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Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability
Purpose To evaluate whether a structured radiology report improves the completeness of preoperative CT staging of pancreatic ductal adenocarcinoma (PDA) compared to conventional free-text reports. Methods We retrospectively included 27 patients (mean age, 64 ± 11.1 years) referred for pancreatic pre...
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Published in: | Abdominal imaging 2020-02, Vol.45 (2), p.437-448 |
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creator | Dimarco, Mariangela Cannella, Roberto Pellegrino, Silvia Iadicola, Dario Tutino, Roberta Allegra, Francesco Castiglione, Davide Salvaggio, Giuseppe Midiri, Massimo Brancatelli, Giuseppe Vernuccio, Federica |
description | Purpose
To evaluate whether a structured radiology report improves the completeness of preoperative CT staging of pancreatic ductal adenocarcinoma (PDA) compared to conventional free-text reports.
Methods
We retrospectively included 27 patients (mean age, 64 ± 11.1 years) referred for pancreatic preoperative CT scan for staging of PDA between 2015 and 2018 and in whom a diagnosis of pancreatic adenocarcinoma was ultimately confirmed. Four readers independently reported CT scans with both conventional free-text and structured reports. Differences in reported morphologic and vascular features with the two reports were assessed through McNemar Test. Intra-reader and inter-reader were calculated.
Results
A total of 216 reports were completed by four different readers including 108 free-text and 108 structured reports. Overall, 139 of 540 morphologic characteristics of PDA and 869 of 1188 vascular key features were only described in structured reports. Encasement of left gastric artery, gastroduodenal artery and splenic artery was described in up to 14.8% using free-text reports and in up to 29.6% using structured report, resulting in low-intra-reader agreement (
k
= 0.033–0.216). Inter-reader agreement improved with structured report compared to free-text one for left gastric artery (ICC = 0.844 vs. ICC = 0.493, respectively), gastroduodenal artery (ICC = 0.730 vs. ICC = 0.449, respectively), portal vein (ICC = 0.847 vs. ICC = 0.638, respectively), portal confluence (ICC = 0.848 vs. ICC = 0.422, respectively) superior mesenteric vein (ICC = 0.765 vs. ICC = 0.695, respectively), and splenic vein (ICC = 0.921 vs. ICC = 0.841, respectively).
Conclusion
Structured reports for PDA staging significantly reduces the number of missing morphological and vascular features of PDA and improves the inter-reader agreement compared to free-text reports. |
doi_str_mv | 10.1007/s00261-019-02287-7 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2312273239</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2312273239</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-3ca4b8c6cb8557b3246efea017a6d7cfd33945e553b7be31a980eabc46da0e243</originalsourceid><addsrcrecordid>eNp9kUFr3DAQhU1paUKSP5BDEfTSi9ORZEl2b2Vpm0AglxRyM2N5vHWwZWdkB_Jf8mOr3U1T6KEnDZrvvTfwsuxcwoUEcJ8jgLIyB1nloFTpcvcmO1ba2hzAlG9f5-LuKDuL8R4ApDVSKvM-O9LSllaWcJw9X40z-kVMnYgLr35ZmVrBNE-cPoNYfpF4WHHol6cdMzNNMzEu_SOJzW3S4LYP2_0Kg2dKGy_a5IODwJbC5JF9H6YRvwiMkWIcKezj-rAw5gJDuxuJ8yRuicUjco9Nv0s8zd51OEQ6e3lPsp_fv91uLvPrmx9Xm6_XudfOLLn2WDSlt74pjXGNVoWljhCkQ9s637VaV4UhY3TjGtISqxIIG1_YFoFUoU-yTwffmaeHleJSj330NAwYaFpjrbRUymmlq4R-_Ae9n1YO6bpEFYWFqqggUepAeZ5iZOrqmfsR-amWUO_qqw_11am-el9f7ZLow4v12ozUvkr-lJUAfQBiWoUt8d_s_9j-BlhMqGg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2344609490</pqid></control><display><type>article</type><title>Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability</title><source>Springer Link</source><creator>Dimarco, Mariangela ; Cannella, Roberto ; Pellegrino, Silvia ; Iadicola, Dario ; Tutino, Roberta ; Allegra, Francesco ; Castiglione, Davide ; Salvaggio, Giuseppe ; Midiri, Massimo ; Brancatelli, Giuseppe ; Vernuccio, Federica</creator><creatorcontrib>Dimarco, Mariangela ; Cannella, Roberto ; Pellegrino, Silvia ; Iadicola, Dario ; Tutino, Roberta ; Allegra, Francesco ; Castiglione, Davide ; Salvaggio, Giuseppe ; Midiri, Massimo ; Brancatelli, Giuseppe ; Vernuccio, Federica</creatorcontrib><description>Purpose
To evaluate whether a structured radiology report improves the completeness of preoperative CT staging of pancreatic ductal adenocarcinoma (PDA) compared to conventional free-text reports.
