Factors Associated with Requesting Magnetic Resonance Imaging during the Management of Glomus Tumors.

Antoinette Bargon, Claudia; Mohamadi, Amin; Talaei-Khoei, Mojtaba; Ring, David C; Mudgal, Chaitanya S · Arch Bone Jt Surg · 2019

retrospective_cohort · Level III

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Abstract

The characteristic clinical presentation of glomus tumors and the low negative predictive value of the magnetic resonance imaging (MRI) raise the question whether MRI improves their management. Therefore, this study aimed to investigate whether MRI improved the management of glomus tumors. In total, 87 patients with a histologically confirmed glomus tumor were treated over a 25-year period and analyzed retrospectively. Multivariable logistic regression analysis was used to evaluate the independent predictors of an MRI request during the management of glomus tumors. ccording to the results, the patients who were treated by orthopaedic surgeons were more likely to have an MRI during the management of a glomus tumor. The role of an MRI during the management of a glomus tumor is unclear. Orthopaedic surgeons are more likely to request an MRI. Furthermore, visible lesions with characteristic symptoms probably do not benefit from MRI. However, it may help to be sure that the highest-quality MRI is used with the best possible coil for the finger.