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Reinterpretation of radiological findings in oesophago-gastric multidisciplinary meetings
Hou-Kiat Lim1, Peter Noel Stiven1, Ahmad Aly1
1Department of Upper GI Surgery, Austin Hospital, Melbourne, Victoria, Australia.
Background:
This study aims to objectively evaluate the clinical impact and significance of the multidisciplinary team meeting (MDT) in the management of oesophago-gastric malignancies in a tertiary institution.
Methods:
A prospective observational study was designed to examine the role of MDT in the interpretation of computerized tomography (CT) scans in oesophago-gastric malignancies. The MDT reporting of CT scans were compared with the 'pre-meeting' formal report of the scans. 'Pre-meeting' CT reports are provided by internal institutional or independent radiologist. The frequency and significance of any reporting variance is examined.
Results:
Of the 34 patients discussed, 13 patients (38%) had variations to the formal radiological report. This led a modification of disease stage in seven patients (21%) and change in diagnosis in three patients (9%). This had a major impact in nine patients (26%) of which seven patients (24%) had modification in treatment as a result of imaging reinterpretation.
Conclusion:
This study provides preliminary quantative evidence of the utility and importance of the MDT process in the management of oesophago-gastric malignancies. This has potential significant implications for basing patient treatment on isolated reports outside of MDT and supports this process as a standard of care.
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