Radiology-pathology correlation for bone and soft tissue tumors or tumor-like masses: single institutional experience af
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SCIENTIFIC ARTICLE
Radiology-pathology correlation for bone and soft tissue tumors or tumor-like masses: single institutional experience after implementation of a weekly conference James S. Banks 1 & Hillary W. Garner 2
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& Andrew Z. Chow & Jeffrey J. Peterson & Joseph M. Bestic & Daniel E. Wessell
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Received: 14 July 2020 / Revised: 15 September 2020 / Accepted: 16 September 2020 # ISS 2020
Abstract Objectives To determine the frequency of non-diagnostic and discordant results from bone and soft tissue biopsies performed at our institution over a 3-year period and to investigate whether implementation of a weekly musculoskeletal radiology-pathology correlation conference decreased the time to appropriate patient management in cases of discordance. Methods Consecutive image-guided core needle biopsy results obtained over a 12 month period of time were reviewed in a retrospective fashion. Following implementation of the correlation conference, subsequent consecutive image-guided core needle biopsy results obtained over a 26 month period of time were reviewed in a prospective fashion. For non-diagnostic and discordant cases, the time in days from date of availability of the biopsy result to date of documentation of a specific follow-up action plan was recorded. Results Diagnostic yield was 96.5% and 94.9% for the retrospective and prospective periods, respectively. There were four discordant results in the retrospective cohort (1.7%) and seven discordant results in the prospective cohort (2.1%). Following implementation of the weekly correlation conference, there was significant decrease (p < 0.05) in median time from a discordant biopsy result to follow-up action plan. There were no unnecessary surgeries, litigation, or other unfavorable consequences in either cohort. Conclusion Image-guided core needle biopsies of bone and soft tissue provide high diagnostic yield, often with specific diagnoses. The statistically significant decrease in number of days to follow-up action plan for discordant results suggests radiologypathology review has a positive impact on patient care. Subjective benefits from communication and educational standpoints are also noteworthy. Keywords Radiology-pathology correlation . Core needle biopsy . Musculoskeletal orthopedic oncology . Quality improvement
Introduction Imaging evaluation of musculoskeletal (MSK) masses is usually performed to assist with differential diagnosis and to assess extent of disease prior to therapeutic intervention. Although diagnosis of MSK masses can occasionally be * Hillary W. Garner [email protected] 1
Department of Radiology, Aventura Hospital and Medical Center, 20900 Biscayne Blvd, Aventura, FL 33180, USA
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Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA
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Department of Radiology, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA
established with imaging, most masses require tissue sampling to allow for comprehensive characterization and to provide guidance for optimal patient m
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