Abstract：
OBJECTIVE:To assess the degree of fluid-fluid levels on MRI in spinal tumours compared with final diagnosis, and the outcome of needle biopsy in such cases. MATERIALS AND METHODS:Retrospective review of patients with a spinal tumour that contained fluid-fluid levels. Data collected included age, sex, spinal location, and final diagnosis. The outcome of needle biopsy was investigated. RESULTS:Forty-two patients were included (19 males; 24 females; mean age 27.5 years, range 5-80 years), the commonest diagnoses being aneurysmal bone cyst (n = 25; 59.5%) and metastasis (n = 5; 11.9%). All patients with a malignant diagnosis were > 50 years of age apart from 2 who had metastases from a known primary cancer, while all patients apart from 1 with aneurysmal bone cyst were < 35 years of age. Needle biopsy was undertaken in 29 cases (69%) and diagnostic in 18 (62%). Patients with FFL occupying > 2/3 of the lesion were significantly more likely to have an aneurysmal bone cyst (p = 0.008) while those with FFL occupying < 2/3 of the lesion were more likely to have a malignant tumour (p = 0.001). The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of > 2/3 FFLs occupying the lesion were 97.1%, 75%, 94.3%, 85.7%, and 92.9% respectively for differentiating a benign from a malignant spinal tumour. CONCLUSIONS:Children and younger adults with spinal lesions containing > 2/3 FFLs were very unlikely to have malignancy. However, in patients > 50 years of age or those with lesions containing < 2/3 FFLs, a malignant lesion is much more likely.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Singla N,Junaid SE,Siddiqui M,Malhotra K,Saifuddin Adoi
10.1007/s00256-020-03621-7subject
Has Abstractpub_date
2020-09-25 00:00:00eissn
0364-2348issn
1432-2161pii
10.1007/s00256-020-03621-7pub_type
杂志文章abstract：:A 39-year-old man with acromegaly exhibited locking of metacarpophalangeal (MCP) joints of both index fingers. Large osteophytes were found at the metacarpal heads by radiography and computerized tomography (CT). Magnetic resonance (MR) images revealed hypertrophy of volar plates. We suggest that these characteristic ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050569
更新日期：1999-11-01 00:00:00
abstract：:Acute megakaryoblastic leukemia or acute "malignant" myelosclerosis is an acute and rapidly progressive myeloproliferative syndrome characterized by minimal or absent splenomegaly, pancytopenia, diffuse marrow fibrosis, and circulating blasts of megakaryocytic origin. The disease must be differentiated from other hema...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00367381
更新日期：1982-01-01 00:00:00
abstract：:Cortical desmoids are self-limiting fibro-osseous lesions commonly occurring at the medial supracondylar femur in active adolescents, at either the origin of the medial head of the gastrocnemius or at the insertion of the adductor magnus aponeurosis. Less commonly, in a similar demographic, cortical desmoids may occur...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-017-2638-1
更新日期：2017-07-01 00:00:00
abstract：:The posterolateral corner (PLC) is a complex functional unit, consisting of several structures, which is responsible for posterolateral stabilization. The PLC is not consistently defined in the literature. However, most descriptions include the popliteal tendon (PT), the lateral collateral ligament (LCL), the popliteo...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-006-0271-5
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:To design a semi-automated program to measure the minimum tibiofemoral joint space width (JSW) of knee radiographs. DESIGN:Bilateral knee radiographs were obtained twice within a 2 week period from 34 asymptomatic research participants. Radiographic images were analyzed to report both the variability of the ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-005-0908-9
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to evaluate the efficacy and complications of CT-guided radiofrequency ablation (RFA) of spinal osteoid osteoma (OO). MATERIALS AND METHODS:Between 2002 and 2012, a total of 61 patients (46 male and 15 female, mean age 26.4 ± 12.7 years) were subjected to RFA for spinal OO. The diag...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-017-2662-1
