scholarly journals Structured Reporting of Computed Tomography in the Staging of Neuroendocrine Neoplasms: A Delphi Consensus Proposal

2021 ◽  
Vol 12 ◽  
Author(s):  
Vincenza Granata ◽  
Francesca Coppola ◽  
Roberta Grassi ◽  
Roberta Fusco ◽  
Salvatore Tafuto ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Correlation Coefficient ◽  
Mean Value ◽  
Structured Reporting ◽  
Quality Analysis ◽  
Neuroendocrine Neoplasms ◽  
Multidisciplinary Teams ◽  
Delphi Consensus ◽  
Imaging Protocol ◽  
Structured Report

BackgroundStructured reporting (SR) in radiology is becoming increasingly necessary and has been recognized recently by major scientific societies. This study aims to build structured CT-based reports in Neuroendocrine Neoplasms during the staging phase in order to improve communication between the radiologist and members of multidisciplinary teams.Materials and MethodsA panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A Modified Delphi process was used to develop the SR and to assess a level of agreement for all report sections. Cronbach’s alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to measure quality analysis according to the average inter-item correlation.ResultsThe final SR version was built by including n=16 items in the “Patient Clinical Data” section, n=13 items in the “Clinical Evaluation” section, n=8 items in the “Imaging Protocol” section, and n=17 items in the “Report” section. Overall, 54 items were included in the final version of the SR. Both in the first and second round, all sections received more than a good rating: a mean value of 4.7 and range of 4.2-5.0 in the first round and a mean value 4.9 and range of 4.9-5 in the second round. In the first round, the Cα correlation coefficient was a poor 0.57: the overall mean score of the experts and the sum of scores for the structured report were 4.7 (range 1-5) and 728 (mean value 52.00 and standard deviation 2.83), respectively. In the second round, the Cα correlation coefficient was a good 0.82: the overall mean score of the experts and the sum of scores for the structured report were 4.9 (range 4-5) and 760 (mean value 54.29 and standard deviation 1.64), respectively.ConclusionsThe present SR, based on a multi-round consensus-building Delphi exercise following in-depth discussion between expert radiologists in gastro-enteric and oncological imaging, derived from a multidisciplinary agreement between a radiologist, medical oncologist and surgeon in order to obtain the most appropriate communication tool for referring physicians.

scholarly journals Structured Reporting of Lung Cancer Staging: A Consensus Proposal

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1569
Author(s):  
Vincenza Granata ◽  
Roberto Grassi ◽  
Vittorio Miele ◽  
Anna Rita Larici ◽  
Nicola Sverzellati ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Correlation Coefficient ◽  
Clinical Data ◽  
Mean Value ◽  
Structured Reporting ◽  
Quality Analysis ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Structured Report

Background: Structured reporting (SR) in radiology is becoming necessary and has recently been recognized by major scientific societies. This study aimed to build CT-based structured reports for lung cancer during the staging phase, in order to improve communication between radiologists, members of the multidisciplinary team and patients. Materials and Methods: A panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A modified Delphi exercise was used to build the structural report and to assess the level of agreement for all the report sections. The Cronbach’s alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to perform a quality analysis according to the average inter-item correlation. Results: The final SR version was built by including 16 items in the “Patient Clinical Data” section, 4 items in the “Clinical Evaluation” section, 8 items in the “Exam Technique” section, 22 items in the “Report” section, and 5 items in the “Conclusion” section. Overall, 55 items were included in the final version of the SR. The overall mean of the scores of the experts and the sum of scores for the structured report were 4.5 (range 1–5) and 631 (mean value 67.54, STD 7.53), respectively, in the first round. The items of the structured report with higher accordance in the first round were primary lesion features, lymph nodes, metastasis and conclusions. The overall mean of the scores of the experts and the sum of scores for staging in the structured report were 4.7 (range 4–5) and 807 (mean value 70.11, STD 4.81), respectively, in the second round. The Cronbach’s alpha (Cα) correlation coefficient was 0.89 in the first round and 0.92 in the second round for staging in the structured report. Conclusions: The wide implementation of SR is critical for providing referring physicians and patients with the best quality of service, and for providing researchers with the best quality of data in the context of the big data exploitation of the available clinical data. Implementation is complex, requiring mature technology to successfully address pending user-friendliness, organizational and interoperability challenges.

