Professional Documents
Culture Documents
C-1928
Congress:
ECR 2014
Type:
Educational Exhibit
Authors:
Keywords:
DOI:
10.1594/ecr2014/C-1928
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Learning objectives
The purpose of this exhibit is:
1.- Review the different classifications created to standardize reporting and data
collection;
2.- Ilustrate the imaging findings of the proposed reporting systems;
3.- Discuss the advantages of standardize reports.
Background
The Breast Imaging Reporting and Data System (BI-RADS) is the only validated scoring
system that is currently in use in clinical practice. Its utility has been demostrated in
research, education, and in quality improvement [1].
In recent years there has been developed multiple, disease oriented systems based in
BI-RADS, however their utility has to be proved, effort is being done to validate this score
systems and apply them to daily clinical practice.
The potential benefits of standardization are to improve communication between
radiologist and clinicians, reduce omission of relevant information in reports, reduce
variability and error in image interpretation, facilitate outcome monitoring and provide a
tool for quality assurance and research.
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Fig. 1: BI-RADS
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Fig. 2: C-RADS
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Fig. 3: GI-RADS
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Fig. 4: LI-RADS
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Fig. 5: Lu-RADS
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Fig. 6: TI-RADS
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Table 7: Prostate Imaging Reporting and Data System (PI-RADS) scoring system
Fig. 7: Prostate cancer with Gleason score of 4+3=7 in a 81-year old man. A T2WI
demonstrates homogeneous low signal intensity focus with extra-capsular extension
(score 5). B ADC map demonstrates corresponding focal reduced ADC (arrow). There
was no increased signal intensity on DW image using high b value (not shown) (score
4). C Maximum slope parametric perfusion map show rapid enhancement, D Type 2
enhancement curve (score 3) PI-RADS total score: 12/15 PI-RADS overall score for
probability of being a significant cancer: 5
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Conclusion
These systems provide an organized approach to image interpretation and reporting,
also a framework for data collection and analysis, including quality assurance. The
standardize imaging reports facilitate patient management and communication between
clinicians and radiologists.
Personal information
S. Huicochea Castellanos, Department of Radiology, INCMNSZ, Vasco de Quiroga 15,
Tlalpan 14000, Mexico, DF.
A. Gonzalez-Aguirre, Department of Radiology, INCMNSZ, Vasco de Quiroga 15,
Tlalpan 14000, Mexico, DF.
M. Chapa Ibargengoitia, Department of Radiology, INCMNSZ, Vasco de Quiroga 15,
Tlalpan 14000, Mexico City, DF.
S. E. Vazquez, Department of Radiology, INCMNSZ, Vasco de Quiroga 15, Tlalpan
14000, Mexico, DF.
J. Vazquez Lamadrid, Department of Radiology, INCMNSZ, Vasco de Quiroga 15,
Tlalpan 14000, Mexico, DF.
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