Cargando…

Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines

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 e...

Descripción completa

Detalles Bibliográficos
Autores principales: Weiss, Sebastian, Korthaus, Alexander, Baumann, Nora, Yamamura, Jin, Spiro, Alexander S., Lübke, Andreas M., Frosch, Karl-Heinz, Schlickewei, Carsten, Priemel, Matthias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069769/
https://www.ncbi.nlm.nih.gov/pubmed/33919690
http://dx.doi.org/10.3390/diagnostics11040695
_version_ 1783683314779947008
author Weiss, Sebastian
Korthaus, Alexander
Baumann, Nora
Yamamura, Jin
Spiro, Alexander S.
Lübke, Andreas M.
Frosch, Karl-Heinz
Schlickewei, Carsten
Priemel, Matthias
author_facet Weiss, Sebastian
Korthaus, Alexander
Baumann, Nora
Yamamura, Jin
Spiro, Alexander S.
Lübke, Andreas M.
Frosch, Karl-Heinz
Schlickewei, Carsten
Priemel, Matthias
author_sort Weiss, Sebastian
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8069769
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-80697692021-04-26 Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines Weiss, Sebastian Korthaus, Alexander Baumann, Nora Yamamura, Jin Spiro, Alexander S. Lübke, Andreas M. Frosch, Karl-Heinz Schlickewei, Carsten Priemel, Matthias Diagnostics (Basel) Article 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. MDPI 2021-04-14 /pmc/articles/PMC8069769/ /pubmed/33919690 http://dx.doi.org/10.3390/diagnostics11040695 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Weiss, Sebastian
Korthaus, Alexander
Baumann, Nora
Yamamura, Jin
Spiro, Alexander S.
Lübke, Andreas M.
Frosch, Karl-Heinz
Schlickewei, Carsten
Priemel, Matthias
Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
title Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
title_full Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
title_fullStr Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
title_full_unstemmed Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
title_short Musculoskeletal Soft-Tissue Sarcoma: Quality Assessment of Initial MRI Reports Shows Frequent Deviation from ESSR Guidelines
title_sort musculoskeletal soft-tissue sarcoma: quality assessment of initial mri reports shows frequent deviation from essr guidelines
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069769/
https://www.ncbi.nlm.nih.gov/pubmed/33919690
http://dx.doi.org/10.3390/diagnostics11040695
work_keys_str_mv AT weisssebastian musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT korthausalexander musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT baumannnora musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT yamamurajin musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT spiroalexanders musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT lubkeandreasm musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT froschkarlheinz musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT schlickeweicarsten musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines
AT priemelmatthias musculoskeletalsofttissuesarcomaqualityassessmentofinitialmrireportsshowsfrequentdeviationfromessrguidelines