Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2023—overview, and primary local imaging: how and where?
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| Title: | Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2023—overview, and primary local imaging: how and where? |
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| Authors: | Noebauer-Huhmann, Iris-Melanie1 (AUTHOR) iris.noebauer@meduniwien.ac.at, Vanhoenacker, Filip M.2,3 (AUTHOR), Vilanova, Joan C.4 (AUTHOR), Tagliafico, Alberto S.5,6 (AUTHOR), Weber, Marc-André7 (AUTHOR), Lalam, Radhesh K.8 (AUTHOR), Grieser, Thomas9 (AUTHOR), Nikodinovska, Violeta Vasilevska10,11 (AUTHOR), de Rooy, Jacky W. J.12 (AUTHOR), Papakonstantinou, Olympia13 (AUTHOR), Mccarthy, Catherine14 (AUTHOR), Sconfienza, Luca Maria15,16 (AUTHOR), Verstraete, Koenraad17 (AUTHOR), Martel-Villagrán, José18 (AUTHOR), Szomolanyi, Pavol19,20 (AUTHOR), Lecouvet, Frédéric E.21 (AUTHOR), Afonso, Diana22 (AUTHOR), Albtoush, Omar M.23 (AUTHOR), Aringhieri, Giacomo24 (AUTHOR), Arkun, Remide25 (AUTHOR) |
| Source: | European Radiology. Jul2024, Vol. 34 Issue 7, p4427-4437. 11p. |
| Subjects: | Soft tissue tumors, Sarcoma, Adults, Delphi method |
| Abstract: | Objectives: Early, accurate diagnosis is crucial for the prognosis of patients with soft tissue sarcomas. To this end, standardization of imaging algorithms, technical requirements, and reporting is therefore a prerequisite. Since the first European Society of Musculoskeletal Radiology (ESSR) consensus in 2015, technical achievements, further insights into specific entities, and the revised WHO-classification (2020) and AJCC staging system (2017) made an update necessary. The guidelines are intended to support radiologists in their decision-making and contribute to interdisciplinary tumor board discussions. Materials and methods: A validated Delphi method based on peer-reviewed literature was used to derive consensus among a panel of 46 specialized musculoskeletal radiologists from 12 European countries. Statements were scored online by level of agreement (0 to 10) during two iterative rounds. Either "group consensus," "group agreement," or "lack of agreement" was achieved. Results: Eight sections were defined that finally contained 145 statements with comments. Overall, group consensus was reached in 95.9%, and group agreement in 4.1%. This communication contains the first part consisting of the imaging algorithm for suspected soft tissue tumors, methods for local imaging, and the role of tumor centers. Conclusion: Ultrasound represents the initial triage imaging modality for accessible and small tumors. MRI is the modality of choice for the characterization and local staging of most soft tissue tumors. CT is indicated in special situations. In suspicious or likely malignant tumors, a specialist tumor center should be contacted for referral or teleradiologic second opinion. This should be done before performing a biopsy, without exception. Clinical relevance: The updated ESSR soft tissue tumor imaging guidelines aim to provide best practice expert consensus for standardized imaging, to support radiologists in their decision-making, and to improve examination comparability both in individual patients and in future studies on individualized strategies. Key Points: • Ultrasound remains the best initial triage imaging modality for accessible and small suspected soft tissue tumors. • MRI is the modality of choice for the characterization and local staging of soft tissue tumors in most cases; CT is indicated in special situations. Suspicious or likely malignant tumors should undergo biopsy. • In patients with large, indeterminate or suspicious tumors, a tumor reference center should be contacted for referral or teleradiologic second opinion; this must be done before a biopsy. [ABSTRACT FROM AUTHOR] |
| Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Header | DbId: egs DbLabel: Engineering Source An: 178150563 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2023—overview, and primary local imaging: how and where? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Noebauer-Huhmann%2C+Iris-Melanie%22">Noebauer-Huhmann, Iris-Melanie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> iris.noebauer@meduniwien.ac.at</i><br /><searchLink fieldCode="AR" term="%22Vanhoenacker%2C+Filip+M%2E%22">Vanhoenacker, Filip M.</searchLink><relatesTo>2,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vilanova%2C+Joan+C%2E%22">Vilanova, Joan C.</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tagliafico%2C+Alberto+S%2E%22">Tagliafico, Alberto S.</searchLink><relatesTo>5,6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weber%2C+Marc-André%22">Weber, Marc-André</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lalam%2C+Radhesh+K%2E%22">Lalam, Radhesh K.</searchLink><relatesTo>8</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grieser%2C+Thomas%22">Grieser, Thomas</searchLink><relatesTo>9</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nikodinovska%2C+Violeta+Vasilevska%22">Nikodinovska, Violeta Vasilevska</searchLink><relatesTo>10,11</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Rooy%2C+Jacky+W%2E+J%2E%22">de Rooy, Jacky W. J.</searchLink><relatesTo>12</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Papakonstantinou%2C+Olympia%22">Papakonstantinou, Olympia</searchLink><relatesTo>13</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mccarthy%2C+Catherine%22">Mccarthy, Catherine</searchLink><relatesTo>14</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sconfienza%2C+Luca+Maria%22">Sconfienza, Luca Maria</searchLink><relatesTo>15,16</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Verstraete%2C+Koenraad%22">Verstraete, Koenraad</searchLink><relatesTo>17</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martel-Villagrán%2C+José%22">Martel-Villagrán, José</searchLink><relatesTo>18</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Szomolanyi%2C+Pavol%22">Szomolanyi, Pavol</searchLink><relatesTo>19,20</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lecouvet%2C+Frédéric+E%2E%22">Lecouvet, Frédéric E.