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Summary (Panel)
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Diagnostic reports differ!
There is a significant variability of diagnostic reports, which may be due to
diagnostic and/or anatomic reasons.
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Improvement by discussion and criteria
By elaboration of detailed reporting criteria and joint discussion the variability
can be reduced.
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Safety for RT-purposes
Using the criteria as adjusted to radiotherapy needs (high sensitivity), a safe
basis for target volume reduction can be provided.
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There is not always „yes“ or „no“
Due to the <100% diagnostic accuracy, unclear findings must be expected;
communication of diagnostic doubst may ease treatment decisions
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Timelines
Due to the time-consuming process of blinded reviews, after harmonisation we
changed the process to 1 unblinded review
Nestle U. et al. EJC 2015