Soft tissue tumor imaging in adults: whole-body staging in sarcoma, non-malignant entities requiring special algorithms, pitfalls and special imaging aspects. Guidelines 2024 from the European Society of Musculoskeletal Radiology (ESSR)

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dc.authoridVanhoenacker, Filip/0000-0002-7253-1201
dc.authoridNoebauer-Huhmann, Iris-Melanie/0000-0002-6301-2784
dc.contributor.authorNoebauer-Huhmann, Iris-Melanie
dc.contributor.authorVanhoenacker, Filip M.
dc.contributor.authorVilanova, Joan C.
dc.contributor.authorTagliafico, Alberto S.
dc.contributor.authorWeber, Marc-Andre
dc.contributor.authorLalam, Radhesh K.
dc.contributor.authorGrieser, Thomas
dc.date.accessioned2024-08-31T07:50:10Z
dc.date.available2024-08-31T07:50:10Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectivesThe revised European Society of Musculoskeletal Radiology (ESSR) consensus guidelines on soft tissue tumor imaging represent an update of 2015 after technical advancements, further insights into specific entities, and revised World Health Organization (2020) and AJCC (2017) classifications. This second of three papers covers algorithms once histology is confirmed: (1) standardized whole-body staging, (2) special algorithms for non-malignant entities, and (3) multiplicity, genetic tumor syndromes, and pitfalls.Materials and methodsA 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 that had undergone interdisciplinary revision were scored online by the level of agreement (0 to 10) during two iterative rounds, that could result in 'group consensus', 'group agreement', or 'lack of agreement'.ResultsThe three sections contain 24 statements with comments. Group consensus was reached in 95.8% and group agreement in 4.2%. For whole-body staging, pulmonary MDCT should be performed in all high-grade sarcomas. Whole-body MRI is preferred for staging bone metastasis, with [18F]FDG-PET/CT as an alternative modality in PET-avid tumors. Patients with alveolar soft part sarcoma, clear cell sarcoma, and angiosarcoma should be screened for brain metastases. Special algorithms are recommended for entities such as rhabdomyosarcoma, extraskeletal Ewing sarcoma, myxoid liposarcoma, and neurofibromatosis type 1 associated malignant peripheral nerve sheath tumors. Satisfaction of search should be avoided in potential multiplicity.ConclusionStandardized whole-body staging includes pulmonary MDCT in all high-grade sarcomas; entity-dependent modifications and specific algorithms are recommended for sarcomas and non-malignant soft tissue tumors.Clinical relevance statementThese updated ESSR soft tissue tumor imaging guidelines aim to provide support in decision-making, helping to avoid common pitfalls, by providing general and entity-specific algorithms, techniques, and reporting recommendations for whole-body staging in sarcoma and non-malignant soft tissue tumors.Key Points...en_US
dc.description.sponsorshipMedical University of Viennaen_US
dc.description.sponsorshipThe authors state that this work has not received any funding. Open access funding provided by Medical University of Vienna.en_US
dc.identifier.doi10.1007/s00330-024-10897-z
dc.identifier.issn0938-7994
dc.identifier.issn1432-1084
dc.identifier.pmid39030374en_US
dc.identifier.scopus2-s2.0-85198911363en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1007/s00330-024-10897-z
dc.identifier.urihttps://hdl.handle.net/11454/105116
dc.identifier.wosWOS:001272283600001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectPractice Guidelineen_US
dc.subjectConsensusen_US
dc.subjectNeoplasmsen_US
dc.subjectConnective And Soft Tissueen_US
dc.subjectDiagnostic Imagingen_US
dc.titleSoft tissue tumor imaging in adults: whole-body staging in sarcoma, non-malignant entities requiring special algorithms, pitfalls and special imaging aspects. Guidelines 2024 from the European Society of Musculoskeletal Radiology (ESSR)en_US
dc.typeReview Articleen_US

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