Following unenhanced MRI assessment for local recurrence after surgical resection of mesenchymal soft tissue tumors, do additional gadolinium-enhanced images change reader confidence or diagnosis?

► Gadolinium enhanced imaging improves reader confidence in detecting soft tissue tumor recurrence. ► Gadolinium enhanced imaging modestly improves inexperienced reader accuracy for detecting tumor recurrence. ► Where possible, gadolinium should be used in the assessment of MSK tumor residual or recurrence.