Neuro-Oncology Multidisciplinary Tumor Board: The Point of View of the Neuroradiologist

Journal of Personalized Medicine

Amato Infante¹  Francesca Magnani²  Luca Ausili Cefaro²  Chiara Schiarelli²  Carolina Giordano²  Cesare Colosimo²  Rosellina Russo²  Giuseppe Maria Di Lella²  Simona Gaudino²  Silvia Chiesa³  Mario Balducci³  Simone Cottonaro⁴  Roberto Pallini⁵  Alessandro Olivi⁵  Giovanni Sabatino⁵  Giuseppe Maria Della Pepa⁵  Quintino Giorgio D’Alessandris⁵  Giuseppe La Rocca⁵  Pamela Guadalupi⁶  Marco Gessi⁷ 

[1] Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology, UOC Diagnostic Imaging, COVID Center 2, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy;Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology, UOC Neuroradiology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS and Università Cattolica del Sacro Cuore, 00168 Rome, Italy;Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology, UOC Oncological Radiotherapy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS and Università Cattolica del Sacro Cuore, 00168 Rome, Italy;Department of Diagnostic, Interventional Radiology, Neuroradiology, Garibaldi Hospital, 95122 Catania, Italy;Department of Neurosurgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS and Università Cattolica del Sacro Cuore, 00168 Rome, Italy;Neuroradiology Unit, S. Maria Hospital, 05100 Terni, Italy;UOS Neuropathology, UOC Pathology Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy;

关键词: multidisciplinary tumor board;    neuro-oncology;    neuroradiology;    brain tumors;    gliomas;    brain metastases;   

DOI  :  10.3390/jpm12020135

来源: DOAJ

【 摘 要 】

Background: The multi-disciplinary tumor board (MTB) is essential to quality cancer care and currently recommended to offer the best personalized clinical approach, but little has been published regarding MTBs in neuro-oncology (nMTBs). The aim of the present paper is to describe our nMTB, to evaluate its impact on clinical management decisions, and to assess the role of neuroradiologists. Methods: The retrospective evaluation of the cases discussed at our nMTB from March 2017 to March 2020. From the electronic records, we extracted epidemiological, clinical and other specific data of nMTB. From the radiological records, we calculated data relating to the number, time for revision, and other specifications of MRI re-evaluation. Statistical analysis was performed. Results: a total of 447 discussions were analyzed, representing 342 patients. The requests for case evaluations came from radiation oncologists (58.8%) and neurosurgeons (40.5%), and were mainly addressed to the neuroradiologist (73.8%). The most frequent questions were about the treatment’s changes (64.4%). The change in patient treatment was reported in 40.5% of cases, 76.8% of these were based on the neuroradiologic assessment. A total of 1514 MRI examinations were re-evaluated, employing approximately 67 h overall. The median of the MRI exams reviewed per patient was 3 (min–max 1–12). Conclusions: Our study supported that the multidisciplinary approach to patient care can be particularly effective in managing brain tumors. A review by an expert neuroradiologist impacts patient management in the context of nMTBs, but has costs in terms of the time and effort spent preparing for it.

【 授权许可】

Unknown