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Imaging of Bone Tumors and Tumor-Like Lesions Techniques and Applications

:	A. Mark Davies, Murali Sundaram, Steven L. J. James
:	A. Mark Davies, Murali Sundaram, Steven J. James
:	Imaging of Bone Tumors and Tumor-Like Lesions Techniques and Applications
:	Springer-Verlag
:	9783540779841
:	1
:	CHF 164.20
:

:	Klinische Fächer
:	English

:	701
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

Detection and characterization of bone tumors with imaging remains a big challenge for every radiologist notwithstanding the impressive progress achieved by the introduction of several new imaging modalities. Moreover, new concepts in surgical and oncological treatment of these lesions require from the radiologist appropriate and focused answers to the specifc questions asked by the referring physicians in order to choose the best therapeutic approach for the in- vidual patient. Tis comprehensive textbook describes in detail the possibilities and limits of all moda- ties, including MRI, CT, nuclear medicine and interventional radiological procedures, employed for the modern imaging of tumoral and tumor-like lesions of bone. Teir role in the diagnosis, surgical staging, biopsy and assessment of response to therapy is discussed in detail, covering all tumor subtypes as well as their specifc anatomical location.Well selected and technically imp- cable illustrations strongly enhance the didactic value of this work. I am very much indebted and grateful to the three editors: A. Mark Davies, Murali Sundaram and Steven L. J. James, world authorities in musculoskeletal radiology, for their superb scientifc achievement in preparing and editing this wonderful volume as well as for their individual ch- ters. I would also like to thank the large international group of collaborating authors, who are also widely acknowledged for their specifc expertise in the area of bone tumors, for their outstanding contributions.

	MEDICAL RADIOLOGY Diagnostic Imaging	2
	A. M. Davies · M. Sundaram · S. L. J. James (Eds.)	3
	Techniques and Applications	3
	Foreword	5
	Preface	6
	Contents	7
	Bone Tumors: Epidemiology, Classification, Pathology	11
	Introduction	12
	Epidemiology	12
	Morphologic Diagnosis of Bone Tumors	15
	Types of Bone Tumor Specimens	16
	Adjunctive Diagnostic Techniques	17
	Classification of Bone Tumors	17
	Comments on the Morphologic Classification of Bone Tumors	17
	Congenital, Hereditary, and Non-hereditary Syndromes Associated with Bone Tumors	24
	References	24
	Computed Tomography of Bone Tumours	26
	Introduction	26
	Developments in Computed Tomography	27
	Scan Image Quality	29
	CT of Bone Tumours	33
	Indications	33
	CT-Guided Interventions	35
	Conclusion	37
	References	37
	Imaging Techniques: Magnetic Resonance Imaging	39
	Introduction	40
	Technical Considerations	40
	3.2.2.1 T1-weighted SE	41
	3.2.2.2 T2-weighted Fast SE	42
	3.2.2.3 Gadolinium-enhanced SE	43
	3.2.2.4 Gradient Echo	45
	3.2.2.5 STIR	46
	3.2.4.1 Signal-to-Noise Ratio	47
	3.2.4.2 Spatial Resolution	48
	3.2.4.3 Scan Time	48
	3.2.6.1 Quantitative Dynamic MR Imaging	48
	3.2.6.2 Diffusion-weighted Imaging	49
	3.2.6.3 MR Spectroscopy	50
	Common MR Imaging Artifacts	50
	Overview of MR Imaging in Bone Tumors	54
	3.4.1.1 Fluid	55
	3.4.1.2 Fluid-fluid levels	55
	3.4.1.3 Edema	55
	3.4.1.4 Hemorrhage	57
	3.4.1.5N ecrosis	59
	References	59
	Nuclear Medicine	61
	Introduction	62
	PET and PET/CT	82
	4.3.2.1 The Diagnosis and Grading of Bone Tumours	84
	4.3.2.2 Staging of Sarcomas	85
	4.3.2.3 Prognostic Indicator and Response to Therapy	86
	4.3.2.4 Recurrence and Metastatic Disease	87
	4.3.2.5	89
	4.3.2.6	89
	and PET/CT	89
	References	90
	Ultrasonography	93
	Introduction	93
	Imaging Features of Bone Tumours on Ultrasound	94
	Morphological Features of Bone Tumours on Ultrasound	94
	Tumour Characterisation	97
	US-Guided Biopsy	98
	Monitoring of Tumour Response	99
	Assessment of Local Recurrence	100
	Conclusion	101
	References	101
	Interventional Techniques	102
	Introduction	102
	Thermal Ablation	103
	Cementoplasty	106
	Bone Substitutes	112
	Embolization	113
	References	114
	Principles of Detection and Diagnosis	117
	Introduction	117
	Detection	118
	Diagnosis	123
	7.3.1.1 Site in Skeleton	125
	7.3.1.2 Location in Bone	126
	7.3.1.3 Pattern of Bone Destruction	130
	7.3.1.4 Periosteal Reaction	132
	7.3.1.5 Tumour Mineralisation	137
	Conclusion	141
	References	141
	Biopsy	144
	Introduction	145
	Planning of Biopsy	145
	8.2.2.1 Lesion Selection	148
	8.2.2.2 Biopsy Method	148
	8.2.3.1 Fluoroscopy	151
	8.2.3.2 Ultrasonography	151
	8.2.3.3 MR Imaging	152
	8.2.3.4 CT Fluoroscopy	152
	8.2.4.1 Axial Skeleton	153
	8.2.4.2 Appendicular Skeleton	154
	Procedure	159
	8.3.3.1 US-Guided Biopsy	160
	8.3.3.2 CT-Guided Biopsy	160
	8.3.3.3 Spinal Biopsy	162
	Conclusion	165
	References	165
	Surgical Staging 1: Primary Tumour	168
	Introduction