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...
Autores principales: | , , , , , , , , |
---|---|
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 |