scholarly journals Structured reporting of computed tomography in the staging of colon cancer: a Delphi consensus proposal

2021 ◽  
Author(s):  
Vincenza Granata ◽  
Lorenzo Faggioni ◽  
Roberta Grassi ◽  
Roberta Fusco ◽  
Alfonso Reginelli ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Correlation Coefficient ◽  
Clinical Data ◽  
Mean Value ◽  
Structured Reporting ◽  
Quality Data ◽  
Cronbach’S Alpha ◽  
Imaging Protocol ◽  
Cronbach's Alpha ◽  
Structured Report

Abstract Background Structured reporting (SR) in radiology is becoming increasingly necessary and has been recognized recently by major scientific societies. This study aims to build structured CT-based reports in colon cancer during the staging phase in order to improve communication between the radiologist, members of multidisciplinary teams and patients. Materials and methods A panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology, was established. A modified Delphi process was used to develop the SR and to assess a level of agreement for all report sections. Cronbach’s alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to measure quality analysis according to the average inter-item correlation. Results The final SR version was built by including n = 18 items in the “Patient Clinical Data” section, n = 7 items in the “Clinical Evaluation” section, n = 9 items in the “Imaging Protocol” section and n = 29 items in the “Report” section. Overall, 63 items were included in the final version of the SR. Both in the first and second round, all sections received a higher than good rating: a mean value of 4.6 and range 3.6–4.9 in the first round; a mean value of 5.0 and range 4.9–5 in the second round. In the first round, Cronbach’s alpha (Cα) correlation coefficient was a questionable 0.61. In the first round, the overall mean score of the experts and the sum of scores for the structured report were 4.6 (range 1–5) and 1111 (mean value 74.07, STD 4.85), respectively. In the second round, Cronbach’s alpha (Cα) correlation coefficient was an acceptable 0.70. In the second round, the overall mean score of the experts and the sum of score for structured report were 4.9 (range 4–5) and 1108 (mean value 79.14, STD 1.83), respectively. The overall mean score obtained by the experts in the second round was higher than the overall mean score of the first round, with a lower standard deviation value to underline greater agreement among the experts for the structured report reached in this round. Conclusions A wide implementation of SR is of critical importance in order to offer referring physicians and patients optimum quality of service and to provide researchers with the best quality data in the context of big data exploitation of available clinical data. Implementation is a complex procedure, requiring mature technology to successfully address the multiple challenges of user-friendliness, organization and interoperability.

scholarly journals Computed Tomography Structured Reporting in the Staging of Lymphoma: A Delphi Consensus Proposal

2021 ◽  
Vol 10 (17) ◽  
pp. 4007
Author(s):  
Vincenza Granata ◽  
Silvia Pradella ◽  
Diletta Cozzi ◽  
Roberta Fusco ◽  
Lorenzo Faggioni ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Correlation Coefficient ◽  
Clinical Data ◽  
Internal Consistency ◽  
Clinical Evaluation ◽  
Mean Value ◽  
Structured Reporting ◽  
Imaging Protocol ◽  
Delphi Round ◽  
Referring Physicians

