Abstract
We reviewed radiographic studies of 50 central osteosarcomas to assess their accuracy and contributions to surgical treatment planning. Accurate anatomic delineation was especially important when limb-sparing tumor resection was considered. The plain roentgenograms yielded most of the diagnostic information, and often showed large masses located so that major neurovascular involvement was inevitable. Conventional tomography added little. Computed tomography (CT) usually was accurate in showing tumor extent and relationships to major nerves and vessels. However, CT was less useful when vessels were not seen, when edema and hemorrhage (especially after biopsy) blurred tumor margins, or when tumor margin and soft tissue planes blended together without clear definition. Angiography was essential when vascular relationships were unclear on CT. Scintigraphy occasionally revaled subtle intramarrow tumor extension, but nonspecific increased uptake beyond the true tumor limits was more common than occult tumor spread.
Similar content being viewed by others
References
Cade S (1955) Osteogenic sarcoma: a study based on 133 patients. J R Coll Surg Edinb 1:79
Chew FS, Hudson TM (1982) Radionuclide bone scanning of osteosarcoma. AJR 139:49
Dahlin DC (1978) Bone tumors. Charles C Thomas Springfield
DeSmet AA, Neff JR (1982) Knee arthrography for the preoperative evaluation of juxta-articular masses. Radiology 143:663
Edeiken JR (1981) Roentgen diagnosis of diseases of bone. 3rd edn. Williams and Wilkins, Baltimore
Enneking WF, Kagan A (1977) Intramarrow spread of osteosarcoma. In. M.D. Anderson Hospital and Tumor Institute, management of primary bone and soft tissue tumors. Year Book Publishers, Chicago
Enneking WF, Shirley PD (1977) Resection-arthrodesis for malignant and potentially malignant lesions about the knee using an intramedullary rod and local bone grafts. J Bone Joint Surg [Am] 59:223
Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop 153:106
Enneking WF, Springfield DS (1977) Osteosarcoma. Orthop Clin North Am 8:785
Goldman AB, Braunstein P (1975) Augmented radioactivity on bone scans of limbs bearing osteosarcomas. J Nucl Med 16:423
Hawkins IF Jr, Hudson TM (1974) Priscoline in bone and soft tissue angiography. Radiology 110:541
Hudson TM, Hass G, Enneking WF, Hawkins IF Jr (1975) Angiography in the management of musculoskeletal tumors. Surg Gynecol Obstet 141:11
Hudson TM, Enneking WF, Hawkins IF Jr (1981) The value of angiography in planning surgical treatment of bone tumors. Radiology 138:283
Hudson TM, Schiebler M, Springfield DS, Enneking WF, Hawkins IF Jr (to be published) Radiology of giant cell tumors of bone
Johnston JO (1980) Local resection in primary malignant bone tumors. Clin Orthop 153:73
Mankin HJ, Lange, T, Spanier S (1982) The hazards of the biopsy in patients with malignant primary bone and soft tissue tumors. J Bone Joint Surg [Am] 64:1121
Smith CF, Monsen DCG (1980) Advances in bone tumors. Clin Orthop 153:2
Strickland B (1959) The value of arteriography in the diagnosis of bone tumors. Br J Radiol 32:705
Thrall JH, Geslien GE, Corcoran RJ, Johnson MC (1975) Abnormal radionuclide deposition patterns adjacent to focal skeletal lesions. Radiology 115:659
Watts HG (1980) Introduction to resection of musculoskeletal tumors. Clin Orthop 153:31
Wilner D (1982) Radiology of bone tumors and allied disorders. Saunders, Philadelphia
Author information
Authors and Affiliations
Additional information
Supported in part by NIH Grant CA-16559
Rights and permissions
About this article
Cite this article
Hudson, T.M., Schiebler, M., Springfield, D.S. et al. Radiologic imaging of osteosarcoma: Role in planning surgical treatment. Skeletal Radiol 10, 137–146 (1983). https://doi.org/10.1007/BF00357767
Issue Date:
DOI: https://doi.org/10.1007/BF00357767