Methods
We retrospectively included 27 patients (mean age, 64 ± 11.1 years) referred for pancreatic preoperative CT scan for staging of PDA between 2015 and 2018 and in whom a diagnosis of pancreatic adenocarcinoma was ultimately confirmed. Four readers independently reported CT scans with both conventional free-text and structured reports. Differences in reported morphologic and vascular features with the two reports were assessed through McNemar Test. Intra-reader and inter-reader were calculated.
Results
A total of 216 reports were completed by four different readers including 108 free-text and 108 structured reports. Overall, 139 of 540 morphologic characteristics of PDA and 869 of 1188 vascular key features were only described in structured reports. Encasement of left gastric artery, gastroduodenal artery and splenic artery was described in up to 14.8% using free-text reports and in up to 29.6% using structured report, resulting in low-intra-reader agreement (
k
= 0.033–0.216). Inter-reader agreement improved with structured report compared to free-text one for left gastric artery (ICC = 0.844 vs. ICC = 0.493, respectively), gastroduodenal artery (ICC = 0.730 vs. ICC = 0.449, respectively), portal vein (ICC = 0.847 vs. ICC = 0.638, respectively), portal confluence (ICC = 0.848 vs. ICC = 0.422, respectively) superior mesenteric vein (ICC = 0.765 vs. ICC = 0.695, respectively), and splenic vein (ICC = 0.921 vs. ICC = 0.841, respectively).
Conclusion
Structured reports for PDA staging significantly reduces the number of missing morphological and vascular features of PDA and improves the inter-reader agreement compared to free-text reports.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-019-02287-7</identifier><identifier>PMID: 31686180</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adenocarcinoma ; Adenocarcinoma - diagnostic imaging ; Adenocarcinoma - pathology ; Aged ; Aged, 80 and over ; Carcinoma, Pancreatic Ductal - diagnostic imaging ; Carcinoma, Pancreatic Ductal - pathology ; Computed tomography ; Female ; Gastroenterology ; Hepatology ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Staging ; Pancreas ; Pancreatic cancer ; Pancreatic Neoplasms - diagnostic imaging ; Pancreatic Neoplasms - pathology ; Physical characteristics ; Portal vein ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Spleen ; Splenic artery ; Tomography, X-Ray Computed - methods ; Veins & arteries</subject><ispartof>Abdominal imaging, 2020-02, Vol.45 (2), p.437-448</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Abdominal Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3ca4b8c6cb8557b3246efea017a6d7cfd33945e553b7be31a980eabc46da0e243</citedby><cites>FETCH-LOGICAL-c375t-3ca4b8c6cb8557b3246efea017a6d7cfd33945e553b7be31a980eabc46da0e243</cites><orcidid>0000-0002-3808-0785</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31686180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dimarco, Mariangela</creatorcontrib><creatorcontrib>Cannella, Roberto</creatorcontrib><creatorcontrib>Pellegrino, Silvia</creatorcontrib><creatorcontrib>Iadicola, Dario</creatorcontrib><creatorcontrib>Tutino, Roberta</creatorcontrib><creatorcontrib>Allegra, Francesco</creatorcontrib><creatorcontrib>Castiglione, Davide</creatorcontrib><creatorcontrib>Salvaggio, Giuseppe</creatorcontrib><creatorcontrib>Midiri, Massimo</creatorcontrib><creatorcontrib>Brancatelli, Giuseppe</creatorcontrib><creatorcontrib>Vernuccio, Federica</creatorcontrib><title>Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Purpose
To evaluate whether a structured radiology report improves the completeness of preoperative CT staging of pancreatic ductal adenocarcinoma (PDA) compared to conventional free-text reports.
