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Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process

Purpose. To prospectively evaluate regional referrals into a soft tissue sarcoma service from outside the tertiary centre with local hospital imaging. Materials and Methods. Consecutive referrals were prospectively assessed for: patient demographics, source, referral date, date received by Multidisc...

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Detalles Bibliográficos
Autores principales: Rowbotham, Emma, Bhuva, Shaheel, Gupta, Harun, Robinson, Philip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390136/
https://www.ncbi.nlm.nih.gov/pubmed/22792037
http://dx.doi.org/10.1155/2012/781723
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author Rowbotham, Emma
Bhuva, Shaheel
Gupta, Harun
Robinson, Philip
author_facet Rowbotham, Emma
Bhuva, Shaheel
Gupta, Harun
Robinson, Philip
author_sort Rowbotham, Emma
collection PubMed
description Purpose. To prospectively evaluate regional referrals into a soft tissue sarcoma service from outside the tertiary centre with local hospital imaging. Materials and Methods. Consecutive referrals were prospectively assessed for: patient demographics, source, referral date, date received by Multidisciplinary Team (MDT), lesion size, local radiology, MDT radiology and final diagnoses. Radiology diagnosis was categorised benign, indeterminate or malignant by consensus. Delays were defined as >10 days. Results. 112 patients were included with high correlation between local and MDT radiology categrorisation and histology (P = 0.54 and P = 0.49, resp.). There was only a trend for MDT radiology diagnosis to downgrade local imaging diagnosis (n = 15, P > 0.05). 48 cases (43%) had ultrasound and MRI at referral and 20 (18%) ultrasound only. 85% of cases were benign (lipoma most common), 15% malignant (sarcoma most common). Delay occurred in 34% of cases. Discussion. In comparison to previous series these results show a reduction in benign lesions, increased biopsy and malignancy rate for lesions referred to a tertiary centre when imaging is performed and reviewed by local radiologists. Advances in Knowledge. Imaging triage of soft tissue masses can decrease benign referral rates and increase the proportion of indeterminate and malignant lesions referred to specialist centres.
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spelling pubmed-33901362012-07-12 Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process Rowbotham, Emma Bhuva, Shaheel Gupta, Harun Robinson, Philip Sarcoma Research Article Purpose. To prospectively evaluate regional referrals into a soft tissue sarcoma service from outside the tertiary centre with local hospital imaging. Materials and Methods. Consecutive referrals were prospectively assessed for: patient demographics, source, referral date, date received by Multidisciplinary Team (MDT), lesion size, local radiology, MDT radiology and final diagnoses. Radiology diagnosis was categorised benign, indeterminate or malignant by consensus. Delays were defined as >10 days. Results. 112 patients were included with high correlation between local and MDT radiology categrorisation and histology (P = 0.54 and P = 0.49, resp.). There was only a trend for MDT radiology diagnosis to downgrade local imaging diagnosis (n = 15, P > 0.05). 48 cases (43%) had ultrasound and MRI at referral and 20 (18%) ultrasound only. 85% of cases were benign (lipoma most common), 15% malignant (sarcoma most common). Delay occurred in 34% of cases. Discussion. In comparison to previous series these results show a reduction in benign lesions, increased biopsy and malignancy rate for lesions referred to a tertiary centre when imaging is performed and reviewed by local radiologists. Advances in Knowledge. Imaging triage of soft tissue masses can decrease benign referral rates and increase the proportion of indeterminate and malignant lesions referred to specialist centres. Hindawi Publishing Corporation 2012 2012-06-26 /pmc/articles/PMC3390136/ /pubmed/22792037 http://dx.doi.org/10.1155/2012/781723 Text en Copyright © 2012 Emma Rowbotham et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rowbotham, Emma
Bhuva, Shaheel
Gupta, Harun
Robinson, Philip
Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process
title Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process
title_full Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process
title_fullStr Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process
title_full_unstemmed Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process
title_short Assessment of Referrals into the Soft Tissue Sarcoma Service: Evaluation of Imaging Early in the Pathway Process
title_sort assessment of referrals into the soft tissue sarcoma service: evaluation of imaging early in the pathway process
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390136/
https://www.ncbi.nlm.nih.gov/pubmed/22792037
http://dx.doi.org/10.1155/2012/781723
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