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用于评估四肢骨骼局灶性骨病变的传统放射摄影：现代成像时代的基本概念

Conventional radiography for the assessment of focal bone lesions of the appendicular skeleton: fundamental concepts in the modern imaging era.

作者信息

Matcuk George R, Waldman Leah E, Fields Brandon K K, Colangeli Marco, Palmas Marco, Righi Alberto, Filonzi Giacomo, Crombé Amandine, Spinnato Paolo

机构信息

Department of Imaging, S. Mark Taper Foundation Imaging Center, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste M-335, Los Angeles, CA, 90048, USA.

Department of Radiology, Duke University School of Medicine, Durham, NC, 27705, USA.

出版信息

Skeletal Radiol. 2025 Jul;54(7):1391-1406. doi: 10.1007/s00256-024-04854-6. Epub 2024 Dec 24.

DOI:10.1007/s00256-024-04854-6
PMID:39718620
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12078366/
Abstract

Bone lesions of the appendicular skeleton can be caused by primary benign or malignant tumors, metastases, osteomyelitis, or pseudotumors. Conventional radiography plays a crucial role in the initial assessment of osseous lesions and should not be underestimated even in this era of modern complex and advanced imaging technologies. Combined with patient age, clinical symptoms and biology, and lesion features including location, solitary versus multiplicity, density, margin (transitional zone evaluated with Lodwick-Madewell grading score), and, if present, the type of periosteal reaction and matrix mineralization can narrow the differential diagnosis or offer a likely diagnosis. These radiographic features help guide further follow-up or management.

摘要

四肢骨骼的骨病变可由原发性良性或恶性肿瘤、转移瘤、骨髓炎或假瘤引起。传统放射学在骨病变的初步评估中起着关键作用，即使在这个现代复杂和先进成像技术的时代，也不应被低估。结合患者年龄、临床症状和生物学特征，以及病变特征，包括位置、单发与多发、密度、边缘（用洛德维克-马德韦尔分级评分评估过渡区），以及如果存在的话，骨膜反应类型和基质矿化情况，可以缩小鉴别诊断范围或得出可能的诊断。这些放射学特征有助于指导进一步的随访或治疗。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/98c95f21da4c/256_2024_4854_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/a0e71c1ce661/256_2024_4854_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/08ba92e8f3f7/256_2024_4854_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/565706c392fa/256_2024_4854_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/a498526b8274/256_2024_4854_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/976f5d739e50/256_2024_4854_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/05576093252f/256_2024_4854_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/75ea2fe7c681/256_2024_4854_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/4d15c3d6b248/256_2024_4854_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/8d3f1a72a615/256_2024_4854_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/b4d24c9bcdbf/256_2024_4854_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/12078366/eb3db912411c/256_2024_4854_Fig12_HTML.jpg

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