Pancreatic ductal adenocarcinoma radiology reporting template: consensus statement of the Society of Abdominal Radiology and the American Pancreatic Association.

Pancreatic ductal adenocarcinoma is an aggressive malignancy with a high mortality rate. Proper determination of the extent of disease on imaging studies at the time of staging is one of the most important steps in optimal patient management. Given the variability in expertise and definition of disease extent among different practitioners as well as frequent lack of complete reporting of pertinent imaging findings at radiologic examinations, adoption of a standardized template for radiology reporting, using universally accepted and agreed on terminology for solid pancreatic neoplasms, is needed. A consensus statement describing a standardized reporting template authored by a multi-institutional group of experts in pancreatic ductal adenocarcinoma that included radiologists, gastroenterologists, and hepatopancreatobiliary surgeons was developed under the joint sponsorship of the Society of Abdominal Radiologists and the American Pancreatic Association. Adoption of this standardized imaging reporting template should improve the decision-making process for the management of patients with pancreatic ductal adenocarcinoma by providing a complete, pertinent, and accurate reporting of disease staging to optimize treatment recommendations that can be offered to the patient. Standardization can also help to facilitate research and clinical trial design by using appropriate and consistent staging by means of resectability status, thus allowing for comparison of results among different institutions.

[1]  R. Jeffrey,et al.  Isoattenuating pancreatic adenocarcinoma at multi-detector row CT: secondary signs. , 2002, Radiology.

[2]  P. Bhosale,et al.  Update on 3D and multiplanar MDCT in the assessment of biliary and pancreatic pathology , 2008, Abdominal Imaging.

[3]  Cheri L Canon,et al.  Resectability of pancreatic adenocarcinoma in patients with locally advanced disease downstaged by preoperative therapy: a challenge for MDCT. , 2010, AJR. American journal of roentgenology.

[4]  Jeffrey E. Lee,et al.  Borderline Resectable Pancreatic Cancer: Definitions, Management, and Role of Preoperative Therapy , 2006, Annals of Surgical Oncology.

[5]  D. Gouma,et al.  Ultrasonography, Computed Tomography and Magnetic Resonance Imaging for Diagnosis and Determining Resectability of Pancreatic Adenocarcinoma: A Meta-Analysis , 2005, Journal of computer assisted tomography.

[6]  John E. Mullinax,et al.  Survival After Pancreaticoduodenectomy is not Improved by Extending Resections to Achieve Negative Margins , 2009, Annals of surgery.

[7]  S. Park,et al.  Visually isoattenuating pancreatic adenocarcinoma at dynamic-enhanced CT: frequency, clinical and pathologic characteristics, and diagnosis at imaging examinations. , 2010, Radiology.

[8]  Curtis P Langlotz,et al.  The radiology report of the future: a summary of the 2007 Intersociety Conference. , 2008, Journal of the American College of Radiology : JACR.

[9]  E. Feuer,et al.  SEER Cancer Statistics Review, 1975-2003 , 2006 .

[10]  B. Lapuyade,et al.  An evaluation of the accuracy of CT when determining resectability of pancreatic head adenocarcinoma after neoadjuvant treatment. , 2013, European journal of radiology.

[11]  Bond-Smith Giles,et al.  Only women with symptoms need to have their breast implants removed, says government , 2012 .

[12]  R. Pellicano,et al.  Endoscopic ultrasonography for pancreatic cancer: current and future perspectives. , 2013, Journal of gastrointestinal oncology.

[13]  H. Hricak,et al.  Improving Communication of Diagnostic Radiology Findings through Structured Reporting 1 , 2011 .

[14]  D. Lu,et al.  Local staging of pancreatic cancer: criteria for unresectability of major vessels as revealed by pancreatic-phase, thin-section helical CT. , 1997, AJR. American journal of roentgenology.

[15]  C. Compton,et al.  The American Joint Committee on Cancer: the 7th Edition of the AJCC Cancer Staging Manual and the Future of TNM , 2010, Annals of Surgical Oncology.

[16]  Nancy Knight,et al.  Radiology reporting, past, present, and future: the radiologist's perspective. , 2007, Journal of the American College of Radiology : JACR.

[17]  A. Jemal,et al.  Cancer statistics, 2012 , 2012, CA: a cancer journal for clinicians.

[18]  G. Varadhachary Preoperative therapies for resectable and borderline resectable pancreatic cancer. , 2011, Journal of gastrointestinal oncology.

[19]  R. Adams,et al.  Pancreas-Protocol Imaging at a High-Volume Center Leads to Improved Preoperative Staging of Pancreatic Ductal Adenocarcinoma , 2011, Annals of Surgical Oncology.

[20]  Sukru Mehmet Erturk,et al.  MDCT of pancreatic adenocarcinoma: optimal imaging phases and multiplanar reformatted imaging. , 2006, AJR. American journal of roentgenology.

[21]  Kenneth J. Chang,et al.  Pretreatment Assessment of Resectable and Borderline Resectable Pancreatic Cancer: Expert Consensus Statement , 2009, Annals of Surgical Oncology.

[22]  A. Levy Pancreatic Adenocarcinoma: Value of Multidetector CT Angiography in Preoperative Evaluation , 2008 .

[23]  G. Kazemier,et al.  Staging for locally advanced pancreatic cancer. , 2009, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[24]  R. Hruban,et al.  Pancreatic cancer , 2011, The Lancet.

[25]  A. Plumb,et al.  Survey of hospital clinicians' preferences regarding the format of radiology reports. , 2009, Clinical radiology.

[26]  D. Klimstra,et al.  Long-term survival after curative resection for pancreatic ductal adenocarcinoma. Clinicopathologic analysis of 5-year survivors. , 1996, Annals of surgery.

[27]  C. Compton,et al.  AJCC Cancer Staging Manual , 2002, Springer New York.

[28]  D. Lu,et al.  Staging of pancreatic adenocarcinoma by imaging studies. , 2008, Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.

[29]  E. Nakakura,et al.  Pancreatic Adenocarcinoma, version 2.2012: featured updates to the NCCN Guidelines. , 2012, Journal of the National Comprehensive Cancer Network : JNCCN.

[30]  J. Zalcberg,et al.  Radiology reporting templates in oncology: A time for change , 2009, Journal of medical imaging and radiation oncology.

[31]  Priya R Bhosale,et al.  Imaging of pancreatic adenocarcinoma: update on staging/resectability. , 2012, Radiologic clinics of North America.

[32]  D. Sahani,et al.  Radiology of pancreatic adenocarcinoma: Current status of imaging , 2007, Journal of gastroenterology and hepatology.

[33]  Jae Young Lee,et al.  Small (≤ 20 mm) pancreatic adenocarcinomas: analysis of enhancement patterns and secondary signs with multiphasic multidetector CT. , 2011, Radiology.

[34]  C. Ko,et al.  Effect of hospital volume on margin status after pancreaticoduodenectomy for cancer. , 2008, Journal of the American College of Surgeons.

[35]  Gina Brown,et al.  A systematic approach to the interpretation of preoperative staging MRI for rectal cancer. , 2008, AJR. American journal of roentgenology.

[36]  D. Larson,et al.  Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. , 2013, Radiology.

[37]  Myeong-Jin Kim,et al.  Effects of neoadjuvant combined chemotherapy and radiation therapy on the CT evaluation of resectability and staging in patients with pancreatic head cancer. , 2009, Radiology.

[38]  E. Nakakura,et al.  Pancreatic Adenocarcinoma , 2019 .