Musculoskeletal tumors: how to use anatomic, functional, and metabolic MR techniques
Laura M Fayad, Michael A Jacobs, Xin Wang, John A Carrino, David A Bluemke, Laura M Fayad, Michael A Jacobs, Xin Wang, John A Carrino, David A Bluemke
Abstract
Although the function of magnetic resonance (MR) imaging in the evaluation of musculoskeletal tumors has traditionally been to help identify the extent of disease prior to treatment, its role continues to evolve as new techniques emerge. Conventional pulse sequences remain heavily used and useful, but with the advent of chemical shift imaging, diffusion-weighted imaging, perfusion imaging and MR spectroscopy, additional quantitative metrics have become available that may help expand the role of MR imaging to include detection, characterization, and reliable assessment of treatment response. This review discusses a multiparametric approach to the evaluation of musculoskeletal tumors, with a focus on the utility and potential added value of various pulse sequences in helping establish a diagnosis, assess pretreatment extent, and evaluate a tumor in the posttreatment setting for recurrence and treatment response.
© RSNA, 2012
Figures
![Figure 1a:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig01a.jpg)
![Figure 1b:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig01b.jpg)
![Figure 2a:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02a.jpg)
![Figure 2b:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02b.jpg)
![Figure 2c:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02c.jpg)
![Figure 2d:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02d.jpg)
![Figure 2e:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02e.jpg)
![Figure 2f:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02f.jpg)
![Figure 2g:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02g.jpg)
![Figure 2h:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02h.jpg)
![Figure 2i:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02i.jpg)
![Figure 2j:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02j.jpg)
![Figure 2k:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02k.jpg)
![Figure 2l:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig02l.jpg)
![Figure 3a:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig03a.jpg)
![Figure 3b:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig03b.jpg)
![Figure 4a:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig04a.jpg)
![Figure 4b:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig04b.jpg)
![Figure 5a:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig05a.jpg)
![Figure 5b:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig05b.jpg)
![Figure 6:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig06.jpg)
![Figure 7a:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig07a.jpg)
![Figure 7b:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig07b.jpg)
![Figure 7c:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig07c.jpg)
![Figure 7d:](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3480818/bin/111740fig07d.jpg)
Source: PubMed