Multi-observer contouring of male pelvic anatomy: Highly variable agreement across conventional and emerging structures of interest.

INTRODUCTION: This study quantified inter-observer contouring variations for multiple male pelvic structures, many of which are of emerging relevance for prostate cancer radiotherapy progression and toxicity response studies. METHODS: Five prostate cancer patient datasets (CT and T2-weighted MR) were distributed to 13 observers for contouring. CT structures contoured included the clinical target volume (CTV), seminal vesicles, rectum, colon, bowel bag, bladder and peri-rectal space (PRS). MR contours included CTV, trigone, membranous urethra, penile bulb, neurovascular bundle and multiple pelvic floor muscles. Contouring variations were assessed using the intraclass correlation coefficient (ICC), Dice similarity coefficient (DSC), and multiple additional metrics. RESULTS: Clinical target volume (CT and MR), bladder, rectum and PRS contours showed excellent inter-observer agreement (median ICC = 0.97; 0.99; 1.00; 0.95; 0.90, DSC = 0.83 ± 0.05; 0.88 ± 0.05; 0.93 ± 0.03; 0.81 ± 0.07; 0.80 ± 0.06, respectively). Seminal vesicle contours were more variable (ICC = 0.75, DSC = 0.73 ± 0.14), while colon and bowel bag contoured volumes were consistent (ICC = 0.97; 0.97), but displayed poor overlap (DSC = 0.58 ± 0.22; 0.67 ± 0.21). Smaller MR structures showed significant inter-observer variations, with poor overlap for trigone, membranous urethra, penile bulb, and left and right neurovascular bundles (DSC = 0.44 ± 0.22; 0.41 ± 0.21; 0.66 ± 0.21; 0.16 ± 0.17; 0.15 ± 0.15). Pelvic floor muscles recorded moderate to strong inter-observer agreement (ICC = 0.50-0.97), although large outlier variations were observed. CONCLUSIONS: Inter-observer contouring variation was significant for multiple pelvic structures contoured on MR.

Publication rates of abstracts presented at the Royal Australian and New Zealand College of Radiologists annual scientific meetings: Any change since 2004?

INTRODUCTION: The aim of this study was to determine the publication rate of abstracts presented at annual Royal Australian and New Zealand College of Radiologists (RANZCR) conferences. METHODS: The College's Annual Scientific Meetings (ASMs) from 2010 to 2013 were examined, with the goal of comparing these results to the findings of an earlier identical study that examined RANZCR ASMs from 1996 to 1999. RESULTS: Of the 1152 research abstracts presented, 468 (41%) had been published as full articles. The overall abstract to publication ratio (APR) for radiology was 34% and for radiation oncology was 57%. For oral presentations, these were 44% for radiology and 55% for radiation oncology. Papers were published in a wide variety of journals but 23% of articles appeared in the College's journal, the Journal of Medical Imaging and Radiation Oncology. The mean time between presentation and publication was 16.5 months (median 17 months). CONCLUSION: Publication rates are comparable with international reports. The APR has increased since the previous study for both disciplines, but more so for Radiation Oncology.