Methods
We retrospectively included 27 patients (mean age, 64 ± 11.1 years) referred for pancreatic preoperative CT scan for staging of PDA between 2015 and 2018 and in whom a diagnosis of pancreatic adenocarcinoma was ultimately confirmed. Four readers independently reported CT scans with both conventional free-text and structured reports. Differences in reported morphologic and vascular features with the two reports were assessed through McNemar Test. Intra-reader and inter-reader were calculated.
Results
A total of 216 reports were completed by four different readers including 108 free-text and 108 structured reports. Overall, 139 of 540 morphologic characteristics of PDA and 869 of 1188 vascular key features were only described in structured reports. Encasement of left gastric artery, gastroduodenal artery and splenic artery was described in up to 14.8% using free-text reports and in up to 29.6% using structured report, resulting in low-intra-reader agreement (
k
= 0.033–0.216). Inter-reader agreement improved with structured report compared to free-text one for left gastric artery (ICC = 0.844 vs. ICC = 0.493, respectively), gastroduodenal artery (ICC = 0.730 vs. ICC = 0.449, respectively), portal vein (ICC = 0.847 vs. ICC = 0.638, respectively), portal confluence (ICC = 0.848 vs. ICC = 0.422, respectively) superior mesenteric vein (ICC = 0.765 vs. ICC = 0.695, respectively), and splenic vein (ICC = 0.921 vs. ICC = 0.841, respectively).
Conclusion
Structured reports for PDA staging significantly reduces the number of missing morphological and vascular features of PDA and improves the inter-reader agreement compared to free-text reports.</description><subject>Adenocarcinoma</subject><subject>Adenocarcinoma - diagnostic imaging</subject><subject>Adenocarcinoma - pathology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Pancreatic Ductal - diagnostic imaging</subject><subject>Carcinoma, Pancreatic Ductal - pathology</subject><subject>Computed tomography</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Pancreas</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Physical characteristics</subject><subject>Portal vein</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Spleen</subject><subject>Splenic artery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Veins & arteries</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kUFr3DAQhU1paUKSP5BDEfTSi9ORZEl2b2Vpm0AglxRyM2N5vHWwZWdkB_Jf8mOr3U1T6KEnDZrvvTfwsuxcwoUEcJ8jgLIyB1nloFTpcvcmO1ba2hzAlG9f5-LuKDuL8R4ApDVSKvM-O9LSllaWcJw9X40z-kVMnYgLr35ZmVrBNE-cPoNYfpF4WHHol6cdMzNNMzEu_SOJzW3S4LYP2_0Kg2dKGy_a5IODwJbC5JF9H6YRvwiMkWIcKezj-rAw5gJDuxuJ8yRuicUjco9Nv0s8zd51OEQ6e3lPsp_fv91uLvPrmx9Xm6_XudfOLLn2WDSlt74pjXGNVoWljhCkQ9s637VaV4UhY3TjGtISqxIIG1_YFoFUoU-yTwffmaeHleJSj330NAwYaFpjrbRUymmlq4R-_Ae9n1YO6bpEFYWFqqggUepAeZ5iZOrqmfsR-amWUO_qqw_11am-el9f7ZLow4v12ozUvkr-lJUAfQBiWoUt8d_s_9j-BlhMqGg</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Dimarco, Mariangela</creator><creator>Cannella, Roberto</creator><creator>Pellegrino, Silvia</creator><creator>Iadicola, Dario</creator><creator>Tutino, Roberta</creator><creator>Allegra, Francesco</creator><creator>Castiglione, Davide</creator><creator>Salvaggio, Giuseppe</creator><creator>Midiri, Massimo</creator><creator>Brancatelli, Giuseppe</creator><creator>Vernuccio, Federica</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3808-0785</orcidid></search><sort><creationdate>20200201</creationdate><title>Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability</title><author>Dimarco, Mariangela ; Cannella, Roberto ; Pellegrino, Silvia ; Iadicola, Dario ; Tutino, Roberta ; Allegra, Francesco ; Castiglione, Davide ; Salvaggio, Giuseppe ; Midiri, Massimo ; Brancatelli, Giuseppe ; Vernuccio, Federica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-3ca4b8c6cb8557b3246efea017a6d7cfd33945e553b7be31a980eabc46da0e243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adenocarcinoma</topic><topic>Adenocarcinoma - diagnostic imaging</topic><topic>Adenocarcinoma - pathology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Pancreatic Ductal - diagnostic imaging</topic><topic>Carcinoma, Pancreatic Ductal - pathology</topic><topic>Computed tomography</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Pancreas</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Physical