Imaging of Bone Sarcomas and Soft-Tissue Sarcomas
Jasminka Igrec1, Michael H Fuchsjäger1
1Division of General Radiological Diagnostics, Department of Radiology, Medical University of Graz, Austria.
Summary
Imaging plays a vital role in diagnosing bone and soft-tissue sarcomas, with radiography, ultrasound, CT, and MRI being crucial. Advanced techniques and radiomics show future promise for sarcoma imaging.
Area of Science:
- Oncology
- Radiology
- Medical Imaging
Background:
- Advancements in imaging modalities enhance the detection and management of bone and soft-tissue sarcomas.
- Imaging is critical for surgical planning, assessing treatment response, and guiding biopsies.
Purpose of the Study:
- To review the current role of various imaging techniques in the evaluation of bone and soft-tissue sarcomas.
- To highlight the evolving applications and future potential of advanced imaging in sarcoma diagnosis and management.
Main Methods:
- A comprehensive literature search was conducted on PubMed.
- Keywords included "bone sarcoma," "soft tissue sarcoma," "imaging," and specific modalities like MRI, CT, and ultrasound.
- The search covered publications from 2005 to 2020.
Main Results:
- Radiography, ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) are all essential for sarcoma evaluation.
- US is the initial choice for superficial soft-tissue tumors, while radiography remains crucial in diagnostic algorithms.
- CT's role is evolving with new techniques, and MRI provides noninvasive assessment of various structures.
Conclusions:
- Advanced MRI techniques are underutilized despite their potential benefits.
- PET/MRI and radiomics demonstrate significant promise for future sarcoma imaging.
- Machine learning may enhance personalized therapy selection for sarcoma patients.
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