Hillen Travis J, Baker Jonathan C, Jennings Jack W, Wessell Daniel E
Musculoskeletal Section, Department of Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Semin Musculoskelet Radiol. 2013 Apr;17(2):189-202. doi: 10.1055/s-0033-1343096. Epub 2013 May 14.
This article reviews the basics of image-guided intervention of musculoskeletal neoplasms. Image-guided procedures are playing an ever-increasing role in the diagnosis, staging, and treatment of musculoskeletal tumors. The successful handling of these lesions necessitates a multidisciplinary approach, with the radiologist working closely with the orthopedic oncologic surgeon, medical oncologist, radiation oncologist, and pathologist to ensure that the procedure is performed in a way that maximizes the chance of definitive diagnosis and/or the treatment effect while minimizing potential complications. To accomplish these goals, the radiologist must be familiar with the indications and contraindications for any biopsy or treatment, effective procedure planning (e.g., selection of biopsy path, type of imaging guidance and biopsy needle, etc.), proper specimen handling, and potential treatment options such as thermal ablation or cement augmentation. Continued involvement after the procedure-including follow-up to ensure that pathology is concordant with imaging-is also crucial.
本文综述了肌肉骨骼肿瘤影像引导介入的基础知识。影像引导程序在肌肉骨骼肿瘤的诊断、分期和治疗中发挥着越来越重要的作用。成功处理这些病变需要多学科方法，放射科医生要与骨肿瘤外科医生、肿瘤内科医生、放射肿瘤学家和病理学家密切合作，以确保该程序的实施方式能在最大限度提高明确诊断和/或治疗效果的机会的同时，将潜在并发症降至最低。为实现这些目标，放射科医生必须熟悉任何活检或治疗的适应症和禁忌症、有效的程序规划（例如活检路径的选择、影像引导类型和活检针等）、正确的标本处理以及诸如热消融或骨水泥强化等潜在治疗选择。术后的持续参与——包括随访以确保病理结果与影像结果一致——也至关重要。
