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Health Information Technology and Healthcare Information System01:30

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Implementation of O-RADS Ultrasound Reporting System: A Quality Improvement Initiative.

Genevieve Bouchard-Fortier1,2, Phyllis Glanc3,4, Sarah E Ferguson1,2

  • 1Division of Gynecologic Oncology, Princess Margaret Cancer Center/University Health Network and Sinai Health System, Toronto, ON, Canada.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|January 9, 2025
PubMed
Summary
This summary is machine-generated.

Implementing the Ovarian-Adnexal Reporting & Data System (O-RADS) ultrasound standard significantly increased adnexal mass reporting from under 5% to 88% in 16 months. This quality improvement initiative demonstrated high inter-reader agreement and feasibility in a tertiary cancer center.

Keywords:
O-RADSimplementation strategiesovarian neoplasmquality improvement

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Area of Science:

  • Radiology
  • Gynecologic Imaging
  • Quality Improvement Science

Background:

  • Standardized reporting systems are crucial for consistent adnexal mass evaluation.
  • The Ovarian-Adnexal Reporting & Data System (O-RADS) ultrasound (US) aims to standardize reporting.
  • Institutional adoption of O-RADS requires assessment of feasibility and impact.

Purpose of the Study:

  • To evaluate the feasibility of implementing the O-RADS US reporting system.
  • To increase O-RADS reporting for adnexal masses from a baseline of <5% to at least 75% over 16 months.

Main Methods:

  • A prospective interrupted time series quality improvement study over 16 months.
  • Utilized Plan-Do-Study-Act cycles including stakeholder engagement, education, template development, and audit-feedback.
  • Assessed inter-reader variability for O-RADS risk categories 2-5.

Main Results:

  • O-RADS risk category reporting increased from <5% to 77% (489/635 cases) by study end.
  • Weekly O-RADS reporting rates reached 88% from November 2022 to April 2023.
  • Good inter-reader agreement (kappa=0.69) was observed for O-RADS scoring.

Conclusions:

  • Implementation of O-RADS US reporting is feasible and effective in increasing standardized reporting of adnexal masses.
  • The initiative achieved a significant increase in O-RADS adoption with high reader concordance.
  • A standardized ultrasound reporting system can be rapidly adopted in a tertiary cancer center setting.