Software-assisted structured reporting and semi-automated TNM classification for NSCLC staging in a multicenter proof of concept study.

Lung Non-small-cell lung carcinoma PET-CT TNM classification

Journal

Insights into imaging
ISSN: 1869-4101
Titre abrégé: Insights Imaging
Pays: Germany
ID NLM: 101532453

Informations de publication

Date de publication:
28 Oct 2024
Historique:
received: 08 07 2024
accepted: 28 09 2024
medline: 28 10 2024
pubmed: 28 10 2024
entrez: 28 10 2024
Statut: epublish

Résumé

In this multi-center study, we proposed a structured reporting (SR) framework for non-small cell lung cancer (NSCLC) and developed a software-assisted tool to automatically translate image-based findings and annotations into TNM classifications. The aim of this study was to validate the software-assisted SR tool for NSCLC, assess its potential clinical impact in a proof-of-concept study, and evaluate current reporting standards in participating institutions. A framework for SR and staging of NSCLC was developed in a multi-center collaboration. SR annotations and descriptions were used to generate semi-automated TNM classification. The SR and TNM classification tools were evaluated by nine radiologists on n = 20 representative [18F]FDG PET/CT studies and compared to the free text reporting (FTR) strategy. Results were compared to a multidisciplinary team reference using a generalized linear mixed model (GLMM). Additionally, participants were surveyed on their experience with SR and TNM classification. Overall, GLMM analysis revealed that readers using SR were 1.707 (CI: 1.137-2.585) times more likely to correctly classify TNM status compared to FTR strategy (p = 0.01) resulting in increased overall TNM correctness in 71.9% (128/178) of cases compared to 62.8% (113/180) FTR. The primary source of variation in classification accuracy was explained by case complexity. Participants rated the potential impact of SR and semi-automated TNM classification as positive across all categories with improved scores after template validation. This multi-center study yielded an effective software-assisted SR framework for NSCLC. The SR and semi-automated classification tool improved TNM classification and were perceived as valuable. Software-assisted SR provides robust input for semi-automated rule-based TNM classification in non-small-cell lung carcinoma (NSCLC), improves TNM correctness compared to FTR, and was perceived as valuable by radiology physicians. SR and TNM classification are underutilized across participating centers for NSCLC staging. Software-assisted SR has emerged as a promising strategy for oncologic assessment. Software-assisted SR facilitates semi-automated TNM classification with improved staging accuracy compared to free-text reports in NSCLC.

Identifiants

pubmed: 39466506
doi: 10.1186/s13244-024-01836-z
pii: 10.1186/s13244-024-01836-z
doi:

Types de publication

Journal Article

Langues

eng

Pagination

258

Subventions

Organisme : German Research Foundation (DFG)
ID : EXC 2145 SyNergy - ID 390857198

Informations de copyright

© 2024. The Author(s).

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Auteurs

Maurice M Heimer (MM)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany. Maurice.Heimer@med.uni-muenchen.de.
Bavarian Cancer Research Center (BZKF), Erlangen, Germany. Maurice.Heimer@med.uni-muenchen.de.

Yevgeniy Dikhtyar (Y)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Bavarian Cancer Research Center (BZKF), Erlangen, Germany.

Boj F Hoppe (BF)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.

Felix L Herr (FL)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.

Anna Theresa Stüber (AT)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Department of Statistics, LMU Munich, Munich, Germany.
Munich Center for Machine Learning (MCML), Munich, Germany.

Tanja Burkard (T)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.

Emma Zöller (E)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.

Matthias P Fabritius (MP)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.

Lena Unterrainer (L)

Department of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.

Lisa Adams (L)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Department of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, Germany.

Annette Thurner (A)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany.

David Kaufmann (D)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Augsburg, Augsburg, Germany.

Timo Trzaska (T)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Augsburg, Augsburg, Germany.

Markus Kopp (M)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Institute of Radiology, University Hospital Erlangen, Erlangen, Germany.

Okka Hamer (O)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

Katharina Maurer (K)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

Inka Ristow (I)

Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg Eppendorf, Hamburg, Germany.

Matthias S May (MS)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Institute of Radiology, University Hospital Erlangen, Erlangen, Germany.

Amanda Tufman (A)

Department of Pneumology, LMU University Hospital, LMU Munich, Munich, Germany.
Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.

Judith Spiro (J)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.

Matthias Brendel (M)

Bavarian Cancer Research Center (BZKF), Erlangen, Germany.
German Center for Neurodegenerative Diseases (DZNE), Munich, Germany.
Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.

Michael Ingrisch (M)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Munich Center for Machine Learning (MCML), Munich, Germany.

Jens Ricke (J)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Bavarian Cancer Research Center (BZKF), Erlangen, Germany.

Clemens C Cyran (CC)

Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Bavarian Cancer Research Center (BZKF), Erlangen, Germany.

Classifications MeSH