scholarly journals Structured Reporting in the Characterization of Renal Cysts by Contrast-Enhanced Ultrasound (CEUS) Using the Bosniak Classification System—Improvement of Report Quality and Interdisciplinary Communication

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 313
Author(s):  
Moritz L. Schnitzer ◽  
Laura Sabel ◽  
Vincent Schwarze ◽  
Constantin Marschner ◽  
Matthias F. Froelich ◽  
...  
Keyword(s):  
Interdisciplinary Communication ◽  
Renal Cysts ◽  
Structured Reporting ◽  
Free Text ◽  
Contrast Enhanced Ultrasound ◽  
Bosniak Classification ◽  
Renal Lesions ◽  
Report Quality ◽  
Contrast Enhanced ◽  
Cystic Renal Lesions

Background: This study aims to evaluate the potential benefits of structured reporting (SR) compared to conventional free-text reporting (FTR) in contrast-enhanced ultrasound (CEUS) of cystic renal lesions, based on the Bosniak classification. Methods: Fifty patients with cystic renal lesions who underwent CEUS were included in this single-center study. FTR created in clinical routine were compared to SR retrospectively generated by using a structured reporting template. Two experienced urologists evaluated the reports regarding integrity, effort for information extraction, linguistic quality, and overall quality. Results: The required information could easily be extracted by the reviewers in 100% of SR vs. 82% of FTR (p < 0.001). The reviewers trusted the information given by SR significantly more with a mean of 5.99 vs. 5.52 for FTR (p < 0.001). SR significantly improved the linguistic quality (6.0 for SR vs. 5.68 for FTR (p < 0.001)) and the overall report quality (5.98 for SR vs. 5.58 for FTR (p < 0.001)). Conclusions: SR significantly increases the quality of radiologic reports in CEUS examinations of cystic renal lesions compared to conventional FTR and represents a promising approach to facilitate interdisciplinary communication in the future.

Contrast-enhanced ultrasound (CEUS) of cystic renal lesions in comparison to CT and MRI in a multicenter setting

2020 ◽  
Vol 75 (4) ◽  
pp. 419-429 ◽  
Author(s):  
Markus Herbert Lerchbaumer ◽  
Franz Josef Putz ◽  
Johannes Rübenthaler ◽  
Julian Rogasch ◽  
Ernst-Michael Jung ◽  
...  
Keyword(s):  
Renal Cysts ◽  
Contrast Enhanced Ultrasound ◽  
Bosniak Classification ◽  
Intra Class Correlation ◽  
Renal Lesions ◽  
Contrast Enhanced ◽  
Imaging Results ◽  
Level 3 ◽  
Cystic Renal Lesions ◽  
Ct And Mri

PURPOSE: Contrast-enhanced-ultrasound (CEUS) has been frequently used in assessment of cystic renal lesions. OBJECTIVE: The aim of this study was to investigate the Bosniak classification in CEUS compared to CT and MRI in a multi-center setting. METHODS: Bosniak classification in CEUS examinations of cystic renal lesions were compared to imaging findings in computed-tomography (ceCT) and magnetic-resonance-imaging (ceMRI). Imaging results were correlated to histopathological reports. All examinations were performed by experts (EFSUMB level 3) using up-to-date CEUS examination-protocols. RESULTS: Overall, 173 cystic renal lesions were compared to subgroups CT (n = 87) and MRI (n = 86). Using Bosniak-classification 64/87 renal cysts (73.6%) were rated equal compared to CT with upgrade of four lesions (4.6%) and downgrade of 19 lesions (21.8%) by CT (Intra-class-correlation [ICC] coefficient of 0.824 [p < 0.001]). CEUS compared to MRI, presenting different scoring especially in classes Bosniak IIF (n = 16/31) and Bosniak III (n = 16/28) with an ICC coefficient of 0.651 (p < 0.001). CONCLUSION: CEUS can visualize even finest septal and small nodular wall enhancement, which may result in an upgrade of cystic lesions into a higher Bosniak class compared to CT or MRI. Thus, a modification of the Bosniak classification on CEUS may reduce unnecessary biopsies and surgery.

VALUE CONTRAST-ENHANCED ULTRASOUND IN THE DIAGNOSTIC EVALUATION OF COMPLEX CYSTIC RENAL LESIONS

2008 ◽  
Vol 179 (4S) ◽  
pp. 415-415
Author(s):  
Leo Pallwein ◽  
Michael Mitterberger ◽  
Johannes Gradl ◽  
Friedrich Aigner ◽  
Hannes Strasser ◽  
...  
Keyword(s):  
Diagnostic Evaluation ◽  
Contrast Enhanced Ultrasound ◽  
Renal Lesions ◽  
Contrast Enhanced ◽  
Cystic Renal Lesions

Comparison of Magnetic Resonance Imaging and Contrast-Enhanced Ultrasound as Diagnostic Options for Unclear Cystic Renal Lesions: A Cost-Effectiveness Analysis

2020 ◽  
Author(s):  
Felix Gassert ◽  
Moritz Schnitzer ◽  
Su Hwan Kim ◽  
Wolfgang G. Kunz ◽  
Benjamin Philipp Ernst ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Cost Effectiveness ◽  
Contrast Enhanced Ultrasound ◽  
Economic Point ◽  
Renal Lesions ◽  
Contrast Enhanced ◽  
Life Years ◽  
The Cost ◽  
Cystic Renal Lesions

Abstract Purpose Correct differentiation between malignant and benign incidentally found cystic renal lesions has critical implications for patient management. In several studies contrast-enhanced ultrasound (CEUS) showed higher sensitivity with respect to the accurate characterization of these lesions compared to MRI, but the cost-effectiveness of CEUS has yet to be investigated. The aim of this study was to analyze the cost-effectiveness of CEUS as an alternative imaging method to MRI for the characterization of incidentally found cystic renal lesions. Materials and Methods A decision model including the diagnostic modalities MRI and CEUS was created based on Markov simulations estimating lifetime costs and quality-adjusted life years (QALYs). The recent literature was reviewed to obtain model input parameters. The deterministic sensitivity of diagnostic parameters and costs was determined and probabilistic sensitivity analysis using Monte-Carlo Modelling was applied. Willingness-to-pay (WTP) was assumed to be $ 100 000/QALY. Results In the base-case scenario, the total costs for CEUS were $9654.43, whereas the total costs for MRI were $9675.03. CEUS resulted in an expected effectiveness of 8.06 QALYs versus 8.06 QALYs for MRI. Therefore, from an economic point of view, CEUS was identified as an adequate diagnostic alternative to MRI. Sensitivity analysis showed that results may vary if CEUS costs increase or those of MRI decrease. Conclusion Based on the results of the analysis, the use of CEUS was identified as a cost-effective diagnostic strategy for the characterization of incidentally found cystic renal lesions.

scholarly journals Structured Reporting Using CEUS LI-RADS for the Diagnosis of Hepatocellular Carcinoma (HCC)—Impact and Advantages on Report Integrity, Quality and Interdisciplinary Communication

Cancers ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 534
Author(s):  
Thomas Geyer ◽  
Johannes Rübenthaler ◽  
Constantin Marschner ◽  
Malte von Hake ◽  
Matthias P. Fabritius ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Information Extraction ◽  
Interdisciplinary Communication ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Structured Reporting ◽  
Free Text ◽  
Report Quality ◽  
Quality Of Reports ◽  
The Impact

Background: Our retrospective single-center study aims to evaluate the impact of structured reporting (SR) using a CEUS LI-RADS template on report quality compared to conventional free-text reporting (FTR) in contrast-enhanced ultrasound (CEUS) for the diagnosis of hepatocellular carcinoma (HCC). Methods: We included 50 patients who underwent CEUS for HCC staging. FTR created after these examinations were compared to SR retrospectively generated by using template-based online software with clickable decision trees. The reports were evaluated regarding report completeness, information extraction, linguistic quality and overall report quality by two readers specialized in internal medicine and visceral surgery. Results: SR significantly increased report completeness with at least one key feature missing in 31% of FTR vs. 2% of SR (p < 0.001). Information extraction was considered easy in 98% of SR vs. 86% of FTR (p = 0.004). The trust of referring physicians in the report was significantly increased by SR with a mean of 5.68 for SR vs. 4.96 for FTR (p < 0.001). SR received significantly higher ratings regarding linguistic quality (5.79 for SR vs. 4.83 for FTR (p < 0.001)) and overall report quality (5.75 for SR vs. 5.01 for FTR (p < 0.001)). Conclusions: Using SR instead of conventional FTR increases the overall quality of reports in CEUS examinations of HCC patients and may represent a valuable tool to facilitate clinical decision-making and improve interdisciplinary communication in the future.

ASSESSMENT OF RENAL CYSTS BASED ON BOSNIAK CLASSIFICATION: IMAGING AT CONTRAST-ENHANCED ULTRASOUND (CE-US) AND CORRELATION WITH COMPUTED TOMOGRAPHY (CT)

2009 ◽  
Vol 181 (4S) ◽  
pp. 826-827
Author(s):  
Jose L Gonzalez-Sala ◽  
Dario Garcia-Rojo ◽  
Eva Ballesteros ◽  
Antoni Malet ◽  
Angel Prera ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Renal Cysts ◽  
Contrast Enhanced Ultrasound ◽  
Bosniak Classification ◽  
Contrast Enhanced
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