{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T11:38:12Z","timestamp":1784893092797,"version":"3.55.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:00:00Z","timestamp":1693353600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:00:00Z","timestamp":1693353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>To explore the potential impact of a dedicated virtual training course on MRI staging confidence and performance in rectal cancer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Forty-two radiologists completed a stepwise virtual training course on rectal cancer MRI staging composed of a pre-course (baseline) test with 7 test cases (5 staging, 2 restaging), a 1-day online workshop, 1\u00a0month of individual case readings (<jats:italic>n<\/jats:italic>\u2009=\u200970 cases with online feedback), a live online feedback session supervised by two expert faculty members, and a post-course test. The ESGAR structured reporting templates for (re)staging were used throughout the course. Results of the pre-course and post-course test were compared in terms of group interobserver agreement (Krippendorf\u2019s alpha), staging confidence (perceived staging difficulty), and diagnostic accuracy (using an expert reference standard).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Though results were largely not statistically significant, the majority of staging variables showed a mild increase in diagnostic accuracy after the course, ranging between\u2009+\u20092% and\u2009+\u200917%. A similar trend was observed for IOA which improved for nearly all variables when comparing the pre- and post-course. There was a significant decrease in the perceived difficulty level (<jats:italic>p<\/jats:italic>\u2009=\u20090.03), indicating an improved diagnostic confidence after completion of the course.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Though exploratory in nature, our study results suggest that use of a dedicated virtual training course and web platform has potential to enhance staging performance, confidence, and interobserver agreement to assess rectal cancer on MRI virtual training and could thus be a good alternative (or addition) to in-person training.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical relevance statement<\/jats:title>\n                <jats:p>Rectal cancer MRI reporting quality is highly dependent on radiologists\u2019 expertise, stressing the need for dedicated training\/teaching. This study shows promising results for a virtual web-based training program, which could be a good alternative (or addition) to in-person training.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Key Points<\/jats:title>\n                <jats:p>\u2022 <jats:italic>Rectal cancer MRI reporting quality is highly dependent on radiologists\u2019 expertise, stressing the need for dedicated training and teaching.<\/jats:italic><\/jats:p>\n                <jats:p>\u2022 <jats:italic>Using a dedicated virtual training course and web-based platform, encouraging first results were achieved to improve staging accuracy, diagnostic confidence, and interobserver agreement.<\/jats:italic><\/jats:p>\n                <jats:p>\u2022 <jats:italic>These exploratory results suggest that virtual training could thus be a good alternative (or addition) to in-person training.<\/jats:italic><\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00330-023-10167-4","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T04:01:32Z","timestamp":1693368092000},"page":"1746-1754","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes and potential impact of a virtual hands-on training program on MRI staging confidence and performance in rectal cancer"],"prefix":"10.1007","volume":"34","author":[{"given":"Najim","family":"El Khababi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina G. 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J. Lambregts.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Guarantor"}},{"value":"Regina G. H. Beets-Tan and Doenja M. J. Lambregts are members of the <i>European Radiology<\/i> Editorial Board. They did not take place in the review or selection process of this article.The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"One of the authors, Mr. Renaud Tissier, has significant statistical expertise.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Written informed consent was waived by the Institutional Review Board.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Institutional Review Board approval was obtained.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Some study subjects included in the current cohort have been previously reported on:\u2022 <i>n<\/i>\u2009=\u20095 in a study focused on retrospectively evaluating staging trends in the Netherlands following guidelines updates (Bogveradze et al Evolutions in rectal cancer MRI staging and risk stratification in The Netherlands. Abdom Radiol (NY). 2022;47(1):38\u201347).\u2022 <i>n<\/i>\u2009=\u20094 in a technical study focused on assessing the reproducibility of quantitative imaging features in multicenter study cohorts (Schurink et al Sources of variation in multicenter rectal MRI data and their effect on radiomics feature reproducibility. Eur Radiol. 2022;32(3):1506\u20131516).\u2022 <i>n<\/i>\u2009=\u20092 in a study comparing different MRI response evaluation methods in rectal cancer (El Khababi et al Comparison of MRI response evaluation methods in rectal cancer: a multicentre and multireader validation study. Eur Radiol 33(6):4367\u20134377).","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Study subjects or cohorts overlap"}},{"value":"\u2022 retrospective\u2022 observational\u2022 multicenter study","order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}