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胫骨骨病变:多模态影像学综述与诊断算法,第1部分:诊断算法、发育异常和骨干病变

Bone lesions of the tibia: Multimodal iconographic review and diagnostic algorithms, Part 1: Diagnostic algorithms, dysplasia and diaphyseal lesions.

作者信息

Salmon Vincent, Gondim Teixeira Pedro Augusto, Blum Alain

机构信息

Service d'Imagerie Guilloz, Hôpital Central, CHRU Nancy, Nancy 54000, France.

出版信息

Eur J Radiol Open. 2025 May 2;14:100653. doi: 10.1016/j.ejro.2025.100653. eCollection 2025 Jun.

Abstract

This article focuses on the analysis of bone lesions of the tibia, addressing the main diagnostic challenges and imaging strategies used to characterize them. It examines the different etiologies of tibial lesions, emphasizing the importance of a systematic approach to distinguishing tumoral from non-tumoral lesions, as well as from bone dysplasia. The article underlines the essential role of imaging, particularly radiography, CT, and MRI, in accurate lesion characterization. It also highlights typical clinical and radiological features that help guide diagnosis and management. The main aim is to provide radiologists with clear guidelines for improving the identification of bony lesions of the tibia. Part 1 of this 2-part article proposes simplified diagnostic algorithms and some illustrations of dysplasia and diaphyseal lesions of the tibia.

摘要

本文着重分析胫骨的骨病变,探讨主要的诊断挑战以及用于对其进行特征描述的影像学策略。它研究了胫骨病变的不同病因,强调采用系统方法区分肿瘤性病变与非肿瘤性病变以及骨发育异常的重要性。文章强调了影像学,尤其是X线摄影、CT和MRI在准确病变特征描述中的重要作用。它还突出了有助于指导诊断和治疗的典型临床及放射学特征。主要目的是为放射科医生提供清晰的指南,以提高对胫骨骨病变的识别能力。这篇分两部分的文章的第1部分提出了简化的诊断算法,并给出了一些胫骨发育异常和骨干病变的示例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bee8/12123328/5f289e212e5b/gr2.jpg

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