Structured reporting of computed tomography in the polytrauma patient assessment: a Delphi consensus proposal
Vincenza Granata, Roberta Fusco, Diletta Cozzi, Ginevra Danti, Lorenzo Faggioni, Duccio Buccicardi, Roberto Prost, Riccardo Ferrari, Margherita Trinci, Michele Galluzzo, Francesca Iacobellis, Mariano Scaglione, Michele Tonerini, Francesca Coppola, Chandra Bortolotto, Damiano Caruso, Eleonora Ciaghi, Michela Gabelloni, Marco Rengo, Giuliana Giacobbe, Francesca Grassi, Luigia Romano, Antônio Germane Alves Pinto, Ferdinando Caranci, Elena Bertelli, Paolo D’Andrea, Emanuele Neri, Andrea Giovagnoni, Roberto Grassi, Vittorio Miele
Abstract
OBJECTIVES: To develop a structured reporting (SR) template for whole-body CT examinations of polytrauma patients, based on the consensus of a panel of emergency radiology experts from the Italian Society of Medical and Interventional Radiology. METHODS: A multi-round Delphi method was used to quantify inter-panelist agreement for all SR sections. Internal consistency for each section and quality analysis in terms of average inter-item correlation were evaluated by means of the Cronbach's alpha (Cα) correlation coefficient. RESULTS: The final SR form included 118 items (6 in the "Patient Clinical Data" section, 4 in the "Clinical Evaluation" section, 9 in the "Imaging Protocol" section, and 99 in the "Report" section). The experts' overall mean score and sum of scores were 4.77 (range 1-5) and 257.56 (range 206-270) in the first Delphi round, and 4.96 (range 4-5) and 208.44 (range 200-210) in the second round, respectively. In the second Delphi round, the experts' overall mean score was higher than in the first round, and standard deviation was lower (3.11 in the second round vs 19.71 in the first round), reflecting a higher expert agreement in the second round. Moreover, Cα was higher in the second round than in the first round (0.97 vs 0.87). CONCLUSIONS: Our SR template for whole-body CT examinations of polytrauma patients is based on a strong agreement among panel experts in emergency radiology and could improve communication between radiologists and the trauma team.