Abstract:
:The aim of this study was to describe a new magnetic resonance imaging (MRI) classification system for intra-articular soft tissue tumours based on the morphology of the lesion, with the aim to aid the differential diagnosis. We performed a retrospective review of 52 consecutive patients presenting to a specialist musculoskeletal oncology unit with a suspected intra-articular tumour. Lesions were categorised into one of four groups according to a simple classification system based on their morphological features on MRI. Distinct groupings of pathologies emerged corresponding to each of the morphological categories. Particularly when combined with radiographic features of calcification and bone erosion, certain patterns were found to be characteristic of specific diagnoses. For example multifocal, calcified lesions were found exclusively in synovial osteochondromatosis and diffuse synovitis with hypointense T2-weighted signal intensity was typical of pigmented villonodular synovitis. Certain combinations of imaging features such as diffuse solid lesions and focal lesions with bone erosion were commonly associated with malignant lesions. We suggest that by classifying intra-articular masses according to their morphological features on MRI, particularly when combined with simple radiographic features, an additional parameter may be generated to aid the radiologist in making a diagnosis. In addition, particular combinations of features provide 'red flags' to increase the index of suspicion for malignancy.
journal_name
Eur Radioljournal_title
European radiologyauthors
Adams ME,Saifuddin Adoi
10.1007/s00330-006-0381-4subject
Has Abstractpub_date
2007-04-01 00:00:00pages
950-8issue
4eissn
0938-7994issn
1432-1084journal_volume
17pub_type
杂志文章abstract:OBJECTIVES:To investigate the relationship of dual-phase dual-energy CT (DE-CT) and tumour size in the evaluation of the response to anti-EGFR therapy in patients with advanced non-small cell lung cancer (NSCLC). METHODS:Dual-phase DE-CT was performed in 31 patients with NSCLC before the onset of anti-EGFR (erlotinib)...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-4092-6
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:To describe the pathological appearance of the anterolateral ligament (ALL) on US and MRI in knees with an anterior cruciate ligament (ACL) tear. METHODS:This prospective study included 30 patients who had a suspected acute ACL tear. Their injured and contralateral knees were evaluated with radiography, US ...
journal_title:European radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00330-017-4955-0
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:To investigate the optimal imaging delay time of dynamic contrast-enhanced magnetic resonance (MR) imaging in women with endometrial cancer. MATERIALS AND METHODS:This prospective single-institution study was approved by the institutional review board, and informed consent was obtained from the participants. T...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-014-3327-2
更新日期:2014-11-01 00:00:00
abstract::We describe a new dedicated ultrasound system for computer-guided large core breast biopsy (LCBB) and report our first clinical experience in 45 female patients. After an initial 30 biopsy procedures on a US breast phantom, LCBB using this new system was performed in 45 non-palpable surgically verified breast lesions....
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300101010
更新日期:2001-01-01 00:00:00
abstract::Renal cell carcinoma in a horseshoe kidney is an unusual entity. To our knowledge, only 123 cases have been published to date. We report the first bilateral case of two clear-cell carcinomas in an asymmetrically fused kidney. Optimum preservation of renal function after radical tumor removal requires accurate preopera...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050615
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:To explain the technical principles of and differences between commercially available iterative reconstruction (IR) algorithms for computed tomography (CT) in non-mathematical terms for radiologists and clinicians. METHODS:Technical details of the different proprietary IR techniques were distilled from avai...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2765-y
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:To determine if quantitative and qualitative shear wave elastography have roles in evaluating musculoskeletal masses. METHODS:105 consecutive patients, prospectively referred for biopsy within a specialist sarcoma centre, underwent B-mode, quantitative (m/s) and qualitative (colour map) shear wave elastogra...
journal_title:European radiology
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doi:10.1007/s00330-016-4427-y
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to describe a new method to quickly estimate left atrial enlargement (LAE) on Computed Tomography. METHODS:Left atrial (LA) volume was assessed with a 3D-threshold Hounsfield unit detection technique, including left atrial appendage and excluding pulmonary venous confluence, in 2...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-5041-3
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:Nearly all reported parathyroid cancers are >15 mm at presentation. The objective was to identify ultrasound criteria of malignancy in parathyroid lesions of >15 mm in size. MATERIALS AND METHODS:This study was approved by a local ethics committee. A retrospective review of patients identified from a databas...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-011-2141-3
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:In the vast majority of the laboratory-confirmed coronavirus disease 2019 (COVID-19) patients, computed tomography (CT) examinations yield a typical pattern and the sensitivity of this modality has been reported to be 97% in a large-scale study. Structured reporting systems simplify the interpretation and re...
