Department of Radiology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Department of Radiology, Mayo Clinic Arizona, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA.
Radiol Clin North Am. 2022 Mar;60(2):311-326. doi: 10.1016/j.rcl.2021.11.009. Epub 2022 Jan 31.
Radiologists have an integral role in the diagnosis of bone and soft-tissue tumors beyond image interpretation. Image-guided biopsies are used to diagnose and stage musculoskeletal tumors. This article reviews the steps of minimally invasive image-guided biopsies, from prebiopsy planning through postbiopsy pathology follow-up. Helpful techniques to perform and troubleshoot these procedures adequately and safely are detailed. Radiologists are also expanding the treatment options available for many benign and malignant bone and soft-tissue tumors. Some of these more frequently performed procedures include percutaneous thermal ablation and cementoplasty. The evidence, indications, and basic principles of these interventional procedures are also discussed.
放射科医生在骨与软组织肿瘤的诊断中发挥着重要作用，不仅仅局限于图像解读。影像引导下的活检用于诊断和分期肌肉骨骼肿瘤。本文回顾了微创影像引导下活检的步骤，从活检前规划到活检后病理随访。详细介绍了有助于充分、安全地进行和解决这些程序的有用技术。放射科医生还在扩大许多良性和恶性骨与软组织肿瘤的治疗选择。其中一些更常进行的操作包括经皮热消融和骨水泥成形术。本文还讨论了这些介入操作的证据、适应证和基本原则。
