OBJECTIVE: To propose a standardized template for PM fetal and neonatal imaging referrals to enhance communication between referring clinicians and reporting radiologists.
METHODS: A modified Delphi approach was conducted amongst members of the European Society of Paediatric Radiology (ESPR) PM Task Force and other recommended PM imaging specialists worldwide to determine consensus on necessary information. These were based on three pre-existing referral templates already in use across a variety of centers. The study ran for 4 months (December 2023-April 2024).
RESULTS: Nineteen specialists from 17 centers worldwide formed our expert panel. The final agreed referral template information includes the patient\'s identification details (mother and fetus when available), fetal/neonatal information (gestational age, sex, type of demise (including type of termination of pregnancy (i.e., surgical or medical)), date and time of fetal demise (+ delivery) or neonatal death, singleton/multiple pregnancy, clinical information (obstetrical history, prenatal imaging findings, amniocentesis findings, physical external examination findings), provisional clinical diagnosis, and ordering physician\'s information.
CONCLUSIONS: A comprehensive referral template has been created, representing expert consensus on the minimum data required for the conduct of quality PM fetal and neonatal imaging, with the goal of facilitating accuracy of image interpretation.
目的:为PM胎儿和新生儿影像转诊提出标准化模板,以加强转诊临床医生和报告放射科医师之间的沟通。
方法:在欧洲儿科放射学学会(ESPR)PM工作组成员和全球其他推荐的PM成像专家中进行了改良的Delphi方法,以确定对必要信息的共识。这些基于已经在各种中心使用的三个预先存在的转诊模板。该研究进行了4个月(2023年12月至2024年4月)。
结果:来自全球17个中心的19位专家组成了我们的专家小组。最终商定的转诊模板信息包括患者的身份详情(可用时的母亲和胎儿),胎儿/新生儿信息(胎龄,性别,死亡类型(包括终止妊娠类型(即,外科或医疗)),胎儿死亡(+分娩)或新生儿死亡的日期和时间,单胎/多胎妊娠,临床信息(产科病史,产前影像学检查结果,羊膜穿刺术的发现,身体外部检查结果),临时临床诊断,并订购医生的信息。
结论:已经创建了一个全面的转诊模板,代表专家对开展优质PM胎儿和新生儿成像所需的最低数据的共识,以促进图像解释的准确性为目标。