Holland B R, Freyschmidt J
Radiologische Klinik, Zentralkrankenhaus St.-Jürgen-Strasse, Bremen.
Orthopade. 1994 Sep;23(5):355-65.
Diagnosis of bone tumours is still based on plain films and, if necessary, computed tomography because crucial morphologic criteria such as ossification of tumour matrix, patterns of bone destruction and formation of new bone are not clearly visualized by MRI. Only in a few cases is MRI helpful for characterization of bone lesions. Although MRI is of limited value for differential diagnosis of bone tumours, it may be very helpful for planning of biopsy or surgery by virtue of its ability to demonstrate tumour extent and soft tissue changes. For local staging and follow-up of primary bone tumours MRI is clearly the method of choice. MRI strategy should be coordinated with clinical requirements in order to ensure optimum evaluation of tumour extent, effectiveness of chemotherapy and detection of local recurrence.
骨肿瘤的诊断仍基于X线平片,必要时结合计算机断层扫描,因为诸如肿瘤基质骨化、骨质破坏模式和新骨形成等关键形态学标准在磁共振成像(MRI)上无法清晰显示。只有在少数情况下,MRI有助于骨病变的特征性诊断。尽管MRI在骨肿瘤的鉴别诊断中价值有限,但由于其能够显示肿瘤范围和软组织变化,对活检或手术规划可能非常有帮助。对于原发性骨肿瘤的局部分期和随访,MRI显然是首选方法。MRI检查策略应与临床需求相协调,以确保对肿瘤范围、化疗效果和局部复发检测进行最佳评估。