User requirements for quantitative radiological reports in multiple sclerosis.

IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
European Radiology Pub Date : 2025-10-01 Epub Date: 2025-04-16 DOI:10.1007/s00330-025-11544-x
David R van Nederpelt, Zoe C Mendelsohn, Lonneke Bos, Rozemarijn M Mattiesing, Olga Ciccarelli, Jaume Sastre-Garriga, Ferran Prados Carrasco, Joost P A Kuijer, Hugo Vrenken, Joep Killestein, Menno M Schoonheim, Bastiaan Moraal, Tarek Yousry, Giuseppe Pontillo, Àlex Rovira, Eva M M Strijbis, Bas Jasperse, Frederik Barkhof
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引用次数: 0

Abstract

Objectives: Quantitative radiological reports (QReports) can enhance clinical management of multiple sclerosis (MS) by including quantitative data from MRI scans. However, the lack of consensus on the specific information to include, on and clinicians' preferences, hinders the adoption of these imaging analysis tools. This study aims to facilitate the clinical implementation of QReports by determining clinicians' requirements regarding their use in MS management.

Materials and methods: A four-phase Delphi panel approach was employed, involving neurologists and (neuro)radiologists across Europe. Initial interviews with experts helped develop a questionnaire addressing various QReport aspects. This questionnaire underwent refinement based on feedback and was distributed through the MAGNIMS network. A second questionnaire, incorporating additional questions, was circulated following a plenary discussion at the MAGNIMS workshop in Milan in November 2023. Responses from both questionnaire iterations were collected and analyzed, with adjustments made based on participant feedback.

Results: The study achieved a 49.6% response rate, involving 78 respondents. Key preferences and barriers to QReport adoption were identified, highlighting the importance of integration into clinical workflows, cost-effectiveness, educational support for interpretation, and validation standards. Strong consensus emerged on including detailed lesion information and specific brain and spinal cord volume measurements. Concerns regarding report generation time, data protection, and reliability were also raised.

Conclusion: While QReports show potential for improving MS management, incorporation of the key metrics and addressing the identified barriers related to cost, validation, integration, and clinician education is crucial for practical implementation. These recommendations for developers to refine QReports could enhance their utility and adoption in clinical practice.

Key points: Question A lack of consensus on essential features for quantitative magnetic resonance imaging reports limits their integration into multiple sclerosis management. Findings This study identified key preferences, including detailed lesion information, specific brain and spinal cord measurements, and rigorous validation for effective quantitative reports. Clinical relevance This study identified essential features and barriers for implementing quantitative radiological reports in multiple sclerosis management, aiming to enhance clinical workflows, improve disease monitoring, and ultimately provide better, data-driven care for patients through tailored imaging solutions.

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多发性硬化症定量放射报告的用户要求。
目的:定量放射学报告(QReports)可以通过包括MRI扫描的定量数据来加强多发性硬化症(MS)的临床管理。然而,缺乏共识的具体信息,包括和临床医生的偏好,阻碍了这些成像分析工具的采用。本研究旨在通过确定临床医生在MS管理中使用QReports的要求,促进QReports的临床实施。材料和方法:采用四阶段德尔菲小组方法,涉及整个欧洲的神经科医生和(神经)放射科医生。与专家的初步访谈帮助制定了一份针对QReport各个方面的调查问卷。该问卷根据反馈进行了改进,并通过MAGNIMS网络分发。在2023年11月在米兰举行的MAGNIMS讲习班全体讨论之后,分发了第二份调查问卷,其中包含了其他问题。收集和分析了两次问卷调查的反馈,并根据参与者的反馈进行了调整。结果:调查对象78人,回复率49.6%。确定了采用QReport的关键偏好和障碍,强调了整合到临床工作流程、成本效益、解释的教育支持和验证标准中的重要性。在包括详细的病变信息和特定的脑和脊髓体积测量方面出现了强烈的共识。对报告生成时间、数据保护和可靠性的担忧也被提出。结论:虽然QReports显示了改善MS管理的潜力,但纳入关键指标并解决与成本、验证、整合和临床医生教育相关的障碍对于实际实施至关重要。这些针对开发人员改进QReports的建议可以提高它们在临床实践中的实用性和采用率。对定量磁共振成像报告的基本特征缺乏共识,限制了它们与多发性硬化症管理的整合。该研究确定了关键偏好,包括详细的病变信息,特定的脑和脊髓测量,以及有效定量报告的严格验证。本研究确定了在多发性硬化症管理中实施定量放射报告的基本特征和障碍,旨在加强临床工作流程,改善疾病监测,并最终通过量身定制的成像解决方案为患者提供更好的数据驱动护理。
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来源期刊
European Radiology
European Radiology 医学-核医学
CiteScore
11.60
自引率
8.50%
发文量
874
审稿时长
2-4 weeks
期刊介绍: European Radiology (ER) continuously updates scientific knowledge in radiology by publication of strong original articles and state-of-the-art reviews written by leading radiologists. A well balanced combination of review articles, original papers, short communications from European radiological congresses and information on society matters makes ER an indispensable source for current information in this field. This is the Journal of the European Society of Radiology, and the official journal of a number of societies. From 2004-2008 supplements to European Radiology were published under its companion, European Radiology Supplements, ISSN 1613-3749.
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