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DC Field | Value | Language |
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dc.contributor.author | Lakhman, Yulia | - |
dc.contributor.author | D'Anastasi, Melvin | - |
dc.contributor.author | Miccò, Maura | - |
dc.contributor.author | Scelzo, Chiara | - |
dc.contributor.author | Vargas, Hebert Alberto | - |
dc.contributor.author | Nougaret, Stephanie | - |
dc.contributor.author | Sosa, Ramon E. | - |
dc.contributor.author | Chi, Dennis S. | - |
dc.contributor.author | Abu-Rustum, Nadeem R. | - |
dc.contributor.author | Hricak, Hedvig | - |
dc.contributor.author | Sala, Evis | - |
dc.date.accessioned | 2022-04-26T16:48:27Z | - |
dc.date.available | 2022-04-26T16:48:27Z | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | Lakhman, Y., D’Anastasi, M., Miccò, M., Scelzo, C., Vargas, H. A., Nougaret, S.,...Sala, E. (2016). Second-opinion interpretations of gynecologic oncologic MRI examinations by sub-specialized radiologists influence patient care. European Radiology, 26(7), 2089-2098. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/94464 | - |
dc.description.abstract | Purpose:To determine if second-opinion review of gynaecologic oncologic (GynOnc)magnetic resonance imaging (MRI) by sub-specialized radiologists impacts patient care. Methods: 469 second-opinion MRI interpretations rendered by GynOnc radiologists were retrospectively compared to the initial outside reports. Two gynaecologic surgeons, blinded to the reports’ origins, reviewed all cases with discrepancies between initial and second-opinion MRI reports and recorded whether these discrepancies would have led to a change in patient management defined as a change in treatment approach, counselling, or referral. Histopathology or minimum 6-month imaging follow-up were used to establish the diagnosis. Results: Second-opinion review of GynOnc MRIs would theoretically have affected management in 94/469 (20 %) and 101/469 (21.5 %) patients for surgeons 1 and 2, respectively. Specifically, second-opinion review would have theoretically altered treatment approach in 71/469 (15.1 %) and 60/469 (12.8 %) patients for surgeons 1 and 2, respectively. According to surgeons 1 and 2, these treatment changes would have prevented unnecessary surgery in 35 (7.5 %) and 31 (6.6 %) patients, respectively, and changed surgical procedure type/extent in 19 (4.1 %) and 12 (2.5 %) patients, respectively. Second-opinion interpretations were correct in 103 (83 %) of 124 cases with clinically relevant discrepancies between initial and second-opinion reports. Conclusions: Expert second-opinion review of GynOnc MRI influences patient care. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Springer | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Generative organs, Female -- Diseases -- Magnetic resonance imaging | en_GB |
dc.subject | Radiography, Medical -- Evaluation | en_GB |
dc.subject | Radiography, Medical -- Examinations, questions, etc. | en_GB |
dc.subject | Magnetic resonance imaging -- Examinations, questions, etc. | en_GB |
dc.title | Second-opinion interpretations of gynecologic oncologic MRI examinations by sub-specialized radiologists influence patient care | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1007/s00330-015-4040-5 | - |
dc.publication.title | European Radiology | en_GB |
Appears in Collections: | Scholarly Works - FacM&SCRNM |
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