Katherine Marie Gallagher MD, Abstract Co-Author: Nothing to Disclose

Marie Kim MD, Abstract Co-Author: Nothing to Disclose

Ashali Jain, Abstract Co-Author: Nothing to Disclose

David Dawson Bartlett Bates MD, Abstract Co-Author: Nothing to Disclose

Naznin Daginawala MD, Abstract Co-Author: Nothing to Disclose

Karen Buch MD, Abstract Co-Author: Nothing to Disclose

Alessandra Sax, Abstract Co-Author: Nothing to Disclose

C. Carl Jaffe MD, Abstract Co-Author: Nothing to Disclose

B. Nicolas Bloch MD, Presenter: Nothing to Disclose

Radiology and pathology reports that share format and semantic elements can facilitate efforts to audit consistency of healthcare pathway choices in prostate cancer patients and may influence decisions in post-operative care.

Prostate MRI cancer staging is increasingly used in pre-surgical or radiotherapy planning. However, current radiology reporting practices (e.g. RadLex®) have yet to be aligned with the existing Synoptic pathology reporting framework currently implemented by the College of American Pathologists (CAP). The degree of semantic consistency between radiology and pathology reports can affect data search and efforts to audit the consistency of healthcare pathway choices in prostate cancer patients. Additionally, consistency between radiology and pathology reports can influence decisions in post-operative care, specifically with regards to radiotherapy.

A new prostate MRI structured reporting template was constructed. Several radiologic-reportable elements were identified that shared common relevance in radiology and pathology. These were successfully recast in the new radiology report structure to match the pathology Synoptic report format. Each element proffered a choice of responses contained between [ ] delimiters such as [Y/N or Not identified]. These data field headers included: Prostate Size [in cm]; Index Lesion [ ]; Extraprostatic Extension [ ]; Neurovascular Bundle Invasion and Laterality [ ]; Seminal Vesicle Invasion and Laterality [ ]; Staging (TNM). Conventional items, such as clinical request indications, patient demographics, and scan parameters, were also included in the template. A paragraph of free-text findings was allowed along with a summary impression.

Coordinated radiology and pathology reports organize information into a clear, consistent, and more accessible format. This framework facilitates data search and enables auditing of healthcare therapeutic pathway choices to optimize clinical outcomes for prostate cancer patients. Furthermore, coordinated radiology and pathology reports promote improved clinical decision-making with regards to post-operative radiotherapy.

Gallagher, K, Kim, M, Jain, A, Bates, D, Daginawala, N, Buch, K, Sax, A, Jaffe, C, Bloch, B, Prostate MRI Structured Reports Co-connectible to Pathology Synoptic Report Structure Promote Improved Cancer Therapeutic Pathway Decision-making.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14005436.html