TY - JOUR
T1 - ACR Appropriateness Criteria® Malignant or Aggressive Primary Musculoskeletal Tumor-Staging and Surveillance
T2 - 2022 Update
AU - Expert Panel on Musculoskeletal Imaging:
AU - Stanborough, Rupert
AU - Demertzis, Jennifer L.
AU - Wessell, Daniel E.
AU - Lenchik, Leon
AU - Ahlawat, Shivani
AU - Baker, Jonathan C.
AU - Banks, James
AU - Caracciolo, Jamie T.
AU - Garner, Hillary W.
AU - Hentz, Courtney
AU - Lewis, Valerae O.
AU - Lu, Yi
AU - Maynard, Jennifer R.
AU - Pierce, Jennifer L.
AU - Scott, Jinel A.
AU - Sharma, Akash
AU - Beaman, Francesca D.
N1 - Publisher Copyright:
© 2022 American College of Radiology
PY - 2022/11
Y1 - 2022/11
N2 - Malignant or aggressive primary musculoskeletal tumors are rare and encompass a wide variety of bone and soft tissue tumors. Given the most common site for metastasis from these primary musculoskeletal tumors is to the lung, chest imaging is integral in both staging and surveillance. Extrapulmonary metastases are rarely encountered with only a few exceptions. Following primary tumor resection, surveillance of the primary tumor site is generally recommended. Local surveillance imaging recommendations differ between primary tumors of bone origin versus soft tissue origin. This document consolidates the current evidence and expert opinion for the imaging staging and surveillance of these tumors into five clinical scenarios. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer-reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which peer-reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
AB - Malignant or aggressive primary musculoskeletal tumors are rare and encompass a wide variety of bone and soft tissue tumors. Given the most common site for metastasis from these primary musculoskeletal tumors is to the lung, chest imaging is integral in both staging and surveillance. Extrapulmonary metastases are rarely encountered with only a few exceptions. Following primary tumor resection, surveillance of the primary tumor site is generally recommended. Local surveillance imaging recommendations differ between primary tumors of bone origin versus soft tissue origin. This document consolidates the current evidence and expert opinion for the imaging staging and surveillance of these tumors into five clinical scenarios. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer-reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which peer-reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
KW - AUC
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - Follow-up
KW - Malignant
KW - Musculoskeletal tumor
KW - Sarcoma
KW - Staging
KW - Surveillance
UR - http://www.scopus.com/inward/record.url?scp=85142534037&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2022.09.015
DO - 10.1016/j.jacr.2022.09.015
M3 - Article
C2 - 36436964
AN - SCOPUS:85142534037
SN - 1546-1440
VL - 19
SP - S374-S389
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -