Colorectal cancer physician champions across the province of Ontario, Canada, reported significant concern about appropriate selection of patients for preoperative chemoradiotherapy because of perceived variation in the completeness and consistency of MRI reports.
Dr Erin Kennedy and colleagues developed, pilot test, and implement a synoptic MRI report for preoperative staging of rectal cancer.
The researchers performed an integrated knowledge translation project in Canada.
Surgeons, radiologists, radiation oncologists, medical oncologists, and pathologists treating patients with rectal cancer were included in this study.
A multifaceted knowledge translation strategy was used to develop, pilot test, and implement a synoptic MRI report.
|83% indicated they would consider using this report in their clinical practice|
|Diseases of the Colon & Rectum|
This strategy included physician champions, audit and feedback, assessment of barriers, and tailoring to the local context.
A radiology webinar was conducted to pilot test the synoptic MRI report.
The team reported that 73 of 111 Ontario radiologists participated in the radiology webinar and evaluated the synoptic MRI report.
The researchers found that a total of 78% and 90% radiologists expressed that the synoptic MRI report was easy to use.
The team found that 82% noted that the synoptic MRI report improved the overall quality of their information, and 83% indicated they would consider using this report in their clinical practice.
An MRI report audit after implementation of the synoptic MRI report showed a 39% improvement in the completeness of MRI reports, and a 37% uptake of the synoptic MRI report format across the province.
Dr Kennedy's team concludes, "A synoptic MRI report for preoperative staging of rectal cancer was successfully developed and pilot tested in the province of Ontario, Canada."