OBJECTIVES To assess a disease-specific structured report (dsSR) for CT staging of ovarian malignancy compared to a simple structured report (sSR). METHODS This is a HIPAA-compliant, IRB-approved study with waiver of informed consent. An adnexal mass-specific structured reporting CT template was developed in collaboration between gynecologic oncologists and diagnostic radiologists. The study population included 24 consecutive women who had a staging CT prior to undergoing debulking surgery for a primary ovarian malignancy. Objective evaluation by radiologists for the presence of 19 key features and subjective evaluation by gynecologic oncologists were performed to assess the clarity and usefulness for procedural planning of dsSR and sSR. Accuracy, sensitivity, and specificity were assessed using operating room notes and pathology reports as the reference standard. RESULTS Fewer key features were missing from dsSR than sSR: 0.2 ± 0.8 (range 0-2) vs.10.2 ± 1.7 (range 7-14), respectively (p < 0.0001). Compared to sSR, gynecologic oncologists deemed dsSR more helpful (4.3 ± 0.7 vs. 3.7 ± 0.8, p < 0.0001) and easier to understand (4.3 ± 0.6 vs. 3.9 ± 0.7, p = 0.0057) (on a scale 0-5, 0 not helpful/very difficult to understand; 5 extremely helpful/very clear to understand). Gynecologic oncologists reported a higher rate of potential to modify their surgical approach based on dsSR (33-42%) compared to sSR (13-17%), p = 0.004. CONCLUSIONS Disease-specific structured reports were more reliable than simple structured reports in describing key features essential for procedural planning. dsSR was described as more helpful and easier to understand and more likely to lead to modification of the surgical approach by gynecologic oncologists compared to sSR. KEY POINTS • Disease-specific structured report is easier to understand and more helpful for planning gynecological surgery as compared with simple structured report. • Disease-specific structured report for pre-operative evaluation of ovarian cancer provides better documentation of essential features required for surgical planning as compared with simple structured report. • Disease-specific structured report has the potential to modify the surgical approach as assessed by gynecologic oncologists.

中文翻译：

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与简单结构化报告相比，具有特定疾病结构化报告的肾上腺肿块分期CT。

目的评估与单纯结构化报告（sSR）相比，针对卵巢恶性肿瘤CT分期的疾病特异性结构化报告（dsSR）。方法这是一项符合HIPAA要求，IRB批准的研究，无需知情同意。妇科肿瘤科医生和放射诊断医生合作开发了附件质量特定结构化报告CT模板。这项研究的人群包括24例在原发性卵巢恶性肿瘤接受减瘤手术前接受过分期CT扫描的女性。放射科医生对19个关键特征的存在进行了客观评估，妇科肿瘤科医生进行了主观评估，以评估dsSR和sSR程序规划的清晰度和实用性。准确性，灵敏度，使用手术室记录和病理报告作为参考标准评估特异性和特异性。结果dsSR缺少的关键特征少于sSR：分别为0.2±0.8（范围0-2）和10.2±1.7（范围7-14）（p <0.0001）。与sSR相比，妇科肿瘤学家认为dsSR更有用（4.3±0.7 vs. 3.7±0.8，p <0.0001）并且更易于理解（4.3±0.6 vs. 3.9±0.7，p = 0.0057）（0-5分， 0个没有帮助/非常难以理解； 5个非常有帮助/非常清楚）。妇科肿瘤学家报告说，与sSR（13-17％）相比，基于dsSR（33-42％）修改其手术方法的潜力更高，p = 0.004。结论在描述程序规划必不可少的关键特征时，特定于疾病的结构化报告比简单的结构化报告更可靠。与sSR相比，dsSR被描述为更有用，更容易理解，并且更有可能导致妇科肿瘤科医生对手术方法进行修改。要点•与简单的结构化报告相比，特定疾病的结构化报告更易于理解，对规划妇科手术更有用。•与简单的结构化报告相比，用于卵巢癌术前评估的疾病特定结构化报告提供了更好的手术计划所需基本特征的文档。•特定疾病的结构化报告可能会改变妇科肿瘤科医生评估的手术方法。要点•与简单的结构化报告相比，特定疾病的结构化报告更易于理解，对规划妇科手术更有用。•与简单的结构化报告相比，用于卵巢癌术前评估的疾病特定结构化报告提供了更好的手术计划所需基本特征的文档。•根据妇科肿瘤学家的评估，针对疾病的结构化报告可能会修改手术方法。要点•与简单的结构化报告相比，特定疾病的结构化报告更易于理解，对规划妇科手术更有用。•与简单的结构化报告相比，用于卵巢癌术前评估的疾病特定结构化报告提供了更好的手术计划所需基本特征的文档。•特定疾病的结构化报告可能会改变妇科肿瘤科医生评估的手术方法。