Reinterpretation of outside imaging and review at hepatobiliary tumor board: impact on diagnosis and management of patients with hepatobiliary neoplasms Article Swipe
Michelle Nguyen
,
Sudhakar K. Venkatesh
,
Shannon P. Sheedy
,
Daniel A. Adamo
,
Patrick J. Navin
,
Jay P. Heiken
,
Eric C. Ehman
,
Kristina T. Flicek
,
Matthew T. Olson
,
Garima Suman
,
Rebecca Hibbert
,
Zachary S. Kelm
,
Avinash Nehra
,
Mike Wells
,
Chad J. Fleming
,
Nicholas Kurup
,
Adam J. Weisbrod
,
Jeff Fidler
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-6221151/v1
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-6221151/v1
Objectives: Radiologist participation in multidisciplinary tumor board can be time-consuming and demanding, requiring substantial preparation. Anecdotally radiologist participation is felt to help identify discrepancies in previous interpretations; however, there are limited data assessing the actual impact of their tumor board review on patient management. This prospective study aims to evaluate how the reinterpretation of outside imaging and review at hepatobiliary tumor board (HBTB) affects the diagnosis and management of patients with hepatobiliary neoplasms. Methods: This prospective analysis included all patients presented at the weekly HBTB between 6/13/2023 - 6/25/2024. One radiologist reviewed the available reports of outside imaging, the local reinterpretation of outside imaging, the updated local imaging, and documented conclusions from discussion of the case at HBTB. HBTB included 4 radiologists who had reviewed each case. Discrepancies (presence/absence, number, and reasons for) were recorded. When discrepancies occurred, the impact on patient management (5-point Likert scale) was determined by two of the radiologists present at the HBTB in consensus, with input from clinicians if needed. A six-month follow-up was performed to confirm suspected diagnoses. Results: 208 cases (128 males, 104 chronic liver disease patients) were presented at HBTB. Disagreements in the detection or characterization of lesions were found in 59/208 (28.4%) of cases. A change in management occurred in 38/59 (64.6%) of these discrepant cases. In cases with recorded discrepancies in which follow-up confirmation was available, the final interpretation was confirmed in 34/41 (82.9%) of cases. Conclusion: Our study found a discrepant interpretation in nearly one-third of cases presented at a weekly HBTB and a resultant change in management in 65% of those cases. These findings highlight the importance of reinterpretation of prior imaging studies and the presence of radiologists at HBTB to guide optimal patient management.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-6221151/v1
- https://www.researchsquare.com/article/rs-6221151/latest.pdf
- OA Status
- gold
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409215966
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409215966Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-6221151/v1Digital Object Identifier
- Title
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Reinterpretation of outside imaging and review at hepatobiliary tumor board: impact on diagnosis and management of patients with hepatobiliary neoplasmsWork title
- Type
-
preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-07Full publication date if available
- Authors
-
Michelle Nguyen, Sudhakar K. Venkatesh, Shannon P. Sheedy, Daniel A. Adamo, Patrick J. Navin, Jay P. Heiken, Eric C. Ehman, Kristina T. Flicek, Matthew T. Olson, Garima Suman, Rebecca Hibbert, Zachary S. Kelm, Avinash Nehra, Mike Wells, Chad J. Fleming, Nicholas Kurup, Adam J. Weisbrod, Jeff FidlerList of authors in order
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https://doi.org/10.21203/rs.3.rs-6221151/v1Publisher landing page
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https://www.researchsquare.com/article/rs-6221151/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.researchsquare.com/article/rs-6221151/latest.pdfDirect OA link when available
- Concepts
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Reinterpretation, Medicine, Radiology, General surgery, Philosophy, AestheticsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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21Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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