Survey of Structured Reporting in MRI of rectal cancer Dr Eric Loveday North Bristol NHS Trust

10 Invitations sent out to specialist reporters across the region using a SurveyMonkey in the following trusts: UHB, NBT, YDH, WGH, TST, GHT. 7 respondents (including myself!)

MRI in rectal cancer 5/7 are using structured reports 4 using an agreed department template 2 using their own, 2 using national template based on Pelican etc. Agreement on the essential data items (location, CRM, TNM, EMVI etc)

CT in colon cancer 3/7 using structured reports 1 of whom using an agreed dept template

“Do you think structured radiology reporting in colorectal cancer has the potential to improve patient care across the board?” 6/7 answered yes “Do you think the College should promote national standards for Structured Reporting?”

“In the absence of any leadership from the College, do you think the teams in the SWAG network should take a lead in harmonising reporting standards across the patch?” 7/7 answered yes

Considerations/next steps Is this the domain of the SSG? Is there benefit in encouraging a uniform template (as for pathology) or is it best to go for specifying the core data items (Pragmatism vs perfection) Do we offer guidance only or “enforcement through inspection/audit” (Compare similar work happening re. mpMRI prostate.) Any guidance should include technical aspects for optimising MRI.