Get Radiologic Management of Musculoskeletal Tumors PDF

By Holger Pettersson MD, Dempsey S. Springfield MD, William F. Enneking MD (auth.)

ISBN-10: 1447114183

ISBN-13: 9781447114185

ISBN-10: 1447114205

ISBN-13: 9781447114208

During the decade the healing method of musculoskeletal tumors has replaced dramatically, from ablative surgical procedure with ampu­ tation ofthe limb to reconstructive surgical procedure with transplantation of bone and vessels mixed with radio-and chemotherapy. This has replaced the calls for on radiologists and pathologists to a substantial measure. even as there was a manifold elevate within the diagnostic percentages provided via sleek radiology, with a number of new modalities affording a possible for morphologic depiction and tissue personality­ ization that was once not possible a decade in the past. this day, the definitive diagnostic work-up and therapy of sufferers with musculoskeletal tumors is as a rule performed in tumor facilities, by means of teams that preferably might be composed of an orthopedic health care provider, radiotherapist, oncologist, radiologist, pathologist and cytologist. it can be crucial for the entire participants of this staff to be good versed within the surgi­ cal and different remedy rules, within the pathologic thoughts, and within the radiologic interpretation of musculoskeletal tumors. additionally, it is vital that the trendy diagnostic method of musculoskeletal tumors is celebrated additionally on the referring heart, be it a personal practi­ tioner's workplace or a wide health facility. this may steer clear of pointless biopsies, and repetition of radiologic and different diagnostic techniques that experience already been played on the referring center.

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The horizontal cursor lines denote the sections. c Section number 16 in the middle of the lesion shows the dense new bone formation. d and e Sections numbers 9 and 24 are the first proximal and distal slices, respectively, where the bone looks normal, and where the attenuation value in the narrow canal is the same as that in the contralateral side. The numbers to which the arrows are pointing denote the mean attenuation values in the region of interest outlined by the cursor. f Reconstruction in the sagittal plane displays the extent exactly, but with poor spatial resolution.

1986; Slone et al. 1986). 5 T and allow only proton imaging. 5-4 T or more), not only protons but also nuclei such as 13C, 19F, 23Na and 31 P can be used, which enables a combination of imaging and spectroscopy of the same area to be performed. The first reports of such 31 P magnetic resonance spectroscopy of human musculoskeletal tumors in vivo are encouraging (Griffiths 1983; Nidecker et al. 1985), and this method has potential not only for detailed tumortissue characterization, but also for evaluation of metabolites developing in the tumor during chemo- and/or radiotherapy.

Cancer 42: 1760-1765 Bottomley PA, Foster TH, Argensinger RE, Pfefier LM (1984) A review of normal tissue hydrogen NMR relaxation times and relaxation mechanisms from 1-100 MHz: Dependence on tissue type, NMR frequency, temperature, species, excision and age. Review article. Med Phys 11: 425-447 Brunschwig A, Harmon PH (1935) Studies in bone sarcoma. III. An experimental and pathological study of the role of the periosteum in the formation of bone in various primary bone tumors. Surg Gynecol Obstet 60: 30-40 Chew FS, Hudson TM (1980) Radionuclide imaging of lipoma and liposarcoma.

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Radiologic Management of Musculoskeletal Tumors by Holger Pettersson MD, Dempsey S. Springfield MD, William F. Enneking MD (auth.)


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