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Osteosarcoma CT

Introduction

Overview

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

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

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.

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