What is the Value of Radiology Input During a Multidisciplinary Orthopaedic Oncology Conference?
Aparna Komarraju1, Eddy Zandee Van Rilland1, Mark C Gebhardt2
1Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Clinical Orthopaedics and Related Research
|March 17, 2023
Summary
Radiology input at multidisciplinary conferences significantly changes treatment plans for bone and soft tissue tumors, improving clinician confidence. This valuable input has a manageable time cost for radiology departments.
Area of Science:
- Orthopaedic Oncology
- Radiology
- Tumor Management
Background:
- Multidisciplinary conferences are crucial for planning orthopaedic oncology treatment.
- The impact of radiology input and its time cost on these conferences require further study.
Purpose of the Study:
- To determine if radiology input guides clinical management and enhances clinician confidence.
- To assess the time commitment required from radiology for these conferences.
Main Methods:
- Prospective study at a tertiary academic center (Oct 2020-Mar 2022).
- Orthopaedic oncologists completed questionnaires post-radiology conference discussion.
- Musculoskeletal radiology fellows and attendings provided input; time costs were recorded.
Main Results:
- Radiology input changed clinical plans in 29% of cases, including canceled biopsies and surgeries.
- Unreported or misinterpreted imaging findings impacted management in 21% of patients.
- Clinician confidence increased in 78% of cases; annual radiology time cost was ~$24,310.
Conclusions:
- Radiology input at multidisciplinary conferences effectively guides treatment plans and boosts clinician confidence.
- The time investment for radiology participation is a necessary consideration for departments.
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