Image analysis in posttreatment non-small cell lung cancer surveillance: specialists’ interpretations reviewed by the thoracic multidisciplinary tumor board
Rattachement africain : ch. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Data show that the initial specialist’s image interpretation and final multidisciplinary tumor board (MTB) assessment can vary substantially in the pretherapeutic cancer setting. The aim of this post hoc analysis was to investigate the concordance of the specialist’s and MTB’s image interpretations in patients undergoing systematic posttreatment lung cancer image surveillance. In the initial prospective study, lung cancer patients who had received curative-intent treatment were randomly assigned to undergo either contrast-enhanced computed tomography (CE-CT) or integrated 18F-fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT). Imaging was performed every 6 months for 2 years, and all imaging studies were finally assessed by our MTB. This post hoc analysis assessed differences between the initial specialist’s image interpretation and the final MTB’s image interpretation. In 89 patients, 266 imaging studies (129 PET-CT, 137 CE-CT) were analyzed. In 87.2% (88.4, 86.1%) of the studies, complete concordance was found. Out of the 12.8% (11.6, 13.9%) with discordant results, 7.5% (6.9, 8.0%) had implications for alterations in patient management (major disagreements). Twenty major disagreements were detected in 17 study patients. Retrospectively, in eight out of these 17 (47%) patients, in contrast to the MTB’s view, the specialist’s interpretation was more appropriate, whereas in nine out of 17 patients (53%), the MTB’s interpretation was more accurate. In an experienced MTB, the agreement between imaging specialists and the rest of the MTB with regard to the interpretation of images is high in a setting of posttreatment lung cancer image surveillance. It seems that in cases of disagreements, the rates of more accurate interpretation are well balanced between imaging specialists and the MTB. ISRCTN16281786 , Date 23. February 2017.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Image analysis in posttreatment non-small cell lung cancer surveillance: specialists’ interpretations reviewed by the thoracic multidisciplinary tumor board
- Date Crossref
- 01/12/2019
- Éditeur
- Mattioli1885
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Kantonsspital Aarau pays non établi dans la noticeÉtablissement de santé
-
Cantonal Hospital Aarau Department of Radiology pays non établi dans la noticeÉtablissement de santé
-
Clinic of Thoracic Surgery pays non établi dans la noticeÉtablissement de santé
-
Institute of Nuclear Medicine and PET-Center pays non établi dans la noticeStructure de recherche
-
Clinic of Oncology pays non établi dans la noticeÉtablissement de santé
-
Clinic of Radio-Oncology pays non établi dans la noticeÉtablissement de santé
-
Institute of Pathology pays non établi dans la noticeStructure de recherche
-
Clinic of Pulmonary and Sleep Medicine pays non établi dans la noticeÉtablissement de santé
Kantonsspital Aarau, Department of Radiology — Cantonal Hospital Aarau et Clinic of Thoracic Surgery, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.