title: Development and implementation of a synoptic MRI report for preoperative staging of rectal cancer on a population-based level.
abstract: BACKGROUND
  Colorectal cancer physician champions across the province of Ontario, Canada, reported significant concern about appropriate selection of patients for preoperative chemoradiotherapy because of perceived variation in the completeness and consistency of MRI reports.
  
  
  OBJECTIVE
  The purpose of this work was to develop, pilot test, and implement a synoptic MRI report for preoperative staging of rectal cancer.
  
  
  METHODS
  This was an integrated knowledge translation project.
  
  
  METHODS
  This study was conducted in Ontario, Canada.
  
  
  METHODS
  Surgeons, radiologists, radiation oncologists, medical oncologists, and pathologists treating patients with rectal cancer were included in this study.
  
  
  METHODS
  A multifaceted knowledge translation strategy was used to develop, pilot test, and implement a synoptic MRI report. This strategy included physician champions, audit and feedback, assessment of barriers, and tailoring to the local context. A radiology webinar was conducted to pilot test the synoptic MRI report.
  
  
  METHODS
  Seventy-three (66%) of 111 Ontario radiologists participated in the radiology webinar and evaluated the synoptic MRI report.
  
  
  RESULTS
  A total of 78% and 90% radiologists expressed that the synoptic MRI report was easy to use and included all of the appropriate items; 82% noted that the synoptic MRI report improved the overall quality of their information, and 83% indicated they would consider using this report in their clinical practice. An MRI report audit after implementation of the synoptic MRI report showed a 39% improvement in the completeness of MRI reports and a 37% uptake of the synoptic MRI report format across the province.
  
  
  CONCLUSIONS
  Radiologists evaluating the synoptic MRI report and participating in the radiology webinar may not be representative of gastroenterologic radiologists in other geographic jurisdictions. The evaluation of completeness and uptake of the synoptic MRI reports is limited because of unmeasured differences that may occur before and after the MRI.
  
  
  CONCLUSIONS
  A synoptic MRI report for preoperative staging of rectal cancer was successfully developed and pilot tested in the province of Ontario, Canada.
authors.affiliation: 1Department of Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada 2Zane Cohen Centre for Digestive Diseases, Toronto, Ontario, Canada 3Department of Medicine, University of Toronto, Toronto, Ontario, Canada 4Institute of the Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada 5Department of Medical Imaging, Sunnybrook Health Science Centre, Toronto, Ontario, Canada 6Department of Medical Imaging, Saint Joseph's Health Centre, Toronto, Ontario, Canada 7Department of Medical Imaging, The Royal Marsden Hospital, London, United Kingdom 8Samuel Lunenfeld Research Institute, Toronto, Ontario, Canada.
authors.forename: Erin D
authors.initials: ED
authors.lastname: Kennedy
authors.forename: Laurent
authors.initials: L
authors.lastname: Milot
authors.forename: Mark
authors.initials: M
authors.lastname: Fruitman
authors.forename: Eisar
authors.initials: E
authors.lastname: Al-Sukhni
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Heine
authors.forename: Selina
authors.initials: S
authors.lastname: Schmocker
authors.forename: Gina
authors.initials: G
authors.lastname: Brown
authors.forename: Robin S
authors.initials: RS
authors.lastname: McLeod
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards*; D008485:Medical Audit; D009367:Neoplasm Staging; D009864:Ontario; D057234:Preoperative Period; D058996:Quality Improvement; D011871:Radiology / Q000592:standards*; D011996:Records / Q000592:standards*; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D057170:Translational Research, Biomedical