The RSNA radiology reporting initiative is improving reporting practices by creating a library of clear and consistent report templates.
Supported in part by the National Institute of Biomedical Imaging and Bioengineering (NIBIB).
Lung Cancer Screening CT (ACRIN 6654 / NLST)
This page demonstrates the templates as a synoptic and hierarchical report, with the initial view showing only the template title and the major section headers of the report. By clicking on the section headers it is possible to drill into the content of the template.
- Report
- Procedure
- Screening visit
-
-
Baseline screen -
Incidence screen year 1
-
Incidence screen year 2
-
- Date [{date} ]
- Visit number
-
-
One
-
Two
-
- Number of exam attempts
-
-
One
-
Two
-
Three
-
- kVp [{nonNegativeInteger} ]
- mA //based on the CT equipment and platform report either mA or effective mAs [{nonNegativeInteger} ]
- kVp //based on the CT equipment and platform report either mA or effective mAs [{nonNegativeInteger} ]
- Display FOV //(cm) [{nonNegativeInteger} ]
- CT reconstruction algorithm or filter
-
-
GE Bone
-
GE Standard
-
GE other [ ______ ]
-
Philips D
-
Philips C
-
Philips other [ ______ ]
-
Siemens B50F
-
Siemens B30
-
Siemens other [ ______ ]
-
Toshiba FC10
-
Toshiba FC51
-
Toshiba other [ ______ ]
-
- Technologist ID [ ______ ]
- Findings
- Overall diagnostic quality
-
-
Diagnostic
-
Limited but interpretable
- //Image quality issues
-
Submaximal inspiratory breath-hold -
Motion artifact
-
Respiratory misregistration
-
Incorrect technical parameter
-
Lungs not completely imaged
-
Severe beam hardening artifact
-
Excessive quantum mottle or graininess
-
Other [ ______ ]
-
Non-diagnostic
- //Image quality issues
-
Submaximal inspiratory breath-hold
-
Motion artifact
-
Respiratory misregistration
-
Incorrect technical parameter
-
Lungs not completely imaged
-
Severe beam hardening artifact
-
Excessive quantum mottle or graininess
-
Other [ ______ ]
-
- Abnormalities observed
-
-
No
-
Yes
- 0+ Non-calcified nodule or mass //opacity >= 4 mm diameter
- CT slice location
- positiveInteger
- maxInclusive (999)
- Nodule dimensions
- //in same CT slice
-
Longest diameter [{nonNegativeInteger} mm]
-
Longest perpendicular diameter [{nonNegativeInteger} mm]
-
-
Unable to determine
- Nodule margins
-
Spiculated //Stellate
-
Smooth
-
Poorly defined
-
Unable to determine
-
- Predominant attenuation
-
Soft tissue
-
Ground glass
-
Mixed //Soft tissue and ground glass
-
Fluid or water
-
Fat
-
Other [ ______ ]
-
Unable to determine
-
- Anatomic location
- //Abnormality center
-
RUL
-
RML
-
RLL
-
LUL
-
Lingula
-
LLL
-
Other [ ______ ]
-
-
Non-calcified micronodule or micronodules //opacity < 4 mm diameter
-
Benign lung nodule or nodules //benign calcification
-
Atelectasis //segmental or greater
-
Pleural thickening or effusion
-
Non-calcified hilar or mediastinal adenopathy or mass //>= 10 mm short axis
-
Chest wall abnormality //bone destruction, metastasis, etc.
-
Consolidation
-
Emphysema
-
Significant cardiovascular abnormality
-
Reticular or reticulonodular opacities //honeycombing, fibrosis, scar
-
Six or more nodules not suspicious for cancer //opacity >= 4 mm
- 0+ Other potentially significant abnormality above diaphragm [ ______ ]
- 0+ Other potentially significant abnormality below the diaphragm [ ______ ]
- 0+ Other minor abnormality [ ______ ]
-
- [ ______ ]
- Impression
- Screening result
-
-
Negative screen no significant abnormalities
- Recommended next step
-
No diagnostic intervention necessary
-
Comparison with historical images //If not available, recommend... NOTE: must check other
procedure(s) in the event that historical images are not
available.