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To investigate the associations between clinical, procedural, and radiographic factors and outcomes of steroid hip injections, including long-term and immediate pain reduction, time to arthroplasty, time to reinjection, and the total number of injections. MATERIALS AND METHODS:All intra-articular anesthetic ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-020-03673-9
更新日期：2020-11-27 00:00:00
abstract：:Melanotic neuroectodermal tumor of infancy (MNTI) is an uncommon tumor of neural crest origin, almost invariably identified in the head and neck region. It is a relatively benign tumor but can recur and rarely metastasize. Herein, a rare case of MNTI in the thigh of an infant is documented. Radiographic imaging showed...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-011-1113-7
更新日期：2011-08-01 00:00:00
abstract：:The pre-ossification center represents the initial structural change in the development of the secondary ossification center. We report CT and MRI findings of a focus in the cartilaginous trochlea of an appropriately aged child compatible with the pre-ossification center. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-004-0773-y
更新日期：2004-12-01 00:00:00
abstract：:This report describes the early magnetic resonance imaging (MRI) findings and long-term follow-up results of albendazole treatment in a 16-year-old girl with primary hydatid disease of the femur diagnosed incidentally during the course of a post-traumatic knee infection. As far as we know, this is the first report of ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560100393
更新日期：2001-11-01 00:00:00
abstract：:Primary perivascular epithelioid cell neoplasms (PEComas) of bone are rare mesenchymal tumors. Histologically, they are composed predominantly of perivascular epithelioid cells and have the capacity to metastasize. PEComas have been reported within intra-abdominal and intra-pelvic organs. To the best of our knowledge,...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-012-1479-1
更新日期：2012-11-01 00:00:00
abstract：:Giant cell tumor (GCT) is a rare complication of Paget disease of bone. It usually occurs in the skull or pelvic bones of patients with long-standing polyostotic disease. This report describes a 62-year-old patient who presented with monostotic Paget disease of the distal femur complicated by GCT. He had a 2-year hist...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-007-0310-x
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVES:Total elbow arthroplasty (TEA) is becoming a popular alternative to arthrodesis for patients with end-stage elbow arthrosis and comminuted distal humeral fractures. Prior outcome studies have primarily focused on surgical findings. Our purpose is to determine the radiographic outcome of TEA and to correlate ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-016-2351-5
更新日期：2016-06-01 00:00:00
abstract：:The trapeziometacarpal joint is particularly prone to osteoarthritis due to the great amount of stress applied with everyday activities with the hands. In this essay, radiologic assessment and staging of "basal joint" osteoarthritis, treatments based on radiologic staging and intraoperative findings, and surgical comp...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00202151
更新日期：1995-10-01 00:00:00
abstract：:This case series describes and illustrates three cases of sclerotic osseous metastases from untreated renal cell carcinoma (RCC). RCC is commonly metastatic to the skeleton but almost always produces lytic metastases, with only three prior reports of sclerotic metastases identified in the literature. Sclerotic metasta...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1424-3
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVE:Although the normal adult human intervertebral disc is considered to be avascular, vascularised cellular fibrous tissue can be found in pathological conditions involving the disc such as disc herniation. Whether lymphatics vessels form a component of this reparative tissue is not known as the presence or abse...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0770-2
更新日期：2009-12-01 00:00:00
abstract：PURPOSE:To evaluate the prevalence, imaging appearance, and significance of popliteal lymph nodes (PLN) on magnetic resonance imaging (MRI) in patients with distal femoral or proximal tibial osteosarcoma (OS). METHOD AND MATERIALS:This study included consecutive patients with OS presenting from May 2016 to March 2018....
