Imaging of Bone Tumors and Tumor-Like Lesions: Techniques and ApplicationsA. Mark Davies, Murali Sundaram, Steven J. James Detection and characterization of bone tumors with imaging remains a big challenge for every radiologist notwithstanding the impressive progress achieved by the introduction of several new imaging modalities. Moreover, new concepts in surgical and oncological treatment of these lesions require from the radiologist appropriate and focused answers to the specifc questions asked by the referring physicians in order to choose the best therapeutic approach for the in- vidual patient. Tis comprehensive textbook describes in detail the possibilities and limits of all moda- ties, including MRI, CT, nuclear medicine and interventional radiological procedures, employed for the modern imaging of tumoral and tumor-like lesions of bone. Teir role in the diagnosis, surgical staging, biopsy and assessment of response to therapy is discussed in detail, covering all tumor subtypes as well as their specifc anatomical location.Well selected and technically imp- cable illustrations strongly enhance the didactic value of this work. I am very much indebted and grateful to the three editors: A. Mark Davies, Murali Sundaram and Steven L. J. James, world authorities in musculoskeletal radiology, for their superb scientifc achievement in preparing and editing this wonderful volume as well as for their individual ch- ters. I would also like to thank the large international group of collaborating authors, who are also widely acknowledged for their specifc expertise in the area of bone tumors, for their outstanding contributions. |
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Page 33
... signal intensity of tumor ( T ) in medullary cavity is low , similar to that of muscle ( asterisk ) . b Coronal short - tau inversion recovery ( STIR ) image demonstrates diffusely high signal intensity both within the tumor ( T ) and ...
... signal intensity of tumor ( T ) in medullary cavity is low , similar to that of muscle ( asterisk ) . b Coronal short - tau inversion recovery ( STIR ) image demonstrates diffusely high signal intensity both within the tumor ( T ) and ...
Page 35
... signal intensity in T1-weighted SE images. Because fat also has high signal on T1-weighted SE images, it is essential to apply frequency-selective fat suppression with both pre- and post-gadolinium-enhanced images; otherwise, the ...
... signal intensity in T1-weighted SE images. Because fat also has high signal on T1-weighted SE images, it is essential to apply frequency-selective fat suppression with both pre- and post-gadolinium-enhanced images; otherwise, the ...
Page 37
... signal cancellation and a decrease in signal intensity relative to their signal on in- phase images ( in which their signals are additive ) . Be- cause bone tumors replace normal marrow , tumor will not show signal loss on opposed ...
... signal cancellation and a decrease in signal intensity relative to their signal on in- phase images ( in which their signals are additive ) . Be- cause bone tumors replace normal marrow , tumor will not show signal loss on opposed ...
Page 38
... signal intensity at STIR can be seen in any tissue having a T1 time similar to that of water , its ability to characterize lesions is diminished , and tumor extent is often overestimated ( Fig . 3.1b ; SHUMAN et al . 1991 ; DELFAUT et ...
... signal intensity at STIR can be seen in any tissue having a T1 time similar to that of water , its ability to characterize lesions is diminished , and tumor extent is often overestimated ( Fig . 3.1b ; SHUMAN et al . 1991 ; DELFAUT et ...
Page 40
... signal intensity and tissue contrast, usually only minor changes are made in TR, in order to slightly modify the number of slices ob- tained in an imaging sequence. Increasing the number of phase-encoding steps increases spatial ...
... signal intensity and tissue contrast, usually only minor changes are made in TR, in order to slightly modify the number of slices ob- tained in an imaging sequence. Increasing the number of phase-encoding steps increases spatial ...
Contents
2 | |
3 | |
9 | |
53 | |
Primary bone tumors are rare nonneoplastic | 82 |
Ultrasonography | 85 |
Interventional Techniques | 94 |
8 | 138 |
Angiomatous Neoplasms of the Skeletal System | 364 |
20 | 375 |
Smooth Muscle Tumors | 393 |
Lipogenic Tumours of Bone | 400 |
Fibrous Dysplasia Osteofibrous Dysplasia and Adamantinoma | 423 |
Langerhans Cell Histiocytosis | 447 |
Spine | 461 |
27 | 480 |
9 | 148 |
10 | 172 |
Assessment of Response to Chemotherapy and Radiotherapy | 209 |
Cartilage Tumours | 225 |
Osseous Tumors | 251 |
Fibrogenic and Fibrohistiocytic Tumors | 307 |
Ewing SarcomaPNET Tumors | 337 |
18 | 351 |
Excluding myeloma and lymphoma malignant | 362 |
Reactive Metabolic and TumorLike Lesions of Bone | 549 |
33 | 585 |
Bony Pelvis | 603 |
36 | 637 |
37 | 647 |
Compartmental Anatomy | 665 |
Subject Index | 687 |
G KINDBLOM MD | 695 |
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Common terms and phrases
ablation aneurysmal bone cyst areas assessment Axial benign biopsy Bone Joint Surg bone lesions bone metastases bone sarcomas bone scan bone scintigraphy bone tumors calcification Cancer cartilage chemotherapy chondroblastoma chondrosarcoma chordoma clinical common computed tomography cortex cortical demonstrates detection diaphysis differential diagnosis enchondroma enhancement evaluation Ewing sarcoma Ewing’s sarcoma expansile extraosseous fat suppression femoral femur fibroma fibrous dysplasia giant cell tumor grade high signal histiocytosis histological image shows intramedullary intraosseous involvement long bones lymphoma lytic lesion malignant bone matrix metastatic disease Mirra multiple Murphey musculoskeletal myeloma needle neoplasms occur Oncol osseous osteoblastoma osteochondroma osteoid osteoma osteosarcoma Paget’s disease parosteal patients pelvis percutaneous periosteal reaction PET/CT posterior present proximal radiation radiograph Radiology rare recurrence reported resection Roentgenol scapula scintigraphy sclerosis sclerotic signal intensity sion Skeletal Radiol soft tissue mass spinal spine surgical T1-weighted images techniques therapy tibia tion treatment typically uptake vertebral body