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Lookup NU author(s): John Moir
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
© Author(s) (or their employer(s)) 2023. Objective: Appropriate staging of pancreatic cancer is essential to ensure patients are offered all treatment options. This multispecialty national collaborative consensus project aimed to develop a succinct radiological reporting template, using the concept of structured reporting, to allow a more standardised means of reporting pancreatic cancer and ultimately optimise both patient care and research protocol design. Methods and analysis: In stage one, a core group of stakeholders (oncologists, radiologists and surgeons) identified the current landscape of radiological reporting, including a blinded radiological validation study and a national survey of consultant HPB surgeons. Stage two used consensus panel development methodology to generate a provisional template draft. Stage three involved trialling the template across all UK HPB units, with feedback assisting the development of a final version of the template. Results: Stage one results identified a core dataset to develop a provisional template. Every UK Hepatopancreatobiliary (HPB) unit trialled this in clinical practice, leading to further refinements via consensus meetings. Ideal factors regarding tumour staging, extent of vascular involvement and response to systemic anticancer therapy were identified. This resulted in the generation of the PACT-UK (PAncreatic Cancer reporting Template-UK) template that is presented within the manuscript, as well as a user guide. Conclusion: This project has successfully produced the first consensus-driven radiological reporting template for pancreatic cancer, with the aim of its use becoming standard practice in the UK, while upcoming workshops facilitated by Royal College of Radiologists/British Society of Gastrointestinal and Abdominal Radiology will establish buy-in from radiologists at all HPB units. Plans for the use of PACT-UK within national audit and clinical trials are underway.
Author(s): Moir J, Radhakrishna G, Valle JW, Al-Adhami AS, Albazaz R, Jamieson N, Grose D, Roberts K, Ghaneh P, Smith A, Smith C, Skipworth J, Frampton AE, Goody R, Davidson B, Chapman S, Platt J, Godfrey EM, Karteszi H, Scott J, Saikia S, Dunne D, Chambers J, Turner P, Kocher HM, Aroori S, Cairns A, Ghaffar R, Pallan A, Wadhwani S, Bell JAF, Digby M, Hodson J, Shilston S, Liguori-Carino ND, Chang DK, Clarke CGD, Bhogal RH, Fusai GK, Saraswat L, Al-Sarireh B, Carrion-Martinez I, Puckett M, Farrell C, Foley KG, Bungay HK, Gomez D, Garcea G, Liau S-S, Paepe KND, Varra P
Publication type: Article
Publication status: Published
Journal: BMJ Oncology
Year: 2023
Volume: 2
Online publication date: 21/11/2023
Acceptance date: 26/07/2023
Date deposited: 25/06/2024
ISSN (electronic): 2752-7948
Publisher: BMJ Publishing Group
URL: https://doi.org/10.1136/bmjonc-2023-000055
DOI: 10.1136/bmjonc-2023-000055
Data Access Statement: Data sharing not applicable as no datasets generated and/or analysed for this study.
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