Huckhagel Torge, Abboud Tammam, Regelsberger Jan, Rieken Stefan, Riedel Christian
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Department of Neurosurgery, University Medical Center Göttingen, Göttingen, Germany.
Sci Rep. 2025 Jan 7;15(1):1043. doi: 10.1038/s41598-024-83737-1.
While MRI has become the imaging modality of choice for intracranial meningiomas, no radiologic reporting guidance exists to date that relies on a systematic collection of information relevant to the core medical disciplines involved in the management of these patients. To address this issue, a nationwide expert survey was conducted in Germany. A literature-based catalog of potential reporting elements for MRI examinations of meningioma patients was developed interdisciplinarily. Subsequently, all board-certified members of the German Societies of Neuroradiology, Neurosurgery and Radiation Oncology with expertise in managing meningioma patients were invited to vote on the relevance of the suggested items via online survey. A total of 150 experts participated in the study (104 neurosurgeons/radiation oncologists, 46 neuroradiologists). The reporting elements of tumor location, extent, growth pattern, contrast uptake, associated cysts, and impact on adjacent anatomic structures received widespread approval (> 75.0% of all participants). In addition, a vast majority (> 75.0%) supported reference to perifocal edema, signs of mass effect, and hydrocephalus. Postoperative imaging is particularly requested to describe the extent of resection (94.0%) and treatment-related changes (89.3%). Advanced methods (diffusion, perfusion, proton spectroscopy) and meningioma-specific classifications (Nauta, Zee, Sindou) were judged to be less relevant (< 50.0% agreement) to MRI reporting. To serve as a vital clinical communication tool and enable an optimal contribution to the care of meningioma patients, the radiological report should focus on the fundamental information requirements of the neuro-oncology treatment team encompassing primarily tumor location, extent, tissue imaging characteristics, and potential impairment of neighboring anatomical structures.
虽然磁共振成像（MRI）已成为颅内脑膜瘤的首选成像方式，但迄今为止，尚无依赖于系统收集与这些患者管理所涉及的核心医学学科相关信息的放射学报告指南。为解决这一问题，德国开展了一项全国性专家调查。通过跨学科方式制定了基于文献的脑膜瘤患者MRI检查潜在报告要素目录。随后，邀请德国神经放射学、神经外科和放射肿瘤学会所有具有脑膜瘤患者管理专业知识的董事会认证成员通过在线调查对建议项目的相关性进行投票。共有150名专家参与了该研究（104名神经外科医生/放射肿瘤学家，46名神经放射学家）。肿瘤位置、范围、生长模式、对比剂摄取、相关囊肿以及对相邻解剖结构的影响等报告要素获得了广泛认可（所有参与者的>75.0%）。此外，绝大多数（>75.0%）支持提及灶周水肿、占位效应体征和脑积水。特别要求术后成像描述切除范围（94.0%）和治疗相关变化（89.3%）。先进方法（扩散、灌注、质子光谱）和脑膜瘤特异性分类（瑙塔、泽、辛杜）被认为与MRI报告的相关性较低（<50.0%的一致性）。为作为重要的临床沟通工具并为脑膜瘤患者的护理做出最佳贡献，放射学报告应侧重于神经肿瘤治疗团队的基本信息需求，主要包括肿瘤位置、范围、组织成像特征以及相邻解剖结构的潜在损害。
