101  The importance of the multidisciplinary team (MDT) in the management of patients with multiple sclerosis

Abstract

BackgroundClinical decision-making for patients with MS relies heavily on the expertise of radiologists. In June 2018 we developed a monthly MDT meeting with neuroradiology to review complex cases. In this study, we assess the rate and clinical significance of variance between original MRI reports and those following MDT review.MethodsA 6-month retrospective study was performed. Data focused on the frequency of scan report revisions and subsequent impact on clinical management.ResultsWe analysed 157 cases. Of these, 68% had confirmed MS whilst 32% were under investigation. Of the 157, 64% were originally reported by a general radiologist and 36% by neuroradiology. Following neuroradiology review, 63 cases (40%) had the original report amended; of these, 81% were originally authored by a non-neuroradiologist. MDT review amended 64% of original reports from general radiology. The most frequently occurring revision was identification of additional, originally unreported inflammatory lesions. Of the 63 report revisions, 29% resulted in a change in clinical management. Overall, 4% of patients with a diagnosis of MS had this diagnosis questioned or reversed following MDT review of their imaging.ConclusionsThis study demonstrates a high rate of variance in MRI reporting between general and neuroradiologists. This has clear implications for patient management, confirming the importance of dedicated MDTs involving specialist neuroradiology.sramsay03@qub.ac.uk|ABN Bursary