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Structured reporting of gliomas based on VASARI criteria to improve report content and consistency

Goodkin, Olivia; Wu, Jiaming; Pemberton, Hugh; Prados, Ferran; Vos, Sjoerd B; Thust, Stefanie; Thornton, John; ... Barkhof, Frederik; + view all (2025) Structured reporting of gliomas based on VASARI criteria to improve report content and consistency. BMC Medical Imaging , 25 , Article 99. 10.1186/s12880-025-01603-6. Green open access

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Abstract

Purpose: Gliomas are the commonest malignant brain tumours. Baseline characteristics on structural MRI, such as size, enhancement proportion and eloquent brain involvement inform grading and treatment planning. Currently, free-text imaging reports depend on the individual style and experience of the radiologist. Standardisation may increase consistency of feature reporting. / Methods: We compared 100 baseline free-text reports for glioma MRI scans with a structured feature list based on VASARI criteria and performed a full second read to document which VASARI features were in the baseline report. / Results: We found that quantitative features including tumour size and proportion of necrosis and oedema/infiltration were commonly not included in free-text reports. Thirty-three percent of reports gave a description of size only, and 38% of reports did not refer to tumour size at all. Detailed information about tumour location including involvement of eloquent areas and infiltration of deep white matter was also missing from the majority of free-text reports. Overall, we graded 6% of reports as having omitted some key VASARI features that would alter patient management. / Conclusions: Tumour size and anatomical information is often omitted by neuroradiologists. Comparison with a structured report identified key features that would benefit from standardisation and/or quantification. Structured reporting may improve glioma reporting consistency, clinical communication, and treatment decisions.

Type: Article
Title: Structured reporting of gliomas based on VASARI criteria to improve report content and consistency
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12880-025-01603-6
Publisher version: https://doi.org/10.1186/s12880-025-01603-6
Language: English
Additional information: This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Keywords: Glioma, Magnetic resonance imaging (MRI), Structured reporting
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10207575
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