E, Structured Reporting for MRI Staging of Rectal Cancer.  Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL. http://archive.rsna.org/2010/9002561.html