</searchLink><relatesTo>21</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Afonso%2C+Diana%22">Afonso, Diana</searchLink><relatesTo>22</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Albtoush%2C+Omar+M%2E%22">Albtoush, Omar M.</searchLink><relatesTo>23</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aringhieri%2C+Giacomo%22">Aringhieri, Giacomo</searchLink><relatesTo>24</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arkun%2C+Remide%22">Arkun, Remide</searchLink><relatesTo>25</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jul2024, Vol. 34 Issue 7, p4427-4437. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Soft+tissue+tumors%22">Soft tissue tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Sarcoma%22">Sarcoma</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Delphi+method%22">Delphi method</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: Early, accurate diagnosis is crucial for the prognosis of patients with soft tissue sarcomas. To this end, standardization of imaging algorithms, technical requirements, and reporting is therefore a prerequisite. Since the first European Society of Musculoskeletal Radiology (ESSR) consensus in 2015, technical achievements, further insights into specific entities, and the revised WHO-classification (2020) and AJCC staging system (2017) made an update necessary. The guidelines are intended to support radiologists in their decision-making and contribute to interdisciplinary tumor board discussions. Materials and methods: A validated Delphi method based on peer-reviewed literature was used to derive consensus among a panel of 46 specialized musculoskeletal radiologists from 12 European countries. Statements were scored online by level of agreement (0 to 10) during two iterative rounds. Either "group consensus," "group agreement," or "lack of agreement" was achieved. Results: Eight sections were defined that finally contained 145 statements with comments. Overall, group consensus was reached in 95.9%, and group agreement in 4.1%. This communication contains the first part consisting of the imaging algorithm for suspected soft tissue tumors, methods for local imaging, and the role of tumor centers. Conclusion: Ultrasound represents the initial triage imaging modality for accessible and small tumors. MRI is the modality of choice for the characterization and local staging of most soft tissue tumors. CT is indicated in special situations. In suspicious or likely malignant tumors, a specialist tumor center should be contacted for referral or teleradiologic second opinion. This should be done before performing a biopsy, without exception. Clinical relevance: The updated ESSR soft tissue tumor imaging guidelines aim to provide best practice expert consensus for standardized imaging, to support radiologists in their decision-making, and to improve examination comparability both in individual patients and in future studies on individualized strategies. Key Points: • Ultrasound remains the best initial triage imaging modality for accessible and small suspected soft tissue tumors. • MRI is the modality of choice for the characterization and local staging of soft tissue tumors in most cases; CT is indicated in special situations. Suspicious or likely malignant tumors should undergo biopsy. • In patients with large, indeterminate or suspicious tumors, a tumor reference center should be contacted for referral or teleradiologic second opinion; this must be done before a biopsy. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00330-023-10425-5 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 4427 Subjects: – SubjectFull: Soft tissue tumors Type: general – SubjectFull: Sarcoma Type: general – SubjectFull: Adults Type: general – SubjectFull: Delphi method Type: general Titles: – TitleFull: Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2023—overview, and primary local imaging: how and where? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Noebauer-Huhmann, Iris-Melanie – PersonEntity: Name: NameFull: Vanhoenacker, Filip M. – PersonEntity: Name: NameFull: Vilanova, Joan C. – PersonEntity: Name: NameFull: Tagliafico, Alberto S. – PersonEntity: Name: NameFull: Weber, Marc-André – PersonEntity: Name: NameFull: Lalam, Radhesh K. – PersonEntity: Name: NameFull: Grieser, Thomas – PersonEntity: Name: NameFull: Nikodinovska, Violeta Vasilevska – PersonEntity: Name: NameFull: de Rooy, Jacky W. J. – PersonEntity: Name: NameFull: Papakonstantinou, Olympia – PersonEntity: Name: NameFull: Mccarthy, Catherine – PersonEntity: Name: NameFull: Sconfienza, Luca Maria – PersonEntity: Name: NameFull: Verstraete, Koenraad – PersonEntity: Name: NameFull: Martel-Villagrán, José – PersonEntity: Name: NameFull: Szomolanyi, Pavol – PersonEntity: Name: NameFull: Lecouvet, Frédéric E. – PersonEntity: Name: NameFull: Afonso, Diana – PersonEntity: Name: NameFull: Albtoush, Omar M. – PersonEntity: Name: NameFull: Aringhieri, Giacomo – PersonEntity: Name: NameFull: Arkun, Remide IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09387994 Numbering: – Type: volume Value: 34 – Type: issue Value: 7 Titles: – TitleFull: European Radiology Type: main |
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