Lee Mi-Jung, Chhabra Avneesh, Pressey Joseph G, Dumoulin Charles L, Kim Hee Kyung
Department of Radiology, Severance Hospital, Research Institute of Radiological Science, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seoul 03722, South Korea.
Radiology Department, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA; Orthopedics Department, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Magn Reson Imaging Clin N Am. 2019 May;27(2):341-371. doi: 10.1016/j.mric.2019.01.010.
Pediatric musculoskeletal tumors comprise approximately 10% of childhood neoplasms, and MR imaging has been used as the imaging evaluation standard for these tumors. The role of MR imaging in these cases includes identification of tumor origin, tissue characterization, and definition of tumor extent and relationship to adjacent structures as well as therapeutic response in posttreatment surveillance. Technical advances have enabled quantitative evaluation of biochemical changes in tumors. This article reviews recent updates to MR imaging of pediatric musculoskeletal tumors, focusing on advanced MR imaging techniques and providing information on the relevant physics of these techniques, clinical applications, and pitfalls.
小儿肌肉骨骼肿瘤约占儿童肿瘤的10%,磁共振成像(MR成像)已被用作这些肿瘤的影像学评估标准。MR成像在这些病例中的作用包括确定肿瘤起源、组织特征描述、界定肿瘤范围及其与相邻结构的关系,以及治疗后监测中的治疗反应评估。技术进步已使对肿瘤生化变化进行定量评估成为可能。本文综述了小儿肌肉骨骼肿瘤MR成像的最新进展,重点介绍先进的MR成像技术,并提供有关这些技术的相关物理学、临床应用及陷阱的信息。