Audit of CT reporting standards in cases of intracerebral haemorrhage at a comprehensive stroke centre in Australia

Barras, Christen D., Asadi, Hamed, Phal, Pramit M., Tress, Brian M., Davis, Stephen M. and Desmond, Patricia M. 2016, Audit of CT reporting standards in cases of intracerebral haemorrhage at a comprehensive stroke centre in Australia, Journal of medical imaging and radiation oncology, vol. 60, no. 6, pp. 720-727, doi: 10.1111/1754-9485.12491.

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Title Audit of CT reporting standards in cases of intracerebral haemorrhage at a comprehensive stroke centre in Australia
Author(s) Barras, Christen D.
Asadi, HamedORCID iD for Asadi, Hamed
Phal, Pramit M.
Tress, Brian M.
Davis, Stephen M.
Desmond, Patricia M.
Journal name Journal of medical imaging and radiation oncology
Volume number 60
Issue number 6
Start page 720
End page 727
Total pages 8
Publisher Wiley-Blackwell
Place of publication Melbourne, Vic.
Publication date 2016-12
ISSN 1754-9485
Keyword(s) CT angiography
computed tomography
intracerebral haemorrhage
Summary INTRODUCTION: Multiple CT-derived biomarkers that are predictive of intracerebral haemorrhage (ICH) growth and outcome have been described in the literature, but the extent to which these appear in imaging reports of ICH is unknown. The aim of this retrospective process audit was to determine which of the known predictors of ICH outcome was recorded in reports of the disease, with a view to providing reporting recommendations, as appropriate. METHOD: We examined the initial CT report of patients diagnosed with ICH presenting to a metropolitan comprehensive stroke centre and meeting inclusion criteria during the audit period between 1 March 2013 and 28 February 2014. Each report was assessed for the inclusion of the following ICH characteristics: the number of measurement dimensions; volume; location; hydrocephalus; shape; density; 'CTA spot sign' (where CTA was performed). RESULTS: A total of 100 patients met audit inclusion criteria. At least one ICH dimension was recorded in 90% of reports; however, 39% did not include the measurements in three dimensions and volume was reported in just 6%. No ICH dimension was recorded in 10% of reports. With the exception of density and shape, reporting of other CT features exceeded 95%. Where CTA was performed (58%), 14 (24%) of 58 reported the 'CTA spot sign' status. CONCLUSION: In this audit, volume was the most under-reported of the established ICH characteristics predictive of ICH outcome. Readily calculated from multiplanar reformats using the ABC/2 technique, the routine reporting of ICH volume is recommended. More reporting attention to ICH density heterogeneity and shape irregularity is encouraged, given their emerging importance. Where acute CTA is performed, the presence of any dynamic haemorrhage (CTA spot sign) should be reported.
Language eng
DOI 10.1111/1754-9485.12491
Field of Research 110320 Radiology and Organ Imaging
1103 Clinical Sciences
1112 Oncology And Carcinogenesis
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
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