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- Title
Outcomes and potential impact of a virtual hands-on training program on MRI staging confidence and performance in rectal cancer.
- Authors
El Khababi, Najim; Beets-Tan, Regina G. H.; Tissier, Renaud; Lahaye, Max J.; Maas, Monique; Curvo-Semedo, Luís; Dresen, Raphaëla C.; van Griethuysen, Joost J. M.; Nougaret, Stephanie; Beets, Geerard L.; van Triest, Baukelien; Taylor, Stuart A.; Lambregts, Doenja M. J.
- Abstract
Objectives: To explore the potential impact of a dedicated virtual training course on MRI staging confidence and performance in rectal cancer. Methods: Forty-two radiologists completed a stepwise virtual training course on rectal cancer MRI staging composed of a pre-course (baseline) test with 7 test cases (5 staging, 2 restaging), a 1-day online workshop, 1 month of individual case readings (n = 70 cases with online feedback), a live online feedback session supervised by two expert faculty members, and a post-course test. The ESGAR structured reporting templates for (re)staging were used throughout the course. Results of the pre-course and post-course test were compared in terms of group interobserver agreement (Krippendorf's alpha), staging confidence (perceived staging difficulty), and diagnostic accuracy (using an expert reference standard). Results: Though results were largely not statistically significant, the majority of staging variables showed a mild increase in diagnostic accuracy after the course, ranging between + 2% and + 17%. A similar trend was observed for IOA which improved for nearly all variables when comparing the pre- and post-course. There was a significant decrease in the perceived difficulty level (p = 0.03), indicating an improved diagnostic confidence after completion of the course. Conclusions: Though exploratory in nature, our study results suggest that use of a dedicated virtual training course and web platform has potential to enhance staging performance, confidence, and interobserver agreement to assess rectal cancer on MRI virtual training and could thus be a good alternative (or addition) to in-person training. Clinical relevance statement: Rectal cancer MRI reporting quality is highly dependent on radiologists' expertise, stressing the need for dedicated training/teaching. This study shows promising results for a virtual web-based training program, which could be a good alternative (or addition) to in-person training. Key Points: • Rectal cancer MRI reporting quality is highly dependent on radiologists' expertise, stressing the need for dedicated training and teaching. • Using a dedicated virtual training course and web-based platform, encouraging first results were achieved to improve staging accuracy, diagnostic confidence, and interobserver agreement. • These exploratory results suggest that virtual training could thus be a good alternative (or addition) to in-person training.
- Subjects
RECTAL cancer; ONLINE education; MAGNETIC resonance imaging; CONFIDENCE; UNIVERSITY faculty
- Publication
European Radiology, 2024, Vol 34, Issue 3, p1746
- ISSN
0938-7994
- Publication type
Article
- DOI
10.1007/s00330-023-10167-4