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Ultrasonography of the anal canal, the rectum and the surrounding tissues using intraluminal transducers with transanal/rectal imaging provides high-resolution imaging with clearly distinguishable tissue‐dependent echo signals. Endorectal ultrasonography depicts rectal wall layers and adjuvant structures with a high degree of precision. Anal endoso...
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Citations
... [24] A digital rectal examination with subjective assessment of rectal tone and direct visualization of the anus should be conducted prior to scope insertion to add supplementary diagnostic information and ensure safe scope insertion in cases of potential anal strictures. [40] For each indication, the involved rectal wall layers should be well described. Adjacent perirectal structures should be reported including the bladder, seminal vesicles and prostate in men, and uterus and vagina in women. ...
... Discontinuity of the internal or external sphincters should be noted as this may correspond to patients with complete tears that may benefit from surgical intervention. [40] In the local staging of rectal cancer, the proximal and distal tumor extent in relation to the anal verge should be noted. A clear description of the depth of tumor invasion in relation to rectal wall layers is required. ...
Background and objectives:
Quality indicators for the performance of EUS have been developed to monitor and improve service value and patient outcomes. To support the incorporation of these indicators and standardize EUS documentation, we propose standard EUS reporting elements for endosonographers and endoscopy units.
Methods:
A comprehensive literature search and review was performed to identify EUS quality indicators and key components of high-quality standardized EUS reporting. Guidance statements regarding standard EUS reporting elements were developed and reviewed at the Forum for Canadian Endoscopic Ultrasound (FOCUS) 2019 Annual Meeting.
Results:
EUS reporting elements can be divided into preprocedural, intraprocedural, and postprocedural items. Preprocedural components include the type, indication, and urgency of the procedure and patient clinical information and consent. Intraprocedural components include the adequacy and extent of examination, relevant landmarks, lesion characteristics, sampling method, specimen quality, and intraprocedural adverse events. Postprocedural components include a summary and synthesis of relevant findings as well as recommended management and follow-up.
Conclusions:
Standardizing reporting elements may help improve the care of patients undergoing EUS procedures. Our review provides a practical guide and compilation of recommended reporting elements to ensure ongoing best practices and quality improvement in EUS.
