Background and Aims

Pancreatic ductal adenocarcinoma is an aggressive disease most often diagnosed after local progression or metastatic dissemination, precluding resection and resulting in a high mortality rate. For individuals with elevated personal risk of the development of pancreatic cancer, EUS is a frequently used advanced imaging and diagnostic modality. However, variability in the expertise and definition of EUS findings exists among gastroenterologists, as well as a lack of standardized reporting of relevant findings at the time of examination. Adoption of standardized EUS reporting, using a universally accepted and agreed on terminology, is needed.

Methods

A consensus statement designed to create a standardized reporting template was authored by a multidisciplinary group of experts in pancreatic diseases that includes gastroenterologists, radiologists, surgeons, oncologists, and geneticists. This statement was developed using a modified Delphi process as part of the Pancreatic Cancer Early Detection Consortium, and >75% agreement was required to reach consensus.

Results

We identified reporting elements and present standardized reporting templates for EUS indications, procedural data, EUS image capture, and descriptors of findings, tissue sampling, and postprocedural assessment of adequacy.

Conclusions

Adoption of this standardized EUS reporting template should improve consistency in clinical decision-making for individuals with elevated risk of pancreatic cancer by providing complete and accurate reporting of pancreatic abnormalities. Standardization will also help to facilitate research and clinical trial design by using clearly defined and consistent imaging descriptions, thus allowing for comparison of results across different centers.

中文翻译：

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胰腺癌高危个体 EUS 成像和报告的标准化：胰腺癌早期检测联盟的共识声明

背景和目标

胰腺导管腺癌是一种侵袭性疾病，最常在局部进展或转移扩散后诊断，排除切除并导致高死亡率。对于罹患胰腺癌的个人风险较高的个体，EUS 是一种常用的先进成像和诊断方式。然而，胃肠病学家对 EUS 发现的专业知识和定义存在差异，并且在检查时缺乏对相关发现的标准化报告。需要采用使用普遍接受和商定的术语的标准化 EUS 报告。

方法

旨在创建标准化报告模板的共识声明由胰腺疾病多学科专家小组撰写，其中包括胃肠病学家、放射科医师、外科医生、肿瘤学家和遗传学家。该声明是使用改良的德尔福流程作为胰腺癌早期检测联盟的一部分开发的，达成共识需要 >75% 的协议。

结果

我们确定了报告要素，并提供了用于 EUS 适应症、程序数据、EUS 图像捕获和发现描述、组织取样和充分性的程序后评估的标准化报告模板。

结论

采用这种标准化的 EUS 报告模板应该可以通过提供完整和准确的胰腺异常报告来提高胰腺癌风险升高个体临床决策的一致性。标准化还将通过使用明确定义和一致的影像描述来帮助促进研究和临床试验设计，从而允许比较不同中心的结果。