Audit of radiology reports of patients with neoplasms performed on computed tomography

Natalia Staver, I. Codreanu
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Abstract

Background: Evaluation of the peculiarities of radiology reports of patients with neoplasms of the abdomen and pelvis to optimize clinical imaging management. Material and methods: The study included 104 patients, divided into two groups, experimental group (L2) and control group (L1), repeatedly investigated by computed tomography in 2009-2019, a total of 440 examinations, of which 120 prospective examinations and 320 retrospective examinations, aged between 25 and 85 years, with primary tumors of the abdomen and pelvis. Results: Four specific descriptive criteria were analyzed from radiology reports and were obtained the following results: specification of the scanning protocols in radiology reports (0% for L1 and 95.3% for L2), specifying the reason for the examination in radiology reports (100% for L1 and 26.0% for L2), use of international terminology in radiology reports (0% for L1 and 74% for L2), patient follow-up in radiology reports (88.5% for L1 and 59.8 % for L2). Conclusions: Following the SWOT analysis of the radiology reports, has been developed a standardized model for describing CT images of patients with oncological pathologies of the abdomen and pelvis. The decision-making process was built on Strengths, eliminating Weaknesses, exploiting Opportunities and removing Threats.
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计算机断层扫描对肿瘤患者放射学报告的审核
背景:评估腹部和骨盆肿瘤患者放射学报告的特点,以优化临床影像学管理。材料和方法:该研究纳入了104名患者,分为两组,实验组(L2)和对照组(L1),在2009-2019年通过计算机断层扫描进行了反复调查,共进行了440次检查,其中120次前瞻性检查和320次回顾性检查,年龄在25至85岁之间,患有原发性腹部和骨盆肿瘤。结果:从放射学报告中分析了四个具体的描述性标准,并获得了以下结果:放射学报告中扫描协议的规范(L1为0%,L2为95.3%),放射学报告中检查的原因的说明(L1为100%,L2为26.0%),放射学报告中国际术语的使用(L1为0,L2为74%),放射学报告中的患者随访(L1为88.5%,L2为59.8%)。结论:根据放射学报告的SWOT分析,已经开发出一个标准化的模型来描述腹部和骨盆肿瘤病理患者的CT图像。决策过程建立在优势、消除劣势、利用机遇和消除威胁的基础上。
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