Structured reporting (SR) in radiology is becoming increasingly necessary and has been recognized recently by major scientific societies. This study aims to build structured CT-based reports for lymphoma patients during the staging phase to improve communication between radiologists, members of multidisciplinary teams, and patients. A panel of expert radiologists, members of the Italian Society of Medical and Interventional Radiology (SIRM), was established. A modified Delphi process was used to develop the SR and to assess a level of agreement for all report sections. The Cronbach’s alpha (Cα) correlation coefficient was used to assess internal consistency for each section and to measure quality analysis according to the average inter-item correlation. The final SR version was divided into four sections: (a) Patient Clinical Data, (b) Clinical Evaluation, (c) Imaging Protocol, and (d) Report, including n = 13 items in the “Patient Clinical Data” section, n = 8 items in the “Clinical Evaluation” section, n = 9 items in the “Imaging Protocol” section, and n = 32 items in the “Report” section. Overall, 62 items were included in the final version of the SR. A dedicated section of significant images was added as part of the report. In the first Delphi round, all sections received more than a good rating (≥3). The overall mean score of the experts and the sum of score for structured report were 4.4 (range 1–5) and 1524 (mean value of 101.6 and standard deviation of 11.8). The Cα correlation coefficient was 0.89 in the first round. In the second Delphi round, all sections received more than an excellent rating (≥4). The overall mean score of the experts and the sum of scores for structured report were 4.9 (range 3–5) and 1694 (mean value of 112.9 and standard deviation of 4.0). The Cα correlation coefficient was 0.87 in this round. The highest overall means value, highest sum of scores of the panelists, and smallest standard deviation values of the evaluations in this round reflect the increase of the internal consistency and agreement among experts in the second round compared to first round. The accurate statement of imaging data given to referring physicians is critical for patient care; the information contained affects both the decision-making process and the subsequent treatment. The radiology report is the most important source of clinical imaging information. It conveys critical information about the patient’s health and the radiologist’s interpretation of medical findings. It also communicates information to the referring physicians and records this information for future clinical and research use. The present SR was generated based on a multi-round consensus-building Delphi exercise and uses standardized terminology and structures, in order to adhere to diagnostic/therapeutic recommendations and facilitate enrolment in clinical trials, to reduce any ambiguity that may arise from non-conventional language, and to enable better communication between radiologists and clinicians.

scholarly journals Structured Reporting of Rectal Cancer Staging and Restaging: A Consensus Proposal

Cancers ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2135
Author(s):  
Vincenza Granata ◽  
Damiano Caruso ◽  
Roberto Grassi ◽  
Salvatore Cappabianca ◽  
Alfonso Reginelli ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Correlation Coefficient ◽  
Clinical Decision Making ◽  
Intraclass Correlation ◽  
Clinical Decision ◽  
Cancer Staging ◽  
Structured Reporting ◽  
Quality Analysis ◽  
Promising Tool ◽  
Structured Reports

Background: Structured reporting (SR) in oncologic imaging is becoming necessary and has recently been recognized by major scientific societies. The aim of this study was to build MRI-based structured reports for rectal cancer (RC) staging and restaging in order to provide clinicians all critical tumor information. Materials and Methods: A panel of radiologist experts in abdominal imaging, called the members of the Italian Society of Medical and Interventional Radiology, was established. The modified Delphi process was used to build the SR and to assess the level of agreement in all sections. The Cronbach’s alpha (Cα) correlation coefficient was used to assess the internal consistency of each section and to measure the quality analysis according to the average inter-item correlation. The intraclass correlation coefficient (ICC) was also evaluated. Results: After the second Delphi round of the SR RC staging, the panelists’ single scores and sum of scores were 3.8 (range 2–4) and 169, and the SR RC restaging panelists’ single scores and sum of scores were 3.7 (range 2–4) and 148, respectively. The Cα correlation coefficient was 0.79 for SR staging and 0.81 for SR restaging. The ICCs for the SR RC staging and restaging were 0.78 (p < 0.01) and 0.82 (p < 0.01), respectively. The final SR version was built and included 53 items for RC staging and 50 items for RC restaging. Conclusions: The final version of the structured reports of MRI-based RC staging and restaging should be a helpful and promising tool for clinicians in managing cancer patients properly. Structured reports collect all Patient Clinical Data, Clinical Evaluations and relevant key findings of Rectal Cancer, both in staging and restaging, and can facilitate clinical decision-making.

scholarly journals Blood Oxygenation Level Dependent Magnetic Resonance Imaging (MRI), Dynamic Contrast Enhanced MRI and Diffusion Weighted MRI for Benign and Malignant Breast Cancer Discrimination: A Preliminary Experience

Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2421
Author(s):  
Roberta Fusco ◽  
Vincenza Granata ◽  
Mauro Mattace Raso ◽  
Paolo Vallone ◽  
Alessandro Pasquale De Rosa ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Univariate Analysis ◽  
Mean Value ◽  
Blood Oxygenation ◽  
Breast Lesions ◽  
Dce Mri ◽  
Malignant Lesions ◽  
The Mean ◽  
And Diffusion ◽  
Skewness And Kurtosis

