Liver cancer is a highly prevalent malignancy of the digestive system in China. Hepatic imaging examinations, including CT and MRI, play a critical role in the screening, diagnosis, and therapeutic evaluation of liver cancer. To standardize terminology, reduce variability in imaging interpretation, and improve diagnostic consistency and accuracy, the Department of Radiology of West China Hospital of Sichuan University has developed a structured hepatic imaging report specifically designed for high-risk populations of primary liver cancer. This system is based on the 2018 version of the Liver Imaging Reporting and Data System published by the American College of Radiology. We introduce the design background, core elements, and practical application experience of the structured hepatic imaging report system developed by West China Hospital of Sichuan University, aiming to promote the standardization and uniformity of hepatic imaging evaluation for high-risk populations of liver cancer.
Breast cancer is a malignant tumor with the highest incidence and mortality rate among women worldwide. Early screening and standardized diagnosis and treatment of breast cancer are conducive to improving the survival rate of patients. Breast magnetic resonance imaging (MRI) plays a crucial role in the screening of high-risk populations, diagnosis, staging, and treatment efficacy evaluation. To improve the writing efficiency and diagnostic accuracy of breast MRI reports and promote standardized diagnosis and treatment of breast cancer, there is an urgent need for standardized structured imaging reports. We present the structured imaging report protocol of MRI for breast diseases utilized at West China Hospital of Sichuan university, which aims to promote standardized documentation of breast MRI reports.
The patients with rectal cancer account for 50% or more of patients with colorectal cancer. The rectal MRI plays a pivotal role in clinical practice for evaluating the treatment baseline of tumors. The structured report of magnetic resonance imaging (MRI) serves as the foundation so as to promote homogenized, standardized, and normalized diagnosis and treatment of rectal cancer. The MRI-based baseline evaluation structured reporting system for rectal cancer developed by West China Hospital of Sichuan University was presented, aiming to advance the standardization and normalization of imaging reports for treatment baseline assessment in rectal cancer.
The clinical diagnosis, treatment, and prognosis of gastric cancer heavily rely on imaging examinations. The conventional imaging reports often suffer from descriptive and non-structured issues, which may lead to omission of critical information or inconsistent interpretations, thereby compromising clinical decision-making. Therefore, the standardized radiological assessment for gastric cancer is of paramount importance. The West China Hospital of Sichuan University has involved in developing and implementing a structured CT imaging reporting for gastric cancer. This structured reporting, based on authoritative guidelines, integrates key diagnostic elements to ensure comprehensive information and standardized reporting, while also serving quality control and educational purposes. Now the design, application, and features of the structured reporting at West China Hospital are introduced, aiming to promote standardized documentation of gastric cancer imaging reports.
The radiology diagnosis report encapsulates radiologists’ comprehensive analytical insights and deep interpretive understanding of patients’ imaging data, serving as an essential basis for disease diagnosis, clinical treatment planning, and prognosis assessment. As the primary medium through which radiologists contribute substantively to patient’s care, traditional free-text reports represent subjective interpretations shaped by individual experience and stylistic preferences. Such reliance on personal factors can introduce inconsistencies and limitations in clinical applications. To address these challenges, structured radiology reporting has been developed. We present a concise overview of the origins, developmental trajectory, current landscape, and emerging trends of structured radiology reports, highlighting their role in advancing standardized.
Acute pancreatitis is a prevalent acute abdominal syndrome in clinical practice, characterized by a complex and variable course, numerous complications, high treatment challenges, and significant variability in prognosis. Imaging computed tomography (CT) plays an indispensable role in the diagnosis, classification, and severity assessment of acute pancreatitis. To ensure precise communication of the condition across departments and mutual recognition of imaging examination results among different medical institutions, there is an urgent need to establish standardized imaging reports for acute pancreatitis. We present the CT structured reporting for acute pancreatitis utilized at West China Hospital of Sichuan University, with the aim of promoting the standardization of CT report writing for acute pancreatitis.