Osteosarcoma CT: Difference between revisions

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__NOTOC__
__NOTOC__
{{CMG}}
 
{{CMG}}; {{AE}}[[User:DrMars|Mohammadmain Rezazadehsaatlou[2]]].
{{Osteosarcoma}}
{{Osteosarcoma}}
==Overview==
==Overview==
[[Computed tomography|CT scan]] in [[osteosarcoma]] may be helpful in [[biopsy]] and [[Cancer staging|staging]]. [[Computed tomography|CT scan]] adds little to plain [[radiography]] and [[Magnetic resonance imaging|MRI]] in direct assessment of the [[tumor]].
==CT==
==CT==
*The role of CT scan in osteosarcoma is predominantly in assisting biopsy and staging, but adds little to plain radiography and MRI in direct assessment of the tumor.<ref name=radio1>Osteosarcoma. Dr Amir Rezaee ◉ and Dr Frank Gaillard ◉ et al. http://radiopaedia.org/articles/osteosarcoma</ref>
A CT scan of the primary [[osteosarcoma]] lesion helps delineate the location and extent of the tumor and is critical for surgical planning<ref name="pmid26304877">{{cite journal |vauthors=Isakoff MS, Bielack SS, Meltzer P, Gorlick R |title=Osteosarcoma: Current Treatment and a Collaborative Pathway to Success |journal=J. Clin. Oncol. |volume=33 |issue=27 |pages=3029–35 |date=September 2015 |pmid=26304877 |pmc=4979196 |doi=10.1200/JCO.2014.59.4895 |url=}}</ref><ref name="pmid28808701">{{cite journal |vauthors=Sue M, Oda T, Sasaki Y, Kameta A, Okada Y, Ogura I |title=Osteosarcoma of the Mandible: a Case Report with CT, MRI and Scintigraphy |journal=Chin J Dent Res |volume=20 |issue=3 |pages=169–172 |date=2017 |pmid=28808701 |doi=10.3290/j.cjdr.a38772 |url=}}</ref><ref name="pmid27836366">{{cite journal |vauthors=Heaton TE, Hammond WJ, Farber BA, Pallos V, Meyers PA, Chou AJ, Price AP, LaQuaglia MP |title=A 20-year retrospective analysis of CT-based pre-operative identification of pulmonary metastases in patients with osteosarcoma: A single-center review |journal=J. Pediatr. Surg. |volume=52 |issue=1 |pages=115–119 |date=January 2017 |pmid=27836366 |pmc=5384104 |doi=10.1016/j.jpedsurg.2016.10.034 |url=}}</ref><ref name="pmid28391820">{{cite journal |vauthors=Huang L, Xia W, Zhang B, Qiu B, Gao X |title=MSFCN-multiple supervised fully convolutional networks for the osteosarcoma segmentation of CT images |journal=Comput Methods Programs Biomed |volume=143 |issue= |pages=67–74 |date=May 2017 |pmid=28391820 |doi=10.1016/j.cmpb.2017.02.013 |url=}}</ref><ref name="pmid25058144">{{cite journal |vauthors=Xia T, Guan Y, Chen Y, Li J |title=Askin tumor: CT and FDG-PET/CT imaging findings and follow-up |journal=Medicine (Baltimore) |volume=93 |issue=6 |pages=e42 |date=July 2014 |pmid=25058144 |pmc=4602428 |doi=10.1097/MD.0000000000000042 |url=}}</ref>:
*The exception to this rule is predominantly lytic lesions in which small amounts of mineralised material may be inapparent on both plain film and MRI.
*CT scan in osteosarcoma may be helpful in [[biopsy]] and [[Cancer staging|staging]].
*CT scan is used to:<ref>Osteosarcoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/bone/diagnosis/?region=bc</ref>
*CT scan adds little to plain [[radiography]] and [[MRI]] in direct assessment of the tumor.
*The exception to this rule is predominantly [[Lytic|lytic lesions]] in which small amounts of mineralised material may be inapparent on both plain film and MRI.
*CT scan is used to:
:*Observe the extent of the bone tumor.
:*Observe the extent of the bone tumor.
:*Observe if the tumor has spread into nearby tissues.
:*Observe if the tumor has spread into nearby tissues.
:*Guide a biopsy needle to the tumor (CT-guided biopsy).
:*Guide a [[biopsy]] needle to the tumor (CT-guided biopsy).
:*Observe if the bone cancer has spread to the lung (metastasis).
:*Observe if the [[bone cancer]] has spread to the [[lung]] (metastasis).
 
<gallery perrow="3">
File:Osteosarcoma-tibia Coronal bone window.jpg
File:Osteosarcoma-tibia Coronal bone window1.jpg
File:Sternal-osteosarcoma (1).jpg
File:Sternal-osteosarcoma.jpg
</gallery>
 
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Orthopedics]]
[[Category:Orthopedics]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Orthopedics]]

Latest revision as of 13:29, 17 October 2019


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].

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Overview

CT scan in osteosarcoma may be helpful in biopsy and staging. CT scan adds little to plain radiography and MRI in direct assessment of the tumor.

CT

A CT scan of the primary osteosarcoma lesion helps delineate the location and extent of the tumor and is critical for surgical planning[1][2][3][4][5]:

  • CT scan in osteosarcoma may be helpful in biopsy and staging.
  • CT scan adds little to plain radiography and MRI in direct assessment of the tumor.
  • The exception to this rule is predominantly lytic lesions in which small amounts of mineralised material may be inapparent on both plain film and MRI.
  • CT scan is used to:
  • Observe the extent of the bone tumor.
  • Observe if the tumor has spread into nearby tissues.
  • Guide a biopsy needle to the tumor (CT-guided biopsy).
  • Observe if the bone cancer has spread to the lung (metastasis).


References

  1. Isakoff MS, Bielack SS, Meltzer P, Gorlick R (September 2015). "Osteosarcoma: Current Treatment and a Collaborative Pathway to Success". J. Clin. Oncol. 33 (27): 3029–35. doi:10.1200/JCO.2014.59.4895. PMC 4979196. PMID 26304877.
  2. Sue M, Oda T, Sasaki Y, Kameta A, Okada Y, Ogura I (2017). "Osteosarcoma of the Mandible: a Case Report with CT, MRI and Scintigraphy". Chin J Dent Res. 20 (3): 169–172. doi:10.3290/j.cjdr.a38772. PMID 28808701.
  3. Heaton TE, Hammond WJ, Farber BA, Pallos V, Meyers PA, Chou AJ, Price AP, LaQuaglia MP (January 2017). "A 20-year retrospective analysis of CT-based pre-operative identification of pulmonary metastases in patients with osteosarcoma: A single-center review". J. Pediatr. Surg. 52 (1): 115–119. doi:10.1016/j.jpedsurg.2016.10.034. PMC 5384104. PMID 27836366.
  4. Huang L, Xia W, Zhang B, Qiu B, Gao X (May 2017). "MSFCN-multiple supervised fully convolutional networks for the osteosarcoma segmentation of CT images". Comput Methods Programs Biomed. 143: 67–74. doi:10.1016/j.cmpb.2017.02.013. PMID 28391820.
  5. Xia T, Guan Y, Chen Y, Li J (July 2014). "Askin tumor: CT and FDG-PET/CT imaging findings and follow-up". Medicine (Baltimore). 93 (6): e42. doi:10.1097/MD.0000000000000042. PMC 4602428. PMID 25058144.

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