دورية أكاديمية
أعرض في EDS

Imaging in myeloma: a Royal College of Radiologists national survey of current imaging practice.

التفاصيل البيبلوغرافية
العنوان: Imaging in myeloma: a Royal College of Radiologists national survey of current imaging practice.
المؤلفون: Westerland O; Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK; Clinical Imaging and Medical Physics, Guy's and St Thomas' NHS Foundation Trust, London, UK., Drinkwater KJ; Directorate of Professional Practice, Royal College of Radiologists, London, UK. Electronic address: karl_drinkwater@rcr.ac.uk., Parikh J; Clinical Imaging and Medical Physics, Guy's and St Thomas' NHS Foundation Trust, London, UK., Streetly M; Clinical Haematology, Guy's and St Thomas' NHS Foundation Trust, London, UK., Pratt G; Clinical Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Goh V; Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK; Clinical Imaging and Medical Physics, Guy's and St Thomas' NHS Foundation Trust, London, UK., Howlett DC; Eastbourne Hospital, Eastbourne, UK.
المصدر: Clinical radiology [Clin Radiol] 2021 Nov; Vol. 76 (11), pp. 820-828. Date of Electronic Publication: 2021 Jun 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Ltd Country of Publication: England NLM ID: 1306016 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-229X (Electronic) Linking ISSN: 00099260 NLM ISO Abbreviation: Clin Radiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Blackwell Scientific Publications Ltd
Original Publication: Edinburgh, Livingstone.
مواضيع طبية MeSH: Health Care Surveys/*methods , Magnetic Resonance Imaging/*methods , Multiple Myeloma/*diagnostic imaging , Plasmacytoma/*diagnostic imaging , Tomography, X-Ray Computed/*methods , Whole Body Imaging/*methods, Health Care Surveys/statistics & numerical data ; Humans ; Positron Emission Tomography Computed Tomography ; Radiologists ; Radiology Department, Hospital ; Societies, Medical ; United Kingdom
مستخلص: Aims: To evaluate current national imaging practice in myeloma with reference to National Institute for Health and Care Excellence (NICE) guidelines (NG35, 2016) and compare results with an initial survey conducted in 2017 (61 participating sites).
Materials and Methods: All UK radiology departments treating myeloma patients and with a Royal College of Radiologists (RCR) Audit Lead were invited to participate. Data were collected using an online questionnaire. Descriptive statistics were performed.
Results: One hundred and fourteen hospitals supplied data (54% return rate). Skeletal survey (SS) remains the most-commonly performed first-line imaging test for suspected/confirmed myeloma or plasmacytoma (39%, 45/114 hospitals), followed by whole-body magnetic resonance imaging (WBMRI) (27%, 31/114) and whole-body computed tomography (WBCT) (19%, 22/114). Integrated positron-emission tomography/CT (PET/CT) was first-line in 14% (16/114). The NICE recommended initial investigation, WBMRI, is currently offered in 27% of surveyed hospitals (<10% in 2017). Ongoing challenges to implementing WBMRI include scanner availability, financial constraints, reporting time, and radiologist training.
Conclusion: Despite NICE recommendations regarding WBMRI in diagnosis/follow-up of myeloma, SS (poor sensitivity and specificity) remains the most commonly performed first-line test. Radiologists, haematologists, and patients should continue to emphasise the superiority and benefit of modern and more accurate imaging, such that they are prioritised in clinical service planning.
(Copyright © 2021 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.)
تواريخ الأحداث: Date Created: 20210630 Date Completed: 20211213 Latest Revision: 20211214
رمز التحديث: 20231215
DOI: 10.1016/j.crad.2021.05.019
PMID: 34187681
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-229X
DOI:10.1016/j.crad.2021.05.019