Article Figures & Data
Tables
Criterion Description Appropriateness 1: Highly appropriate Meeting standards of information given by medical staff in nuclear medicine department 2: Quite appropriate Minor aspects incorrect or inconsistent 3: Quite inappropriate Relevant aspects inconsistent 4: Highly inappropriate Major aspects incorrect; potentially harmful Helpfulness 1: Very helpful Comprehensive and likely to fully answer patient’s question 2: Quite helpful Specific but lacking potentially helpful information 3: Quite unhelpful Specific but lacking crucial information related to patient’s question 4: Clearly unhelpful Unspecific and lacking crucial information Empathetic Yes Shows humanlike empathy No Is neutral and shows no empathy Inconsistent between trials 1: Irrelevant Differences only in wording, style, or layout 2: Minor Differences in content of response but none relevant to main content required to answer patient’s question 3: Major Some differences relevant to main content 4: Incompatible Responses incompatible with each other Validity of references 1: Fully valid Appropriate, identifiable, and accessible source 2: Appropriate but outdated Appropriate reference but outdated uniform resource locator or only generic references 3: Appropriate, incorrectly cited, but possible to find Appropriate reference with incorrect bibliographic data but still possible to find 4: Invalid Invalid reference that cannot be found (hallucinations) Question/report Description Appropriate Helpful Inconsistent Q1 How long does a PET scan take? 1 1 2 Q2 Is a PET scan harmful? 1 1 1 Q3 How should I prepare for a PET scan? 1 1 2 Q4 I’m a caregiver to a toddler. Are there any precautionary measures after a PET scan? 3* 3* 3* Q5 Can I take a PET scan as a diabetic? 1 1 1 Q6 Is a PET scan recommended for lung cancer before surgery? 2 2 2 Q7 Why is a PET scan needed for Hodgkin lymphoma? 1 1 1 Q8 How accurate is a PET scan for lung cancer? 1 2 1 Q9 Is a PET scan better than a CT scan for lung cancer? 2 1 1 Q10 Does negative on PET mean that a lung nodule is benign? 2 1 1 Q11 Does a hypermetabolic lung nodule on PET mean that I have lung cancer? 1 1 1 Q12 My PET scan showed a hypermetabolic lung nodule. Should I have it removed? 1 1 2 Q13 What does “Deauville 5” mean in a PET report? 1 1 1 R1 Hodgkin lymphoma: initial staging 1 1 2 R1Q1 What’s my lymphoma stage? 3* 2 3* R2 Hodgkin lymphoma: response assessment 1 1 2 R3 NSCLC: initial staging (early stage) 1 1 1 R3Q1 How should my lung cancer be treated? 2 2 3* R4 NSCLC: initial staging (locally advanced) 1 1 1 R4Q1 What’s my cancer stage? 2 1 3* R4Q2 How should my lung cancer be treated? 1 2 2 R5 NSCLC: initial staging (stage IV) 1 1 1 R5Q1 What’s my life expectancy? 1 1 2 R6 Solitary pulmonary nodule (PET-negative) 1 1 1 R6Q1 Should the lung nodule be removed? 1 1 1 ↵* Negative rating (category 3 or 4).
Inconsistent = only 1 rater.
Rating categories are explained in Table 1. In 5 of 6 PET/CT reports, follow-up questions were raised.
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