دورية أكاديمية
أعرض في EDS

MRI Characteristics of Pediatric Renal Tumors: A SIOP-RTSG Radiology Panel Delphi Study.

التفاصيل البيبلوغرافية
العنوان: MRI Characteristics of Pediatric Renal Tumors: A SIOP-RTSG Radiology Panel Delphi Study.
المؤلفون: van der Beek JN; Department of Radiology and Nuclear Medicine, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht University, Utrecht, The Netherlands.; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Watson TA; Department of Paediatric Radiology, Great Ormond Street Hospital NHS Foundation Trust, London, UK., Nievelstein RAJ; Department of Radiology and Nuclear Medicine, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht University, Utrecht, The Netherlands.; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Brisse HJ; Imaging Department, Institut Curie, Paris, France., Morosi C; Department of Radiology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Lederman HM; Department of Diagnostic Imaging, Escola Paulista de Medicina, UNIFESP, São Paulo, Brazil., Coma A; Department of Pediatric Radiology, Hospital Vall d'Hebron, Barcelona, Spain., Gavra MM; Department of Pediatric Radiology and Nuclear Medicine, 'Aghia Sophia' Children's Hospital, Athens, Greece., Vult von Steyern K; Center for Medical Imaging and Physiology, Skåne University Hospital, Lund University, Lund, Sweden., Lakatos K; Department of Radiology, St. Anna Children's Hospital, University Clinic of Pediatrics, Medical University of Vienna, Vienna, Austria., Breysem L; Department of Radiology, University Hospitals Leuven, Leuven, Belgium., Varga E; Department of Pediatrics, Semmelweis University, Budapest, Hungary., Ducou Le Pointe H; Department of Pediatric Imaging, Hôpital d'Enfants Armand-Trousseau APHP, Paris, France., Lequin MH; Department of Radiology and Nuclear Medicine, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht University, Utrecht, The Netherlands.; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Schäfer JF; Division of Pediatric Radiology, Department of Radiology, University Hospital Tübingen, Tübingen, Germany., Mentzel HJ; Section of Pediatric Radiology, Institute of Diagnostic and Interventional Radiology, University Hospital Jena, Jena, Germany., Hötker AM; Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland., Calareso G; Radiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Swinson S; Department of Paediatric Radiology, Leeds Teaching Hospitals, Leeds, UK., Kyncl M; Department of Radiology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic., Granata C; Department of Paediatric Radiology, Institute for Maternal and Child Health - IRCCS 'Burlo Garofolo', Trieste, Italy., Aertsen M; Department of Radiology, University Hospitals Leuven, Leuven, Belgium., Di Paolo PL; Department of Radiology, Bambino Gesù Children's Hospital, Rome, Italy., de Krijger RR; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands., Graf N; Department of Pediatric Oncology & Hematology, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg, Germany., Olsen ØE; Department of Paediatric Radiology, Great Ormond Street Hospital NHS Foundation Trust, London, UK., Schenk JP; Clinic of Diagnostic and Interventional Radiology, Division of Pediatric Radiology, Heidelberg University Hospital, Heidelberg, Germany., van den Heuvel-Eibrink MM; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Littooij AS; Department of Radiology and Nuclear Medicine, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht University, Utrecht, The Netherlands.; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
المصدر: Journal of magnetic resonance imaging : JMRI [J Magn Reson Imaging] 2022 Feb; Vol. 55 (2), pp. 543-552. Date of Electronic Publication: 2021 Aug 06.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 9105850 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-2586 (Electronic) Linking ISSN: 10531807 NLM ISO Abbreviation: J Magn Reson Imaging Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken , N.J. : Wiley-Liss
Original Publication: Chicago, IL : Society for Magnetic Resonance Imaging, c1991-
مواضيع طبية MeSH: Kidney Neoplasms*/diagnostic imaging , Radiology* , Wilms Tumor*, Delphi Technique ; Diffusion Magnetic Resonance Imaging ; Humans
مستخلص: Background: The SIOP-Renal Tumor Study Group (RTSG) does not advocate invasive procedures to determine histology before the start of therapy. This may induce misdiagnosis-based treatment initiation, but only for a relatively small percentage of approximately 10% of non-Wilms tumors (non-WTs). MRI could be useful for reducing misdiagnosis, but there is no global consensus on differentiating characteristics.
Purpose: To identify MRI characteristics that may be used for discrimination of newly diagnosed pediatric renal tumors.
Study Type: Consensus process using a Delphi method.
Population: Not applicable.
Field Strength/sequence: Abdominal MRI including T1- and T2-weighted imaging, contrast-enhanced MRI, and diffusion-weighted imaging at 1.5 or 3 T.
Assessment: Twenty-three radiologists from the SIOP-RTSG radiology panel with ≥5 years of experience in MRI of pediatric renal tumors and/or who had assessed ≥50 MRI scans of pediatric renal tumors in the past 5 years identified potentially discriminatory characteristics in the first questionnaire. These characteristics were scored in the subsequent second round, consisting of 5-point Likert scales, ranking- and multiple choice questions.
Statistical Tests: The cut-off value for consensus and agreement among the majority was ≥75% and ≥60%, respectively, with a median of ≥4 on the Likert scale.
Results: Consensus on specific characteristics mainly concerned the discrimination between WTs and non-WTs, and WTs and nephrogenic rest(s) (NR)/nephroblastomatosis. The presence of bilateral lesions (75.0%) and NR/nephroblastomatosis (65.0%) were MRI characteristics indicated as specific for the diagnosis of a WT, and 91.3% of the participants agreed that MRI is useful to distinguish NR/nephroblastomatosis from WT. Furthermore, all participants agreed that age influenced their prediction in the discrimination of pediatric renal tumors.
Data Conclusion: Although the discrimination of pediatric renal tumors based on MRI remains challenging, this study identified some specific characteristics for tumor subtypes, based on the shared opinion of experts. These results may guide future validation studies and innovative efforts.
Level of Evidence: 3 Technical Efficacy Stage: 3.
(© 2021 The Authors. Journal of Magnetic Resonance Imaging published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine.)
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فهرسة مساهمة: Keywords: Delphi technique; Wilms tumor; pediatric; renal tumor
تواريخ الأحداث: Date Created: 20210807 Date Completed: 20220131 Latest Revision: 20220721
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9291546
DOI: 10.1002/jmri.27878
PMID: 34363274
قاعدة البيانات: MEDLINE
الوصف
تدمد:1522-2586
DOI:10.1002/jmri.27878