Purpose. To combine blood oxygenation level dependent magnetic resonance imaging (BOLD-MRI), dynamic contrast enhanced MRI (DCE-MRI), and diffusion weighted MRI (DW-MRI) in differentiation of benign and malignant breast lesions. Methods. Thirty-seven breast lesions (11 benign and 21 malignant lesions) pathologically proven were included in this retrospective preliminary study. Pharmaco-kinetic parameters including Ktrans, kep, ve, and vp were extracted by DCE-MRI; BOLD parameters were estimated by basal signal S0 and the relaxation rate R2*; and diffusion and perfusion parameters were derived by DW-MRI (pseudo-diffusion coefficient (Dp), perfusion fraction (fp), and tissue diffusivity (Dt)). The correlation coefficient, Wilcoxon-Mann-Whitney U-test, and receiver operating characteristic (ROC) analysis were calculated and area under the ROC curve (AUC) was obtained. Moreover, pattern recognition approaches (linear discrimination analysis and decision tree) with balancing technique and leave one out cross validation approach were considered. Results. R2* and D had a significant negative correlation (−0.57). The mean value, standard deviation, Skewness and Kurtosis values of R2* did not show a statistical significance between benign and malignant lesions (p > 0.05) confirmed by the ‘poor’ diagnostic value of ROC analysis. For DW-MRI derived parameters, the univariate analysis, standard deviation of D, Skewness and Kurtosis values of D* had a significant result to discriminate benign and malignant lesions and the best result at the univariate analysis in the discrimination of benign and malignant lesions was obtained by the Skewness of D* with an AUC of 82.9% (p-value = 0.02). Significant results for the mean value of Ktrans, mean value, standard deviation value and Skewness of kep, mean value, Skewness and Kurtosis of ve were obtained and the best AUC among DCE-MRI extracted parameters was reached by the mean value of kep and was equal to 80.0%. The best diagnostic performance in the discrimination of benign and malignant lesions was obtained at the multivariate analysis considering the DCE-MRI parameters alone with an AUC = 0.91 when the balancing technique was considered. Conclusions. Our results suggest that the combined use of DCE-MRI, DW-MRI and/or BOLD-MRI does not provide a dramatic improvement compared to the use of DCE-MRI features alone, in the classification of breast lesions. However, an interesting result was the negative correlation between R2* and D.

Rigorous time-domain analysis of statistically oriented graphene sheet fluctuations

2017 ◽  
Vol 36 (5) ◽  
pp. 1351-1363 ◽  
Author(s):  
Athanasios N. Papadimopoulos ◽  
Stamatios A. Amanatiadis ◽  
Nikolaos V. Kantartzis ◽  
Theodoros T. Zygiridis ◽  
Theodoros D. Tsiboukis
Keyword(s):  
Monte Carlo ◽  
Standard Deviation ◽  
Finite Difference ◽  
Surface Waves ◽  
Time Domain ◽  
Finite Difference Time Domain ◽  
Mean Value ◽  
Content Type ◽  
The Mean ◽  
Difference Time

Purpose Important statistical variations are likely to appear in the propagation of surface plasmon polariton waves atop the surface of graphene sheets, degrading the expected performance of real-life THz applications. This paper aims to introduce an efficient numerical algorithm that is able to accurately and rapidly predict the influence of material-based uncertainties for diverse graphene configurations. Design/methodology/approach Initially, the surface conductivity of graphene is described at the far infrared spectrum and the uncertainties of its main parameters, namely, the chemical potential and the relaxation time, on the propagation properties of the surface waves are investigated, unveiling a considerable impact. Furthermore, the demanding two-dimensional material is numerically modeled as a surface boundary through a frequency-dependent finite-difference time-domain scheme, while a robust stochastic realization is accordingly developed. Findings The mean value and standard deviation of the propagating surface waves are extracted through a single-pass simulation in contrast to the laborious Monte Carlo technique, proving the accomplished high efficiency. Moreover, numerical results, including graphene’s surface current density and electric field distribution, indicate the notable precision, stability and convergence of the new graphene-based stochastic time-domain method in terms of the mean value and the order of magnitude of the standard deviation. Originality/value The combined uncertainties of the main parameters in graphene layers are modeled through a high-performance stochastic numerical algorithm, based on the finite-difference time-domain method. The significant accuracy of the numerical results, compared to the cumbersome Monte Carlo analysis, renders the featured technique a flexible computational tool that is able to enhance the design of graphene THz devices due to the uncertainty prediction.

