{"entity":{"id":"idea-data-structured-radiology-response","kind":"idea","name":"Structured, coded radiology reports for cancer response instead of free text","aka":[],"tldr":"Radiologists would record tumour measurements and response in tick-box, coded form rather than prose, so progression is machine-readable across every scan.","summary":"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.","asOf":"2026-09-08","links":[{"label":"Bottleneck evidence (Data silos): AACR Project GENIE","url":"https://www.aacr.org/professionals/research/aacr-project-genie/"}],"tags":[],"related":[],"cancers":[],"sections":["ai-computation","imaging"],"technologies":["ct","mri","pet-ct"],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":["recist","pfs"],"trials":[],"people":[],"bottlenecks":["b-data-silos","b-real-world-evidence"],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"hypothesis":"Structured response reporting will raise machine-derivable progression dates from under 30 percent to over 90 percent of follow-up scans and make real-world PFS as reliable as trial PFS.","rationale":"Structured reporting has improved completeness in prostate MRI (PI-RADS) and lung nodules (Lung-RADS); response assessment is the missing oncology template.","test":"Deploy a structured response template at three centres; compare agreement of derived progression dates with trial-style central review in 500 patients against free-text NLP extraction.","maturity":"early-clinical","actor":"clinic","cost":"small","horizonYears":2},"route":"/ideas/idea-data-structured-radiology-response/","neighbours":{"section":[{"id":"ai-computation","kind":"section","name":"AI & Computation","route":"/fronts/ai-computation/"},{"id":"imaging","kind":"section","name":"Imaging","route":"/fronts/imaging/"}],"technology":[{"id":"ct","kind":"technology","name":"CT (computed tomography)","route":"/technologies/ct/"},{"id":"mri","kind":"technology","name":"MRI","route":"/technologies/mri/"},{"id":"pet-ct","kind":"technology","name":"PET/CT","route":"/technologies/pet-ct/"}],"term":[{"id":"pfs","kind":"term","name":"Progression-free survival (PFS)","route":"/terms/pfs/"},{"id":"recist","kind":"term","name":"RECIST","route":"/terms/recist/"}],"bottleneck":[{"id":"b-data-silos","kind":"bottleneck","name":"Data silos","route":"/bottlenecks/b-data-silos/"},{"id":"b-real-world-evidence","kind":"bottleneck","name":"Weak real-world evidence and registries","route":"/bottlenecks/b-real-world-evidence/"}]}}