Glioma imaging in Europe: A survey of 220 centres and recommendations for best clinical practice

• DOI: 10.1007/s00330-018-5314-5
• Publication Date: 2018-03-13T04:48:06Z
• Authors: S. C. Thust; S. Heiland; A. Falini; H. R. Jäger; A. D. Waldman; P. C. Sundgren; C. Godi; V. K. Katsaros; A. Ramos; N. Bargallo; M. W. Vernooij; T. Yousry; M. Bendszus; M. Smits
• Keywords: Neuroradiology; Modalities; Interventional radiology; Fluid-attenuated inversion recovery; Clinical Practice; Intraoperative MRI

At a European Society of Neuroradiology (ESNR) Annual Meeting 2015 workshop, commonalities in practice, current controversies and technical hurdles glioma MRI were discussed. We aimed to formulate guidance on determine its feasibility, by seeking information imaging practices from the community. Invitations structured survey emailed ESNR members (n=1,662) associates (n=6,400), national radiologists’ societies distributed via social media. Responses received 220 institutions (59% academic). Conventional protocols generally include T2w, T2-FLAIR, DWI, pre- post-contrast T1w. Perfusion is used widely (85.5%), while spectroscopy seems reserved for specific indications. Reasons omitting advanced modalities lack facility/software, time constraints no requests. Early postoperative routinely carried out 74% within 24–72 h, but only 17% report percent measure resection. For follow-up, most sites (60%) issue qualitative reports, 27% an assessment according RANO criteria. A minority use reporting template (23%). Clinical best practice recommendations are proposed role routine addressed. • recommend EORTC-NBTS protocol as clinical standard protocol. recommended diagnosis follow-up glioma. Use could be promoted with increased education activities. Most response currently performed qualitatively. Reporting templates not used, facilitate standardisation.