Conventional radiography for the assessment of focal bone lesions of the appendicular skeleton: fundamental concepts in the modern imaging era.

Autor: Matcuk GR Jr; Department of Imaging, S. Mark Taper Foundation Imaging Center, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste M-335, Los Angeles, CA, 90048, USA. George.Matcuk@cshs.org., Waldman LE; Department of Radiology, Duke University School of Medicine, Durham, NC, 27705, USA., Fields BKK; Department of Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, 94143, USA., Colangeli M; Orthopaedic Oncology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy., Palmas M; Orthopaedic Oncology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy., Righi A; Department of Pathology, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy., Filonzi G; Department of Radiology, Ospedale Maggiore, 40133, Bologna, Italy., Crombé A; Department of Musculoskeletal Radiology, Pellegrin Hospital, Bordeaux University, F-33000, Bordeaux, France., Spinnato P; Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy.
Jazyk: angličtina
Zdroj: Skeletal radiology [Skeletal Radiol] 2024 Dec 24. Date of Electronic Publication: 2024 Dec 24.
DOI: 10.1007/s00256-024-04854-6
Abstrakt: Bone lesions of the appendicular skeleton can be caused by primary benign or malignant tumors, metastases, osteomyelitis, or pseudotumors. Conventional radiography plays a crucial role in the initial assessment of osseous lesions and should not be underestimated even in this era of modern complex and advanced imaging technologies. Combined with patient age, clinical symptoms and biology, and lesion features including location, solitary versus multiplicity, density, margin (transitional zone evaluated with Lodwick-Madewell grading score), and, if present, the type of periosteal reaction and matrix mineralization can narrow the differential diagnosis or offer a likely diagnosis. These radiographic features help guide further follow-up or management.
Competing Interests: Declarations. Conflict of interest: G.M. is a consultant for Canon Medical Inc. B.K. received prior research grants from the RSNA R&E, consulting fees from Mendaera, honorarium payments from Neurodiem and Elsevier, and RSNA and institutional support for attending meetings. None of the other authors have disclosures.
(© 2024. The Author(s).)
Databáze: MEDLINE
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