journal_title:European radiology
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doi:10.1007/s00330-020-06863-0
更新日期:2020-09-01 00:00:00
abstract::Cross-sectional imaging has revolutionised the radiological diagnosis of pleural collections. Not only can the precise location and volume of a pleural effusion be established, but also features specific for the aetiology of the effusion can be demonstrated. Increasingly, radiologists are called upon to perform image-...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-002-1512-1
更新日期:2002-08-01 00:00:00
abstract::Olfactory schwannomas are very rare. For this reason they have never been diagnosed preoperatively. We report a case and describe the CT and MR imaging findings. Clinically, the young age of presentation, and radiologically the presence of bone scalloping, and the absence of both bone sclerosis and a dural tail, may h...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300101059
更新日期:2002-04-01 00:00:00
abstract::Developmental symptomatic C1 canal stenosis is very rare. We describe the computed tomography (CT) and magnetic resonance imaging (MRI) appearances in a 8-year-old child who presented with progressive upper and lower limb neurological symptoms and in whom imaging revealed the medial posterior hemiarches of a bifid C1 ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300000755
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:This study determined the effect of dose reduction and kernel selection on quantifying emphysema using low-dose computed tomography (LDCT) and evaluated the efficiency of a deep learning-based kernel conversion technique in normalizing kernels for emphysema quantification. METHODS:A sample of 131 participant...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07020-3
更新日期:2020-12-01 00:00:00
abstract::The etiological role of concha bullosa in chronic sinusitis is controversial. Previous investigators have not studied the relationship between the location of concha bullosa and different chronic sinusitis patterns. We performed coronal paranasal sinuses CT in 100 Chinese patients with signs and symptoms of chronic si...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/BF00182491
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:To investigate whether whole-body diffusion-weighted imaging (WB-DWI) alone is adequate for detecting metastases in melanoma patients, or if standard WB contrast-enhanced magnetic resonance imaging (WB-ceMRI) is required. METHODS:Seventy-one WB-DWI studies were performed quarterly along with whole-body MRI ...
journal_title:European radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00330-013-2968-x
更新日期:2013-12-01 00:00:00
abstract::We report an uncommon case of spontaneous massive hemorrhage of the abdominal wall caused by rupture of a deep iliac circumflex (DIC) artery. Enhanced computed tomography (CT) demonstrated a marked extravasation in a huge hematoma of the abdominal wall. Although a pelvic arteriogram demonstrated no extravasation, a su...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050432
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:This tertiary care experience examines the utility of magnetic resonance neurography (MRN) in the management of peripheral trigeminal neuropathies. MATERIALS AND METHODS:Seventeen patients with clinically suspected peripheral trigeminal neuropathies (inferior alveolar nerve and lingual nerve) were imaged uni...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-4182-5
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVES:To retrospectively assess the utility of semi-automated measurements by stratification of CT values of tumour size, CT value and doubling time (DT) using thin-section computed tomography (CT) images. The post-surgical outcomes of favourable and problematic tumours (more advanced p stage than IA, post-surgica...
journal_title:European radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00330-011-2241-0
更新日期:2012-01-01 00:00:00
abstract::The aim of our study was to evaluate radiologic findings of the tuberculosis involving breast. We evaluated the radiologic features of 17 patients (18 lesions) with tuberculous disease involving the breast. The radiologic examinations, including mammography (16 patients), ultrasonography (12 patients), and Gd-DTPA-enh...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050578
更新日期:1998-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-1179-3
更新日期:2009-03-01 00:00:00
abstract::In acute nonvariceal gastrointestinal (GI) bleeding, immediate arteriographic haemostasis is presently assumed to be a therapeutic advantage. This study assesses whether the risk of a delayed haemostasis, caused by arteriographic findings precluding embolization, might influence patient outcome. We performed a 5.5-yea...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-003-1882-z
更新日期:2003-12-01 00:00:00
abstract::The ancient Egyptian mummy Paï-es-tjau-em-aui-nu, now on exhibition in the Rheinische Landesmuseum in Trier, Germany, was examined by conventional X-ray radiography, computed tomography, and digital fluoroscopy. In addition, some tissues were biopsied for further histologic identification. Along with some representati...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-001-1182-4
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the positive predictive values (PPVs) of calcifications with suspicious morphology by incorporating distribution and clinical factors in two separate cohorts to provide more practical guidance for management. METHODS:This retrospective study included 1076 consecutive women from two cohorts (coho...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07215-8
更新日期:2020-09-22 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility of using magnetisation transfer (MT) MRI of the kidney at 3.0 T to assess renal function. METHODS:Forty-four patients who underwent abdominal MRI on a 3.0-T system including gradient-echo (GRE) sequences with and without MT pulse were included. In each patient, MT ratio (MTR) of t...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-013-2841-y
更新日期:2013-08-01 00:00:00
abstract::Our objective was to quantify water volume using magnetic resonance cholangiopancreatography (MRCP) sequences and apply this to secretin-stimulated studies with the aim of quantifying pancreatic exocrine function. A commercially available single-shot MRCP sequence was used in conjunction with a body phased-array coil ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1605-x
更新日期:2003-02-01 00:00:00
abstract::Modern liver imaging of cancer patients requires an imaging modality that is not only highly sensitive in detecting lesions but also provides reliable characterisation of lesions and thus allows differentiation of metastases from frequently found benign lesions. Conventional ultrasound (US) has a relatively poor sensi...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s10406-004-0088-z
更新日期:2004-10-01 00:00:00
abstract::The diagnostic approach for evaluation of adrenal tumour in pregnant women is a problem. This article presents the multifactorial diagnosis of rare, incidentally detected massive adrenal tumour with 2D and 3D US. Grey-scale 2D and 3D US with tissue harmonic imaging showed inhomogeneous, encapsulated, solid tumour of t...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1457-4
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:To evaluate T1 mapping as a non-invasive, functional MRI biomarker in patients shortly after solid organ transplantation to detect acute postsurgical kidney damage and to correlate T1 times with renal function. METHODS:101 patients within 2 weeks after solid organ transplantation (49 kidney transplantation,...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-4943-4
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:To evaluate in vivo T2 mapping as quantitative, imaging-based biomarker for meniscal degeneration in humans, by studying the correlation between T2 relaxation time and degree of histological degeneration as reference standard. METHODS:In this prospective validation study, 13 menisci from seven patients with ra...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06091-1
更新日期:2019-10-01 00:00:00