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Glioma imaging in Europe: A survey of 220 centres and recommendations for best clinical practice

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  • S. C. Thust
  • S. Heiland
  • A. Falini
  • Hans R Jäger
  • A. D. Waldman
  • P. C. Sundgren
  • C. Godi
  • V. K. Katsaros
  • A. Ramos
  • N. Bargallo
  • Meike W Vernooij
  • Tarek Yousry
  • Martin Bendszus
  • Marion Smits

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    Rights statement: © The Author(s) 2018 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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http://link.springer.com/10.1007/s00330-018-5314-5
Original languageEnglish
JournalEuropean Radiology
Early online date13 Mar 2018
DOIs
Publication statusE-pub ahead of print - 13 Mar 2018

Abstract

Objectives
At a European Society of Neuroradiology (ESNR) Annual Meeting 2015 workshop, commonalities in practice, current controversies and technical hurdles in glioma MRI were discussed. We aimed to formulate guidance on MRI of glioma and determine its feasibility, by seeking information on glioma imaging practices from the European Neuroradiology community.
Methods
Invitations to a structured survey were emailed to ESNR members (n=1,662) and associates (n=6,400), European national radiologists’ societies and distributed via social media.
Results
Responses were received from 220 institutions (59% academic). Conventional imaging protocols generally include T2w, T2-FLAIR, DWI, and pre- and post-contrast T1w. Perfusion MRI is used widely (85.5%), while spectroscopy seems reserved for specific indications. Reasons for omitting advanced imaging modalities include lack of facility/software, time constraints and no requests. Early postoperative MRI is routinely carried out by 74% within 24–72 h, but only 17% report a percent measure of resection. For follow-up, most sites (60%) issue qualitative reports, while 27% report an assessment according to the RANO criteria. A minority of sites use a reporting template (23%).
Conclusion
Clinical best practice recommendations for glioma imaging assessment are proposed and the current role of advanced MRI modalities in routine use is addressed.

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