Soft tissue tumor imaging in adults: European Society of Musculoskeletal Radiology-Guidelines 2023-overview, and primary local imaging: how and where?
Iris-Melanie Noebauer-HuhmannFilip M VanhoenackerJoan C VilanovaAlberto S TagliaficoMarc-André WeberRadhesh K LalamThomas GrieserVioleta Vasilevska NikodinovskaJacky W J de RooyOlympia PapakonstantinouCatherine MccarthyLuca Maria SconfienzaKoenraad VerstraeteJosé Martel-VillagránPavol SzomolanyiFrédéric E LecouvetDiana AfonsoOmar M AlbtoushGiacomo AringhieriRemide ArkunGunnar AströmAlberto BazzocchiRajesh BotchuMartin BreitenseherSnehansh ChaudharyDanoob DaliliMark DaviesMilko C de JongeBerna D MeteJan FritzJan L M A GielenGeoff HideAmanda IsaacSlavcho IvanoskiRamy M MansourLorenzo Muntaner-GimbernatAna NavasPaul O DonnellŞebnem ÖrgüçWinston RennieSantiago ResanoPhilip RobinsonHatice T SanalSimone A J Ter HorstKirsten van LangeveldeKlaus WörtlerMarita KoelzJoannis PanotopoulosReinhard WindhagerJohannes L BloemPublished in: European radiology (2023)
• Ultrasound remains the best initial triage imaging modality for accessible and small suspected soft tissue tumors. • MRI is the modality of choice for the characterization and local staging of soft tissue tumors in most cases; CT is indicated in special situations. Suspicious or likely malignant tumors should undergo biopsy. • In patients with large, indeterminate or suspicious tumors, a tumor reference center should be contacted for referral or teleradiologic second opinion; this must be done before a biopsy.