scholarly journals An image dehazing algorithm based on double priors constraint

2018 ◽  
Vol 189 ◽  
pp. 04009
Author(s):  
Kun Liu ◽  
Shiping Wang ◽  
Linyuan He ◽  
Duyan Bi ◽  
Shan Gao
Keyword(s):  
Standard Deviation ◽  
Mean Value ◽  
Experimental Results ◽  
Dark Channel Prior ◽  
Image Dehazing ◽  
Color Distortion ◽  
Local Media ◽  
Dark Channel

Aiming at the color distortion of the restored image in the sky region, we propose an image dehazing algorithm based on double priors constraint. Firstly, we divided the haze image into sky and non-sky regions. Then the Color-lines prior and dark channel prior are used for estimating the transmission of sky and non-sky regions respectively. After introducing color-lines prior to correct sky regions restored by the dark channel prior, we get an accurate transmission. Finally, the local media mean value and standard deviation are used to refine the transmission to obtain the dehazing image. Experimental results show that the algorithm has obvious advantages in the recovery of the sky area.

DICOM structured report: implementation notes for basic structured reporting system

2002 ◽  
Author(s):  
DongOok Kim ◽  
DongHyuk Lee ◽  
JinHyung Lee ◽  
HeeJung Park ◽  
HyunWoo Lim ◽  
...  
Keyword(s):  
Reporting System ◽  
Structured Reporting ◽  
Structured Report

Synchronous Issue of IR-Based Large Scale Volume Localization System

2014 ◽  
Vol 496-500 ◽  
pp. 1643-1647
Author(s):  
Ying Feng Wu ◽  
Gang Yan Li
Keyword(s):  
Standard Deviation ◽  
Mobile Robot ◽  
Large Volume ◽  
Large Scale ◽  
Image Acquisition ◽  
Mean Value ◽  
Network Synchronization ◽  
Localization System ◽  
Localization Performance ◽  
The Mean

IR-based large scale volume localization system (LSVLS) can localize the mobile robot working in large volume, which is constituted referring to the MSCMS-II. Hundreds cameras in LSVLS must be connected to the control station (PC) through network. Synchronization of cameras which are mounted on different control stations is significant, because the image acquisition of the target must be synchronous to ensure that the target is localized precisely. Software synchronization method is adopted to ensure the synchronization of camera. The mean value of standard deviation of eight cameras mounted on two workstations is 12.53ms, the localization performance of LSVLS is enhanced.

Linear discontinuous ground deformation detection based on coherence analysis of pre and post event radar image pairs

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Bartosz Apanowicz
Keyword(s):  
Standard Deviation ◽  
Correlation Coefficient ◽  
Underground Mining ◽  
Ground Deformation ◽  
Satellite Image ◽  
Coherence Analysis ◽  
Radar Images ◽  
Research Areas ◽  
Previous State ◽  
Signal Correlation

Abstract The article presents information on how to use satellite interferometry to detect linear discontinuous ground deformation [LDGD] caused by underground mining. Assumptions were made based on the properties of the SAR signal correlation coefficient (coherence). Places of LDGD have been identified based on these assumptions. Changes taking place on the surface between two acquisitions lead to worse correlation between two radar images. This results in lower values of the SAR signal correlation coefficient in the coherence maps. Therefore, it was assumed that the formation of LDGD could reduce the coherence value compared to the previous state. The second assumption was an increase in the standard deviation of coherence, which is a classic measurement of variability. Therefore any changes in the surface should lead to increasing standard deviation of coherence compared to the previous state. Images from the Sentinel-1 satellite and provided by the ESA were used for analysis. The research is presented on the basis of two research areas located in the Upper Silesian Coal Basin in the south of Poland. The area in which LDGD could occur was limited to 6 % of the total area in case 1 and 36 % in case 2 by applying an appropriate methodology of satellite image coherence analysis. This paper is an introduction to the development of a method of detecting LDGDs caused by underground mining and to study these issues further.

Sign in / Sign up

Export Citation Format

Share Document