Abstract
Background: Radiography is the optimal initial imaging modality for evaluating undiagnosed primary bone tumors. Anatomic location allows the evaluation of characteristics of activity or growth rate of primary bone tumors, such as margins, periosteal reaction, cortical expansion, thinning, and destruction.
Objective: To establish radiography (X-ray) is the initial imaging modality for differential diagnosis of primary bone tumors
Methods: Prospective study of skeletal with radiography.
Results: 30 cases of skeletal tumours were studied including both benign and malignant masses.
Conclusions: Conventional radiograph is initial, affordable, easily available and effective imaging modality.
References
- Berquist TH, Dalinka MK, Alazraki N, et al. Bone tumors: American College of Radiology— ACR appropriateness criteria. Radiology 2000; 215(suppl):261–264 .
- Costelloe CM, Rohren EM, Madewell JE, et al. Imaging bone metastases in breast cancer: techniques and recommendations for diagnosis. Lancet Oncol 2009; 10:606–614 .
- Lodwick GS, Wilson AJ, Farrell C, Virtama P, Dittrich F. Determining growth rates of focal lesions of bone from radiographs. Radiology 1980; 134:577–583
- Oudenhoven LF, Dhondt E, Kahn S, et al. Accuracy of radiography in grading and tissue-specific diagnosis: a study of 200 consecutive bone tumors of the hand. Skeletal Radiol 2006; 35:78–87.
- Madewell JE, Ragsdale BD, Sweet DE. Radiologic and pathologic analysis of solitary bone lesions. Part I. Internal margins. Radiol Clin North Am 1981; 19:715–748 .
- Ragsdale BD, Madewell JE, Sweet DE. Radiologic and pathologic analysis of solitary bone lesions. Part II. Periosteal reactions. Radiol Clin North Am 1981; 19:749–783 .
- Sweet DE, Madewell JE, Ragsdale BD. Radiologic and pathologic analysis of solitary bone lesions. Part III. Matrix patterns. Radiol Clin North Am 1981; 19:785–814.
- Yanagawa T, Watanabe H, Shinozaki T, Ahmed AR, Shirakura K, Takagishi K. The natural history of disappearing bone tumours and tumour-like conditions. Clin Radiol 2001; 56:877–886 .
- Aisen AM, Martel W, Braunstein EM, McMillin KI, Phillips WA, Kling TF. MRI and CT evaluation of primary bone and soft-tissue tumors. AJR 1986; 146:749–756 .
- Tehranzadeh J, Mnaymneh W, Ghavam C, Morillo G, Murphy BJ. Comparison of CT and MR imaging in musculoskeletal neoplasms. J Comput Assist Tomogr 1989; 13:466–472.
- Zimmer WD, Berquist TH, McLeod RA, et al. Bone tumors: magnetic resonance imaging versus computed tomography Radiology 1985; 155:709–718 .
Corresponding Author
Ishan Kumar
Assistant Professor Department of Radiodiagnosis and Imaging, Institute of Medical Sciences Banaras Hindu University