Imaging of bone tumors for the musculoskeletal oncologic surgeon.

Abstract:

:The appropriate diagnosis and treatment of bone tumors requires close collaboration between different medical specialists. Imaging plays a key role throughout the process. Radiographic detection of a bone tumor is usually not challenging. Accurate diagnosis is often possible from physical examination, history, and standard radiographs. The location of the lesion in the bone and the skeleton, its size and margins, the presence and type of periosteal reaction, and any mineralization all help determine diagnosis. Other imaging modalities contribute to the formation of a diagnosis but are more critical for staging, evaluation of response to treatment, surgical planning, and follow-up.When necessary, biopsy is often radioguided, and should be performed in consultation with the surgeon performing the definitive operative procedure. CT is optimal for characterization of the bone involvement and for evaluation of pulmonary metastases. MRI is highly accurate in determining the intraosseous extent of tumor and for assessing soft tissue, joint, and vascular involvement. FDG-PET imaging is becoming increasingly useful for the staging of tumors, assessing response to neoadjuvant treatment, and detecting relapses.Refinement of these and other imaging modalities and the development of new technologies such as image fusion for computer-navigated bone tumor surgery will help surgeons produce a detailed and reliable preoperative plan, especially in challenging sites such as the pelvis and spine.

journal_name

Eur J Radiol

authors

Errani C,Kreshak J,Ruggieri P,Alberghini M,Picci P,Vanel D

doi

10.1016/j.ejrad.2011.11.034

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

2083-91

issue

12

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(11)00812-6

journal_volume

82

pub_type

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