Structured, coded radiology reports for cancer response instead of free text
Radiologists would record tumour measurements and response in tick-box, coded form rather than prose, so progression is machine-readable across every scan.
Response assessment (RECIST, PERCIST) is documented in free text that machines cannot reliably parse. Structured reporting templates with coded lesion measurements (RSNA RadReport, DICOM SR) and a response field would make progression a first-class data element for registries and RWE. The proposal mandates structured oncology follow-up reporting in publicly funded imaging and funds template integration in reporting software.
- Data silos · Records, scans, genomes and outcomes sit in separate systems that cannot talk. Every patient's experience is lost to the next.
- Weak real-world evidence and registries · We do not reliably know what happens to patients after approval, so we cannot tell which drugs deliver in practice.
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not linked directly; found by shared links- IdeaA ten-year cohort of incidental findings to calibrate follow-up guidelines
Shares CT (computed tomography), MRI, Weak real-world evidence and registries.
- IdeaOpen, benchmarked algorithms for lines of therapy and progression from routine data
Shares Weak real-world evidence and registries, Progression-free survival (PFS), Data silos.
- IdeaOne certified open-source de-identification pipeline for scans and slides
Shares CT (computed tomography), MRI, Data silos.
- IdeaValidate real-world progression against central imaging review
Shares RECIST, Weak real-world evidence and registries, Progression-free survival (PFS).
- TermLesion
Shares RECIST, CT (computed tomography), PET/CT, MRI.
- IdeaValidate real-world progression endpoints so pragmatic trials can use them
Shares RECIST, Weak real-world evidence and registries, Progression-free survival (PFS).
- IdeaNo clinical claims for imaging-derived biomarkers without phantom and standards compliance
Shares CT (computed tomography), PET/CT, MRI.
- IdeaA national cancer data space with one legal front door