دورية أكاديمية
أعرض في EDS

Does Magnetic Resonance Imaging After Diagnostic Ultrasound for Soft Tissue Masses Change Clinical Management?

التفاصيل البيبلوغرافية
العنوان: Does Magnetic Resonance Imaging After Diagnostic Ultrasound for Soft Tissue Masses Change Clinical Management?
المؤلفون: Goldman LH; Department of Radiology, New York University Langone Medical Center, New York, New York, USA., Perronne L; Department of Radiology, New York University Langone Medical Center, New York, New York, USA., Alaia EF; Department of Radiology, New York University Langone Medical Center, New York, New York, USA., Samim MM; Department of Radiology, New York University Langone Medical Center, New York, New York, USA., Hoda ST; Department of Pathology, New York University Langone Medical Center, New York, New York, USA., Adler RS; Department of Radiology, New York University Langone Medical Center, New York, New York, USA., Burke CJ; Department of Radiology, New York University Langone Medical Center, New York, New York, USA.
المصدر: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine [J Ultrasound Med] 2021 Aug; Vol. 40 (8), pp. 1515-1522. Date of Electronic Publication: 2020 Oct 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley and Sons Country of Publication: England NLM ID: 8211547 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-9613 (Electronic) Linking ISSN: 02784297 NLM ISO Abbreviation: J Ultrasound Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Oxford, UK : John Wiley and Sons
Original Publication: [Philadelphia, Pa.] : W.B. Saunders, c1982-
مواضيع طبية MeSH: Image-Guided Biopsy* , Magnetic Resonance Imaging*, Diagnosis, Differential ; Humans ; Retrospective Studies ; Ultrasonography
مستخلص: Objectives: To evaluate whether a follow-up magnetic resonance imaging (MRI) scan performed after initial ultrasound (US) to evaluate soft tissue mass (STM) lesions of the musculoskeletal system provides additional radiologic diagnostic information and alters clinical management.
Methods: A retrospective chart review was performed of patients undergoing initial US evaluations of STMs of the axial or appendicular skeleton between November 2012 and March 2019. Patients who underwent US examinations followed by MRI for the evaluation of STM lesions were identified. For inclusion, the subsequent pathologic correlation was required from either a surgical or image-guided biopsy. Imaging studies with pathologic correlations were then reviewed by 3 musculoskeletal radiologists, who were blinded to the pathologic diagnoses. The diagnostic utility of MRI was then assessed on the basis of a 5-point grading scale, and inter-reader agreements were determined by the Fleiss κ statistic.
Results: Ninety-two patients underwent MRI after US for STM evaluations. Final pathologic results were available in 42 cases. Samples were obtained by surgical excision or open biopsy (n = 34) or US-guided core biopsy (n = 8). The most common pathologic diagnoses were nerve sheath tumors (n = 9), lipomas (n = 5), and leiomyomas (n = 5). Imaging review showed that the subsequent MRI did not change the working diagnosis in 73% of cases, and the subsequent MRI was not considered to narrow the differential diagnosis in 68% of cases. There was slight inter-reader agreement for the diagnostic utility of MRI among individual cases (κ = 0.10) between the 3 readers.
Conclusions: The recommendation of MRI to further evaluate STM lesions seen with US frequently fails to change the working diagnosis or provide significant diagnostic utility.
(© 2020 American Institute of Ultrasound in Medicine.)
References: Lakkaraju A, Sinha R, Garikipati R, Edward S, Robinson P. Ultrasound for initial evaluation and triage of clinically suspicious soft-tissue masses. Clin Radiol 2009; 64:615-621.
Kransdorf MJ, Murphey MD. Imaging of soft-tissue musculoskeletal masses: fundamental concepts. Radiographics 2016; 36:1931-1948.
Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. WHO Classification of Tumours of Soft Tissue and Bone. 4th ed. Geneva, Switzerland: World Health Organization Press; 2013.
Hung EHY, Griffith JF, Ng AWH, Lee RKL, Lau DTY, Leung JCS. Ultrasound of musculoskeletal soft-tissue tumors superficial to the investing fascia. AJR Am J Roentgenol 2014; 202:W532-W540.
Nazarian LN. The top 10 reasons musculoskeletal sonography is an important complementary or alternative technique to MRI. AJR Am J Roentgenol 2008; 190:1621-1626.
Magarelli N, Carducci C, Bucalo C, et al. Sonoelastography for qualitative and quantitative evaluation of superficial soft tissue lesions: a feasibility study. Eur Radiol 2014; 24:566-573.
Kransdorf MJ, Murphey MD. Radiologic evaluation of soft-tissue masses: a current perspective. AJR Am J Roentgenol 2000; 175:575-587.
Manaster BJ. Soft-tissue masses: optimal imaging protocol and reporting. AJR Am J Roentgenol 2013; 201:505-514.
Kransdorf MJ, Murphey MD, Wessell DE, et al. ACR appropriateness criteria soft-tissue masses. J Am Coll Radiol 2018; 15:S189-S197.
Clark MA, Fisher C, Judson I, Thomas JM. Soft-tissue sarcomas in adults. N Engl J Med 2005; 353:701-711.
Clasby R, Tilling K, Smith MA, Fletcher CD. Variable management of soft tissue sarcoma: regional audit with implications for specialist care. Br J Surg 1997; 84:1692-1696.
Hussein R, Smith MA. Soft tissue sarcomas: are current referral guidelines sufficient? Ann R Coll Surg Engl 2005; 87:171-173.
Inampudi P, Jacobson JA, Fessell DP, et al. Soft-tissue lipomas: accuracy of sonography in diagnosis with pathologic correlation. Radiology 2004; 233:763-767.
Reynolds DL Jr, Jacobson JA, Inampudi P, Jamadar DA, Ebrahim FS, Hayes CW. Sonographic characteristics of peripheral nerve sheath tumors. AJR Am J Roentgenol 2004; 182:741-744.
Paltiel HJ, Burrows PE, Kozakewich HP, Zurakowski D, Mulliken JB. Soft tissue vascular anomalies: utility of US for diagnosis. Radiology 2000; 214:747-754.
Carra BJ, Bui-Mansfield LT, O'Brien SD, Chen DC. Sonography of musculoskeletal soft-tissue masses: techniques, pearls, and pitfalls. AJR Am J Roentgenol 2014; 202:1281-1290.
Lee MH, Kim NR, Ryu JA. Cyst-like solid tumors of the musculoskeletal system: an analysis of ultrasound findings. Skeletal Radiol 2010; 39:981-986.
Gartner L, Pearce CJ, Saifuddin A. The role of the plain radiograph in the characterisation of soft tissue tumors. Skeletal Radiol 2009; 38:549-558.
Smith SR, Salanitri J, Lisle D. Ultrasound evaluation of soft tissue masses and fluid collections. Semin Musculoskelet Radiol 2007; 11:174-191.
Ritchie DA. Commentary on ultrasound for initial evaluation and triage of clinically suspicious soft-tissue masses. Clin Radiol 2009; 64:622-623.
فهرسة مساهمة: Keywords: magnetic resonance imaging; neoplasm; soft tissue mass; ultrasound
تواريخ الأحداث: Date Created: 20201015 Date Completed: 20210719 Latest Revision: 20210719
رمز التحديث: 20240628
DOI: 10.1002/jum.15529
PMID: 33058264
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-9613
DOI:10.1002/jum.15529