2025-02-17 - Cancer Synoptic Reporting Project Group Meeting

1

Updates:

@Scott Campbell 

1. CAP publication planning

2. Data conversion work (end of 1st qtr for distribution)

   1. Manuscript update

3. ICCR update - No updates since last meeting.  Adminstriviation pending...can we increase our meeting frequency? @Scott Campbell to send out invite.

2

Oslo Meeting - Apirl 6 - 9

@Scott Campbell 

1. Who is planning to attend in person?  Virtually?

2. Topics

   1. CSRWG wrap up

   2. Histopathology CRG launch (Agenda/work plan development)

   3. Histology Quality Working Group

   4. Pathology CRG (general)

3. Eric Daley, Elaine Wooler, Jim Case, Paul Seegers, Stefan Dubois , Thomas (virtual), Georg (virtual), Laszlo (and son?), Ji Eun?, Mary Edgerton , Ekaterina (virtual), Raj Dash

3

Remaining work

@Scott Campbell 

Approximately 100-120 concepts

4

Lymph nodes

@Scott Campbell 

1. sentinel vs. non-sentinel

2. Laterized?

5

tnm descriptors

@Scott Campbell 

@Scott Campbell @Eric Daley (Unlicensed) will follow up with AJCC to see if they are open to allowing tnm descriptor concepts back in

6

Anatomic locations for margins/tumor extension

@Scott Campbell 

7

Clinical findings resolution - Still in process

@Scott Campbell

This recommendation needs to be solidified by this group

1. Need to determine the scope/extent of use of current content used in each organization/community of practice.
   
   

   1. Content at issue

   2. Recommended plan

   3. Rationale to do change

   4. ID deficiency of existing content

   5. Define implausibility of editing existing

   6. How are you using existing content?

   7. How are you overcoming deficiencies with current content?
      
      
      

2. Impact of change on your organization?
   
   
   

3. What is the process for transition?  Needs to be articulated in the briefing note/consultative note
   
   
   

4. What to do with legacy content...how to handle it?  How convert old content to new representation needs to be articulated...implementation question.
   
   
   

5. How does this group engage with adoption/transition/implementation?
   
   
   

6. Make sure that link to implementation guide included.
   
   
   

7. Discuss approach vs. pre-coordination

5

Open items

@Scott Campbell 

1. Lymph node stations lung and esophagus

6

CSRWG Future?

@Scott Campbell 

Continue Discussion on how to proceed

Metadata uses:

Digital imaging application:
How would this manifest itself? 
Would this be bound to DICOM?
To what level of granularity in the image? Morphology data?  Diagnostic data (IHC?)

AI application.

1. CSRWG will wrap up by April Business Mtg - 2025

2. Ongoing working groups

   1. Histology Quality

   2. WSI? - Laszlo Igali favors this

   3. IHC?

   4. Medical synoptics

   5. Artificial Intelligence, pathology and synoptic reporting.  Paul Seegers favors this

   6. Implementation focus?  

      1. Implementation

      2. links to WSI

      3. links to AI

      4. Metadata!