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"Do-not-touch" lesions of bone revisited
G Hegde1, C Azzopardi2, A Patel2
1Department of Radiology, Royal Lancaster Infirmary, Lancaster, UK; Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.
Clinical Radiology
|December 26, 2021
Summary
Radiologists can now better identify "do-not-touch" bone lesions using advanced imaging, reducing the need for invasive biopsies. This study redefines these lesions and proposes a new imaging-based classification for characterization.
Area of Science:
- Radiology
- Orthopedic Oncology
- Medical Imaging
Background:
- Incidental bone lesions are common and often require further investigation.
- Many indeterminate lesions necessitate specialist referral and potential biopsy.
- Biopsies have drawbacks, making non-invasive characterization crucial.
Purpose of the Study:
- To redefine "do-not-touch" bone lesions.
- To propose an imaging-based classification for these lesions.
- To reduce unnecessary biopsies for benign bone findings.
Main Methods:
- Review of current literature on bone lesion characterization.
- Analysis of imaging features of indeterminate bone lesions.
- Development of a novel classification system based on imaging findings.
Main Results:
- Recent imaging advances allow for confident characterization of many incidental bone lesions.
- A proposed classification system categorizes lesions based on imaging alone.
- The definition of "do-not-touch" lesions is revisited and refined.
Conclusions:
- Advanced imaging techniques can accurately identify "do-not-touch" bone lesions.
- A new imaging-based classification aids in differentiating benign from aggressive lesions.
- This approach minimizes the need for biopsies in managing incidental bone lesions.
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