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Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
- Source :
- Diagnostics, Vol 11, Iss 695, p 695 (2021), Diagnostics, Diagnostics; Volume 11; Issue 4; Pages: 695
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Soft-tissue sarcomas (STS) are a rare subtype of soft-tissue mass and are frequently misinterpreted as benign lesions. Magnetic resonance imaging (MRI) is the primary recommended type of diagnostics. To assess the quality of primary radiology reports, we investigated whether recommended MRI report elements were included in compliance with European Society of Musculoskeletal Radiology (ESSR) guidelines. A total of 1107 patients were evaluated retrospectively, and 126 radiological reports on patients with malignant STS were assessed for ESSR quality criteria. One or more required sequences or planes were missing in 67% of the reports. In all 126 cases, the report recognized the mass as anomalous (100%). Sixty-eight percent of the reports mentioned signs of malignancy. The majority of reports (n = 109, 87%) articulated a suspected diagnosis, 32 of which showed a mismatch with the final diagnosis (25%). Thirty-two percent of the reports had a misinterpretation of the masses as benign. Benign misinterpretations were more common in masses smaller than 5 cm (65% vs. 27%). Thirty percent of the reports suggested tissue biopsy and 6% recommended referral to a sarcoma center. MRI reports showed frequent deviations from ESSR guidelines, and protocol guidelines were not routinely met. Deviations from standard protocol and reporting guidelines could put patients at risk for inadequate therapy.
- Subjects :
- medicine.medical_specialty
soft-tissue sarcoma
MRI
report
radiology
MSK
sarcoma center
ESSR
unplanned excision
biopsy
Clinical Biochemistry
Malignancy
Article
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Biopsy
MUSCULOSKELETAL/SOFT TISSUE
Medicine
lcsh:R5-920
medicine.diagnostic_test
business.industry
Quality assessment
Soft tissue sarcoma
Magnetic resonance imaging
medicine.disease
030220 oncology & carcinogenesis
Radiological weapon
Radiology
Sarcoma
lcsh:Medicine (General)
business
Subjects
Details
- ISSN :
- 20754418
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Diagnostics
- Accession number :
- edsair.doi.dedup.....b78463f2ec2bd539be3d6bd74d2e12e3
- Full Text :
- https://doi.org/10.3390/diagnostics11040695