characteristics</topic><topic>Portal vein</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Spleen</topic><topic>Splenic artery</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dimarco, Mariangela</creatorcontrib><creatorcontrib>Cannella, Roberto</creatorcontrib><creatorcontrib>Pellegrino, Silvia</creatorcontrib><creatorcontrib>Iadicola, Dario</creatorcontrib><creatorcontrib>Tutino, Roberta</creatorcontrib><creatorcontrib>Allegra, Francesco</creatorcontrib><creatorcontrib>Castiglione, Davide</creatorcontrib><creatorcontrib>Salvaggio, Giuseppe</creatorcontrib><creatorcontrib>Midiri, Massimo</creatorcontrib><creatorcontrib>Brancatelli, Giuseppe</creatorcontrib><creatorcontrib>Vernuccio, Federica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Database (1962 - 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Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dimarco, Mariangela</au><au>Cannella, Roberto</au><au>Pellegrino, Silvia</au><au>Iadicola, Dario</au><au>Tutino, Roberta</au><au>Allegra, Francesco</au><au>Castiglione, Davide</au><au>Salvaggio, Giuseppe</au><au>Midiri, Massimo</au><au>Brancatelli, Giuseppe</au><au>Vernuccio, Federica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>45</volume><issue>2</issue><spage>437</spage><epage>448</epage><pages>437-448</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Purpose
To evaluate whether a structured radiology report improves the completeness of preoperative CT staging of pancreatic ductal adenocarcinoma (PDA) compared to conventional free-text reports.
Methods
We retrospectively included 27 patients (mean age, 64 ± 11.1 years) referred for pancreatic preoperative CT scan for staging of PDA between 2015 and 2018 and in whom a diagnosis of pancreatic adenocarcinoma was ultimately confirmed. Four readers independently reported CT scans with both conventional free-text and structured reports. Differences in reported morphologic and vascular features with the two reports were assessed through McNemar Test. Intra-reader and inter-reader were calculated.
Results
A total of 216 reports were completed by four different readers including 108 free-text and 108 structured reports. Overall, 139 of 540 morphologic characteristics of PDA and 869 of 1188 vascular key features were only described in structured reports. Encasement of left gastric artery, gastroduodenal artery and splenic artery was described in up to 14.8% using free-text reports and in up to 29.6% using structured report, resulting in low-intra-reader agreement (
k
= 0.033–0.216). Inter-reader agreement improved with structured report compared to free-text one for left gastric artery (ICC = 0.844 vs. ICC = 0.493, respectively), gastroduodenal artery (ICC = 0.730 vs. ICC = 0.449, respectively), portal vein (ICC = 0.847 vs. ICC = 0.638, respectively), portal confluence (ICC = 0.848 vs. ICC = 0.422, respectively) superior mesenteric vein (ICC = 0.765 vs. ICC = 0.695, respectively), and splenic vein (ICC = 0.921 vs. ICC = 0.841, respectively).
Conclusion
Structured reports for PDA staging significantly reduces the number of missing morphological and vascular features of PDA and improves the inter-reader agreement compared to free-text reports.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31686180</pmid><doi>10.1007/s00261-019-02287-7</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-3808-0785</orcidid></addata></record> |
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subjects | Adenocarcinoma Adenocarcinoma - diagnostic imaging Adenocarcinoma - pathology Aged Aged, 80 and over Carcinoma, Pancreatic Ductal - diagnostic imaging Carcinoma, Pancreatic Ductal - pathology Computed tomography Female Gastroenterology Hepatology Humans Imaging Male Medicine Medicine & Public Health Middle Aged Neoplasm Staging Pancreas Pancreatic cancer Pancreatic Neoplasms - diagnostic imaging Pancreatic Neoplasms - pathology Physical characteristics Portal vein Radiology Reproducibility of Results Retrospective Studies Spleen Splenic artery Tomography, X-Ray Computed - methods Veins & arteries |
title | Impact of structured report on the quality of preoperative CT staging of pancreatic ductal adenocarcinoma: assessment of intra- and inter-reader variability |
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