To construct a CT structural report of laryngeal cancer based on the 8th edition of the American Joint Committee on Cancer TN staging system and evaluate its value
10.3969/j.issn.1002-1671.2025.04.007
- VernacularTitle:基于美国癌症联合委员会第8版TN分期构建喉癌CT的结构式报告并评估其价值
- Author:
Zhongren TANG
1
;
Pengtao LIU
;
Xilong YANG
;
Qing LI
;
Shuang XIA
Author Information
1. 海阳市人民医院放射科,山东 烟台 265100
- Publication Type:Journal Article
- Keywords:
structured report;
narrative report;
laryngeal cancer;
computed tomography;
T staging;
N staging
- From:
Journal of Practical Radiology
2025;41(4):569-573
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of structured report(SR)for CT scans in laryngeal cancer.Methods Accord-ing to the American Joint Committee on Cancer(AJCC)8th edition TN staging,the SR template of CT suitable for initial diagnosis and staging of laryngeal cancer was constructed.It included 5 tumor-related points,4 lymph node-related points,and T and N staging.The differences in the occurrence rate of 11 key points and the accuracy of T and N staging between SR and narrative report(NR)were evaluated and compared.The readability,completeness and overall impression of SR were investigated among radiologists and otolaryngologists with different seniority.Results Finally,208 SR samples and 246 NR samples were included.Except for N0 stage,there were no statistical differences in age,sex ratio,laryngeal cancer classification,or T stage between SR and NR(P＞0.05).The occurrence rate of tumor size,extranodal extension(ENE),and T and N staging in early laryngeal cancer(T1-T2 stage)SR was higher than that in NR(P＜0.05).The occurrence rate of invasion of intra-and extra-pharyngeal vital structures,tumor size,enhancement degree,ENE,invasion of extranodal soft tissue,and T and N staging was higher in SR than that in NR in advanced laryngeal cancer(T3-T4 stage)(P＜0.05).There was no statistical difference in the accuracy of T and N staging between SR and NR(P＞0.05).Otolaryngologists rated the difficulty,completeness,and overall impression of SR higher than NR(P＜0.05).Radiologists rated the convenience,difficulty,and teaching value of SR higher than NR(P＜0.05).Conclusion Building a CT SR based on AJCC 8th edition TN staging suitable for initial diagnosis and staging of laryngeal cancer can improve the clarity and completeness of imaging reports,making it clinically feasible.