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-020-03498-6
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the magnetic resonance (MR) features of intramuscular myxoma (IM) compared with its pathological findings. DESIGN:Two radiologists retrospectively reviewed records and imaging studies of patients with histologically proven IM. Two radiologists also analyzed by consensus all the MR studies (pre- a...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-004-0848-9
更新日期：2005-01-01 00:00:00
abstract：:Magnetic resonance imaging (MRI) has proven to be an ideal technique for evaluating tendons and ligaments, which, because of their fibrous structure, have a low signal intensity on all sequences. Trauma and a wide variety of other conditions cause aberrations in the normal appearance of these structures, ranging from ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00243084
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To present the prevalence, clinical relevance, and ultrasound (US) and magnetic resonance imaging (MRI) appearances of the accessory coracobrachialis (ACB) muscle. MATERIALS AND METHODS:We present an US prospective study of the ACB muscle over a 2-year period. Five of the eight patients with suspected ACB on...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-015-2153-1
更新日期：2015-09-01 00:00:00
abstract：:Primary rhabdomyosarcoma of the bone is an extremely rare condition with few examples reported in the literature. We present the case of a 34-year-old male who presented with a lesion in the distal femur with initial imaging features consistent with Ewing sarcoma. Histologically, the lesion consisted of atypical pleom...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-016-2430-7
更新日期：2016-10-01 00:00:00
abstract：:Nodular fasciitis is a benign rapidly proliferating fibrous tumor that is common in adults but relatively uncommon in children. When present in children, nodular fasciitis is typically subcutaneous in location and involves the head and neck. We present a case of intramuscular nodular fasciitis involving the rectus abd...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1498-y
更新日期：2013-01-01 00:00:00
abstract：:Magnetic resonance imaging (MRI) findings of a rare complication of posterior glenohumeral dislocation are described in two patients which led to shoulder dysfunction caused by interposition of rotator cuff tendon(s) into the glenohumeral joint. Both patients underwent successful surgical fixation and now have returne...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1478-2
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to describe the sonographic findings of pathologically confirmed subcutaneous lobular capillary hemangioma of the finger in six patients. MATERIALS AND METHODS:The clinical records were reviewed for data, including the patients' age and gender, the clinical presentation, a histo...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-010-0934-0
更新日期：2010-11-01 00:00:00
abstract：:This 50-year-old woman presented with progressive pain in the left thigh. Radiographs showed a 9 x 6 cm soft-tissue mass located at the lateral border of the left femur. Magnetic resonance (MR) examination showed an eccentric, nonhomogeneous, soft-tissue mass abutting the femur. The preoperative differential diagnosis...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00190994
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:In diagnosing osteomyelitis (OM) both MRI and [18 F]FDG PET-CT proved to be accurate modalities. In anticipation of the advent of hybrid PET/MRI scanners we analyzed our patient group to give direction to future imaging strategies in patients with suspected OM. MATERIALS AND METHODS:In this retrospective stu...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-014-1844-3
更新日期：2014-05-01 00:00:00
abstract：:In a collection of 101 anatomical preparations of the human pelvis, ossification of the sacrotuberous ligament was found in 8 cases. In 7 of these, the ossification showed a characteristic intraligamentous morphology, with a broad-based origin at the ischial tuberosity and tapering off craniomedially. The length varie...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00197139
更新日期：1993-11-01 00:00:00
abstract：OBJECTIVE:To describe the normal motion pattern at the midcarpal compartment during active radial-ulnar deviation of the wrist using dynamic MRI, and to determine the observer performance for measurements obtained in asymptomatic volunteers. METHODS:Dynamic MRI of 35 wrists in 19 asymptomatic volunteers (age mean 30.4...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-019-03266-1
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:To determine normative values for volume and fat content of the gluteus medius (GMed) and minimus (GMin) muscle in healthy volunteers and to evaluate their dependence on age, gender and leg dominance. MATERIALS AND METHODS:The IRB approval was obtained for this study. 80 healthy volunteers (females, 40; male...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-015-2325-z
更新日期：2016-04-01 00:00:00
abstract：:The os styloideum, an accessory carpal bone, may suffer injury during traumatic wrist flexion. The case described corresponds to an acute os styloideum injury in an elite athlete; a diagnosis made using high-resolution computed tomography and magnetic resonance imaging permitted not only the identification of the anom...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-005-0027-7
更新日期：2006-06-01 00:00:00
