[Skeletal changes due to bone metastases : Morphology and selected differential diagnoses]

Area of Science:

• Radiology
• Oncology
• Skeletal Imaging

Background:

• Detecting bone metastases is a frequent and critical task for radiologists.
• Accurate diagnosis impacts patient prognosis and therapeutic decisions.
• Expertise in skeletal metastases' morphology and diagnostics is essential.

Purpose of the Study:

• To detail the diverse appearances of skeletal metastases.
• To present non-metastatic conditions that mimic bone metastases.
• To guide radiologists in diagnosing bone metastases and their differentials.

Main Methods:

• Radiological depiction depends on primary tumor, metastasis site, and patient factors.
• Projection radiography is foundational but has limitations.
• Computed tomography (CT) and magnetic resonance imaging (MRI) are established diagnostic tools.
• CT-guided biopsy is often required for definitive diagnosis.

Main Results:

• Various radiological procedures are key to diagnosing bone metastases.
• A definitive diagnosis (presence or absence) is achievable in many cases.
• Imaging findings can suggest metastases or differential diagnoses.

Conclusions:

• Radiological methods are the cornerstone of bone metastasis diagnosis.
• Definitive diagnosis is possible in many instances.
• When uncertain, consult specialists on invasive procedures like CT-guided biopsy, weighing risks and benefits.