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Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis

(1) Although guidelines about the use of MRI sequences for Multiple Sclerosis (MS) diagnosis and follow-up are available, variability in acquisition protocols is not uncommon in everyday clinical practice. The aim of this study was to evaluate the real-world application of MS imaging guidelines in d...

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Autores principales: Tortora, Mario, Tranfa, Mario, D’Elia, Anna Chiara, Pontillo, Giuseppe, Petracca, Maria, Bozzao, Alessandro, Caranci, Ferdinando, Cervo, Amedeo, Cosottini, Mirco, Falini, Andrea, Longo, Marcello, Manara, Renzo, Muto, Mario, Porcu, Michele, Roccatagliata, Luca, Todeschini, Alessandra, Saba, Luca, Brunetti, Arturo, Cocozza, Sirio, Elefante, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394408/
https://www.ncbi.nlm.nih.gov/pubmed/34441245
http://dx.doi.org/10.3390/diagnostics11081310
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author Tortora, Mario
Tranfa, Mario
D’Elia, Anna Chiara
Pontillo, Giuseppe
Petracca, Maria
Bozzao, Alessandro
Caranci, Ferdinando
Cervo, Amedeo
Cosottini, Mirco
Falini, Andrea
Longo, Marcello
Manara, Renzo
Muto, Mario
Porcu, Michele
Roccatagliata, Luca
Todeschini, Alessandra
Saba, Luca
Brunetti, Arturo
Cocozza, Sirio
Elefante, Andrea
author_facet Tortora, Mario
Tranfa, Mario
D’Elia, Anna Chiara
Pontillo, Giuseppe
Petracca, Maria
Bozzao, Alessandro
Caranci, Ferdinando
Cervo, Amedeo
Cosottini, Mirco
Falini, Andrea
Longo, Marcello
Manara, Renzo
Muto, Mario
Porcu, Michele
Roccatagliata, Luca
Todeschini, Alessandra
Saba, Luca
Brunetti, Arturo
Cocozza, Sirio
Elefante, Andrea
author_sort Tortora, Mario
collection PubMed
description (1) Although guidelines about the use of MRI sequences for Multiple Sclerosis (MS) diagnosis and follow-up are available, variability in acquisition protocols is not uncommon in everyday clinical practice. The aim of this study was to evaluate the real-world application of MS imaging guidelines in different settings to clarify the level of adherence to these guidelines. (2) Via an on-line anonymous survey, neuroradiologists (NR) were asked about MRI protocols and parameters routinely acquired when MS patients are evaluated in their center, both at diagnosis and follow-up. Furthermore, data about report content and personal opinions about emerging neuroimaging markers were also retrieved. (3) A total of 46 participants were included, mostly working in a hospital or university hospital (80.4%) and with more than 10 years of experience (47.9%). We found a relatively good adherence to the suggested MRI protocols regarding the use of T2-weighted sequences, although almost 10% of the participants routinely acquired 2D sequences with a slice thickness superior to 3 mm. On the other hand, a wider degree of heterogeneity was found regarding gadolinium administration, almost routinely performed at follow-up examination (87.0% of cases) in contrast with the current guidelines, as well as a low use of a standardized reporting system (17.4% of cases). (4) Although the MS community is getting closer to a standardization of MRI protocols, there is still a relatively wide heterogeneity among NR, with particular reference to contrast administration, which must be overcome to guarantee an adequate quality of patients’ care in MS.
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spelling pubmed-83944082021-08-28 Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis Tortora, Mario Tranfa, Mario D’Elia, Anna Chiara Pontillo, Giuseppe Petracca, Maria Bozzao, Alessandro Caranci, Ferdinando Cervo, Amedeo Cosottini, Mirco Falini, Andrea Longo, Marcello Manara, Renzo Muto, Mario Porcu, Michele Roccatagliata, Luca Todeschini, Alessandra Saba, Luca Brunetti, Arturo Cocozza, Sirio Elefante, Andrea Diagnostics (Basel) Article (1) Although guidelines about the use of MRI sequences for Multiple Sclerosis (MS) diagnosis and follow-up are available, variability in acquisition protocols is not uncommon in everyday clinical practice. The aim of this study was to evaluate the real-world application of MS imaging guidelines in different settings to clarify the level of adherence to these guidelines. (2) Via an on-line anonymous survey, neuroradiologists (NR) were asked about MRI protocols and parameters routinely acquired when MS patients are evaluated in their center, both at diagnosis and follow-up. Furthermore, data about report content and personal opinions about emerging neuroimaging markers were also retrieved. (3) A total of 46 participants were included, mostly working in a hospital or university hospital (80.4%) and with more than 10 years of experience (47.9%). We found a relatively good adherence to the suggested MRI protocols regarding the use of T2-weighted sequences, although almost 10% of the participants routinely acquired 2D sequences with a slice thickness superior to 3 mm. On the other hand, a wider degree of heterogeneity was found regarding gadolinium administration, almost routinely performed at follow-up examination (87.0% of cases) in contrast with the current guidelines, as well as a low use of a standardized reporting system (17.4% of cases). (4) Although the MS community is getting closer to a standardization of MRI protocols, there is still a relatively wide heterogeneity among NR, with particular reference to contrast administration, which must be overcome to guarantee an adequate quality of patients’ care in MS. MDPI 2021-07-21 /pmc/articles/PMC8394408/ /pubmed/34441245 http://dx.doi.org/10.3390/diagnostics11081310 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
Tortora, Mario
Tranfa, Mario
D’Elia, Anna Chiara
Pontillo, Giuseppe
Petracca, Maria
Bozzao, Alessandro
Caranci, Ferdinando
Cervo, Amedeo
Cosottini, Mirco
Falini, Andrea
Longo, Marcello
Manara, Renzo
Muto, Mario
Porcu, Michele
Roccatagliata, Luca
Todeschini, Alessandra
Saba, Luca
Brunetti, Arturo
Cocozza, Sirio
Elefante, Andrea
Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis
title Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis
title_full Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis
title_fullStr Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis
title_full_unstemmed Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis
title_short Walk Your Talk: Real-World Adherence to Guidelines on the Use of MRI in Multiple Sclerosis
title_sort walk your talk: real-world adherence to guidelines on the use of mri in multiple sclerosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394408/
https://www.ncbi.nlm.nih.gov/pubmed/34441245
http://dx.doi.org/10.3390/diagnostics11081310
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