-
Thin-section chest CT or repeat low-dose helical chest CT //Check all that apply
-
3 months from screening exam
-
6 months from screening exam
-
3 to 6 months from screening exam
-
12 months from screening exam
-
24 months from screening exam
-
-
Diagnostic chest CT
-
Contrast-enhanced CT nodule densitometry
-
FDG-PET
-
Tech-99m depreotide scintigraphy
-
Biopsy //percutaneous, thoracoscopic, open, etc.
-
Other [ ______ ]
-
-
Negative screen minor abnormalities lung cancer not suspected
- Recommended next step
-
No diagnostic intervention necessary
-
Comparison with historical images //If not available, recommend... NOTE: must check other
procedure(s) in the event that historical images are not
available.
-
Thin-section chest CT or repeat low-dose helical chest CT //Check all that apply
-
3 months from screening exam
-
6 months from screening exam
-
3 to 6 months from screening exam
-
12 months from screening exam
-
24 months from screening exam
-
-
Diagnostic chest CT
-
Contrast-enhanced CT nodule densitometry
-
FDG-PET
-
Tech-99m depreotide scintigraphy
-
Biopsy //percutaneous, thoracoscopic, open, etc.
-
Other [ ______ ]
-
-
Negative screen significant abnormalities lung cancer not suspected
- Recommended next step
-
No diagnostic intervention necessary
-
Comparison with historical images //If not available, recommend... NOTE: must check other
procedure(s) in the event that historical images are not
available.
-
Thin-section chest CT or repeat low-dose helical chest CT //Check all that apply
-
3 months from screening exam
-
6 months from screening exam
-
3 to 6 months from screening exam
-
12 months from screening exam
-
24 months from screening exam
-
-
Diagnostic chest CT
-
Contrast-enhanced CT nodule densitometry
-
FDG-PET
-
Tech-99m depreotide scintigraphy
-
Biopsy //percutaneous, thoracoscopic, open, etc.
-
Other [ ______ ]
-
-
Positive screen nodules 4-10 mm suspicious for lung cancer
- Suspicion for primary lung cancer
-
No suspicion
-
Low suspicion
-
Intermediate suspicion
-
Moderately high suspicion
-
High suspicion
-
- Recommended next step
-
No diagnostic intervention necessary
-
Comparison with historical images //If not available, recommend... NOTE: must check other
procedure(s) in the event that historical images are not
available.
-
Thin-section chest CT or repeat low-dose helical chest CT //Check all that apply
-
3 months from screening exam
-
6 months from screening exam
-
3 to 6 months from screening exam
-
12 months from screening exam
-
24 months from screening exam
-
-
Diagnostic chest CT
-
Contrast-enhanced CT nodule densitometry
-
FDG-PET
-
Tech-99m depreotide scintigraphy
-
Biopsy //percutaneous, thoracoscopic, open, etc.
-
Other [ ______ ]
-
-
Positive screen nodules greater than 10 mm suspicious for lung cancer
- Suspicion for primary lung cancer
-
No suspicion
-
Low suspicion
-
Intermediate suspicion
-
Moderately high suspicion
-
High suspicion
-
- Recommended next step
-
No diagnostic intervention necessary
-
Comparison with historical images //If not available, recommend... NOTE: must check other
procedure(s) in the event that historical images are not
available.
-
Thin-section chest CT or repeat low-dose helical chest CT //Check all that apply
-
3 months from screening exam
-
6 months from screening exam
-
3 to 6 months from screening exam
-
12 months from screening exam
-
24 months from screening exam
-
-
Diagnostic chest CT
-
Contrast-enhanced CT nodule densitometry
-
FDG-PET
-
Tech-99m depreotide scintigraphy
-
Biopsy //percutaneous, thoracoscopic, open, etc.
-
Other [ ______ ]
-
-
Inadequate CT non-diagnostic exam
-
- [ ______ ]