Wu Jim S, Hochman Mary G
Department of Radiology, Section of Musculoskeletal Imaging, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA.
Radiology. 2009 Nov;253(2):297-316. doi: 10.1148/radiol.2532081199.
Soft-tissue lesions are frequently encountered by radiologists in everyday clinical practice. Characterization of these soft-tissue lesions remains problematic, despite advances in imaging. By systematically using clinical history, lesion location, mineralization on radiographs, and signal intensity characteristics on magnetic resonance images, one can (a) determine the diagnosis for the subset of determinate lesions that have characteristic clinical and imaging features and (b) narrow the differential diagnosis for lesions that demonstrate indeterminate characteristics. If a lesion cannot be characterized as a benign entity, the lesion should be reported as indeterminate, and the patient should undergo biopsy to exclude malignancy.
在日常临床实践中，放射科医生经常会遇到软组织病变。尽管影像学技术有所进步，但对这些软组织病变的特征描述仍然存在问题。通过系统地运用临床病史、病变位置、X线片上的矿化情况以及磁共振图像上的信号强度特征，（1）可以对具有特征性临床和影像学特征的确定性病变子集做出诊断，（2）对于表现出不确定特征的病变，缩小鉴别诊断范围。如果一个病变不能被定性为良性实体，则应将该病变报告为不确定，并且患者应接受活检以排除恶性肿瘤。
