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Abstract #1669

Should Magnetic Resonance Imaging for Tumours of the Musculoskeletal System Be Performed in a Sarcoma-Designated Health Care Center?

Krista Anne Goulding1, Heathcliffe D'Sa1, Youjin Chang1, Kara McWatters2, Mark E. Schweitzer3, Joel Werier4

1Division of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, Canada; 2Division of Orthopaedic Surgery, The Ottawa Hospital, Ottawa, ON, Canada; 3Department of Radiology, University of Ottawa, Ottawa, ON, Canada; 4Division of Orthopaedic Surgery, University Ottawa, Ottawa, ON, Canada

A retrospective review of five years of referrals for musculoskeletal tumours identified significant discordance in MRI interpretation between referring centres and sarcoma-designated units. More accurate reporting may be achieved by synoptic reporting or referral to a centre with expertise in musculoskeletal neoplasia.

Keywords

accurate achieved adequacy adjudication assessed bone care categories challenging characteristics consecutive contrast correlation criteria crucial decisions descriptive descriptors designated details diagnoses diagnosis diagnostic dictate differential discordance discrepancies disseminated division enhancement entities errors evaluate evaluated expertise females findings guide guidelines health hospital identified inadequate inappropriate inclusion initial institution interpretation interpretations interpretative lesions likelihood limited major males management mark multidisciplinary nine objective occurred oncologists operative orthopedic outside panel patients patterns percentage planning primary probabilistic proportion qualitative quality radiologists radiology rare reason recommendations referral referrals referring repeat report reported reporting reports required retrospective review sarcoma secondary sequencing sixty soft sought studies suggest surgery surgical suspected synoptic system technical thirty tissue trained treatment units volume whereas whereby