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National Survey of Imaging Practice for Suspected or Confirmed Plasma Cell Malignancies

Research output: Contribution to journalArticle

Olwen Amy Westerland, Guy Pratt, Majid Kazmi, Inas El-Najjar, Matthew Streetly, Kwee Yong, Monica Morris, Rakesh Mehan, Martin Sambrook, Margaret A Hall-Craggs, David Silver, Vicky Joo-Lin Goh

Original languageEnglish
JournalBritish Journal of Radiology
Early online date13 Aug 2018
Publication statusE-pub ahead of print - 13 Aug 2018

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Abstract

OBJECTIVES:
Cross-sectional imaging is now recommended by the National Institute for Health and Care Excellence (NICE) for patients with suspected and newly diagnosed myeloma instead of skeletal survey. The objectives of this study were: (1) To evaluate compliance of current UK imaging practice with reference to national NICE best-practice clinical guidelines for plasma cell malignancies. (2: To identify factors which may influence diagnostic imaging choices.

METHODS:
We conducted a national online survey to assess compliance with guidelines and to identify challenges to implementation (endorsed by Myeloma UK, UK Myeloma Forum and the British Society of Skeletal Radiologists).

RESULTS:
Responses were received from 31 district general and 28 teaching hospitals. For suspected and confirmed myeloma, skeletal survey remained the most frequent first-line imaging test (suspected myeloma 44.3%, confirmed myeloma 37.7%). Only 9.8 % of responders offered first-line whole body magnetic resonance imaging.

CONCLUSIONS:
Significant challenges remain to standardisation of imaging practice in accordance with national best-practice guidelines.

ADVANCES IN KNOWLEDGE:
This is the first publication to date evaluating current UK imaging practice for assessing myeloma since the publication of new guidelines recommending use of advanced cross-sectional imaging techniques. Skeletal survey remains the most commonly performed first-line imaging test in patients with suspected or confirmed myeloma and this is largely due to resource limitations within radiology departments.

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