Current and future use of radiological images in the management of gynecological malignancies - a survey of practice in the UK

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Title: Current and future use of radiological images in the management of gynecological malignancies - a survey of practice in the UK
Authors: Dilley, J
Pratt, P
Kyrgiou, M
Flott, K
Darzi, A
Mayer, E
Item Type: Journal Article
Abstract: Background/Aim: Radiology provides increasingly accurate and complex information. Understanding the clinicians' interpretation of scans could improve surgical planning, decision-making; informed training and development of augmented imaging. This was a survey exploring the interpretation of imaging by clinicians and its use in operative preparation and prediction. Materials and Methods: The survey was open for two-months and circulated online to British Gynaecological Cancer society members. Results: Seventy-three (19%) members completed the survey. Respondents had a confidence level of 51% in their ability to interpret computed tomography (CT) and/or magnetic resonance imaging (MRI) images independently. Preoperative imaging was commonly used to plan operations, predict complications and complete resection. Images were reviewed for primary (96.3%)/interval (92.6%) ovarian debulking, but less so for vulvectomy (45%). Scan (79.6%) and multidisciplinary team meeting (MDT) (66.6%) reports were used more often than scan images (50%) for operative planning. Amount and pattern of disease on scan were the most important factors predicting operating time. Conclusion: Imaging influences the surgeon's planning, however respondents lack confidence. Training of clinicians in radiological interpretation needs to improve. Augmented image interfaces could facilitate this.
Issue Date: 1-Oct-2018
Date of Acceptance: 24-Sep-2018
URI: http://hdl.handle.net/10044/1/66888
DOI: httpps://dx.doi.org/10.21873/anticanres.12929
ISSN: 0250-7005
Publisher: International Institute of Anticancer Research
Start Page: 5867
End Page: 5876
Journal / Book Title: Anticancer Research
Volume: 38
Issue: 10
Copyright Statement: © 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: RDB04 79560
RD207
Keywords: Science & Technology
Life Sciences & Biomedicine
Oncology
Gynecology
radiology
images
management
training
ONCOLOGY
MULTICENTER
LAPAROSCOPY
PITFALLS
SURGERY
SKILLS
PACS
CT
Decision Making
Female
Genital Neoplasms, Female
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Practice Patterns, Physicians'
Preoperative Care
Surveys and Questionnaires
Tomography, X-Ray Computed
United Kingdom
1112 Oncology And Carcinogenesis
Oncology & Carcinogenesis
Publication Status: Published
Appears in Collections:Division of Surgery
Faculty of Medicine



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