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Published in: Pediatric Radiology 4/2010

01-04-2010 | REview

Evaluation of pediatric bone lesions

Author: Mary R. Wyers

Published in: Pediatric Radiology | Issue 4/2010

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Abstract

The radiologist is commonly confronted with bone lesions in children. Knowledge of the age of the patient, the lesion location, and various imaging characteristics are all important in making an accurate diagnosis, and determining benign from malignant etiologies should be a primary goal. Various imaging features seen on cross-sectional imaging, including marrow edema, periosteal reaction patterns, and fluid-fluid levels, are discussed. The advantages of different imaging modalities, including CT and MRI, are reviewed.
Literature
1.
go back to reference Vlychou M, Athanasou NA (2008) Radiological and pathological diagnosis of paediatric bone tumours and tumour-like lesions. Pathology 40:196–216CrossRefPubMed Vlychou M, Athanasou NA (2008) Radiological and pathological diagnosis of paediatric bone tumours and tumour-like lesions. Pathology 40:196–216CrossRefPubMed
2.
go back to reference Slovis T (2008) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby/Elsevier, Philadelphia, pp 2912–2969 Slovis T (2008) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby/Elsevier, Philadelphia, pp 2912–2969
3.
go back to reference van den Berg H, Slaar A, Kroon HM et al (2008) Results of diagnostic review in pediatric bone tumors and tumorlike lesions. J Pediatr Orthop 28:561–564PubMed van den Berg H, Slaar A, Kroon HM et al (2008) Results of diagnostic review in pediatric bone tumors and tumorlike lesions. J Pediatr Orthop 28:561–564PubMed
4.
go back to reference Helms C, Major N, Anderson M et al (2009) Musculoskeletal MRI. Saunders/Elsevier, Philadelphia, pp 123–152 Helms C, Major N, Anderson M et al (2009) Musculoskeletal MRI. Saunders/Elsevier, Philadelphia, pp 123–152
5.
go back to reference Woertler K (2003) Benign bone tumors and tumor-like lesions: value of cross-sectional imaging. Eur Radiol 13:1820–1835CrossRefPubMed Woertler K (2003) Benign bone tumors and tumor-like lesions: value of cross-sectional imaging. Eur Radiol 13:1820–1835CrossRefPubMed
6.
go back to reference Wootton-Gorges SL (2009) MR imaging of primary bone tumors and tumor-like conditions in children. Magn Reson Imaging Clin N Am 17:469–487CrossRefPubMed Wootton-Gorges SL (2009) MR imaging of primary bone tumors and tumor-like conditions in children. Magn Reson Imaging Clin N Am 17:469–487CrossRefPubMed
7.
go back to reference Ma LD, Frassica FJ, Scott WW et al (1995) Differentiation of benign and malignant musculoskeletal tumors: potential pitfalls with MR imaging. Radiographics 15:349–366PubMed Ma LD, Frassica FJ, Scott WW et al (1995) Differentiation of benign and malignant musculoskeletal tumors: potential pitfalls with MR imaging. Radiographics 15:349–366PubMed
8.
go back to reference James SLJ, Panicek DM, Davies AM (2008) Bone marrow oedema associated with benign and malignant bone tumours. Eur J Radiol 67:11–21CrossRefPubMed James SLJ, Panicek DM, Davies AM (2008) Bone marrow oedema associated with benign and malignant bone tumours. Eur J Radiol 67:11–21CrossRefPubMed
9.
go back to reference James SLJ, Hughes RJ, Ali KE (2006) MRI of bone marrow oedema associated with focal bone lesions. Clin Radiol 61:1003–1009CrossRefPubMed James SLJ, Hughes RJ, Ali KE (2006) MRI of bone marrow oedema associated with focal bone lesions. Clin Radiol 61:1003–1009CrossRefPubMed
10.
go back to reference Alyas F, James SL, Davies AM et al (2007) The role of MR imaging in the diagnostic characterisation of appendicular bone tumours and tumour-like conditions. Eur Radiol 17:2675–2686CrossRefPubMed Alyas F, James SL, Davies AM et al (2007) The role of MR imaging in the diagnostic characterisation of appendicular bone tumours and tumour-like conditions. Eur Radiol 17:2675–2686CrossRefPubMed
11.
go back to reference Wenaden AET, Szyszko TA, Saifuddin A (2005) Imaging of periosteal reactions associated with focal lesions of bone. Clin Radiol 60:439–456CrossRefPubMed Wenaden AET, Szyszko TA, Saifuddin A (2005) Imaging of periosteal reactions associated with focal lesions of bone. Clin Radiol 60:439–456CrossRefPubMed
12.
go back to reference Van Dyck P, Vanhoenacker FM, Vogel J et al (2006) Prevalence, extension and characteristics of fluid-fluid levels in bone and soft tissue tumors. Eur Radiol 16:2644–2651CrossRefPubMed Van Dyck P, Vanhoenacker FM, Vogel J et al (2006) Prevalence, extension and characteristics of fluid-fluid levels in bone and soft tissue tumors. Eur Radiol 16:2644–2651CrossRefPubMed
13.
go back to reference O’Donnell P, Saifuddin A (2004) The prevalence and diagnostic significance of fluid-fluid levels in focal lesions of bone. Skeletal Radiol 33:330–336CrossRefPubMed O’Donnell P, Saifuddin A (2004) The prevalence and diagnostic significance of fluid-fluid levels in focal lesions of bone. Skeletal Radiol 33:330–336CrossRefPubMed
14.
go back to reference Kransdorf MJ, Sweet DE (1994) Aneurysmal cone cyst: concept, controversy, clinical presentation, and imaging. AJR 164:573–580 Kransdorf MJ, Sweet DE (1994) Aneurysmal cone cyst: concept, controversy, clinical presentation, and imaging. AJR 164:573–580
15.
go back to reference Miller SL, Hoffer FA (2001) Malignant and benign bone tumors. Radiol Clin North Am 39:1–34CrossRef Miller SL, Hoffer FA (2001) Malignant and benign bone tumors. Radiol Clin North Am 39:1–34CrossRef
16.
go back to reference Hayes CW, Conway WF, Sundaram M (1992) Misleading aggressive MR imaging appearance of some benign musculoskeletal lesions. Radiographics 12:1119–1134PubMed Hayes CW, Conway WF, Sundaram M (1992) Misleading aggressive MR imaging appearance of some benign musculoskeletal lesions. Radiographics 12:1119–1134PubMed
17.
go back to reference Azouz EM (2002) Magnetic resonance imaging of benign bone lesions: cysts and tumors. Top Magn Reson Imaging 13:219–230CrossRefPubMed Azouz EM (2002) Magnetic resonance imaging of benign bone lesions: cysts and tumors. Top Magn Reson Imaging 13:219–230CrossRefPubMed
Metadata
Title
Evaluation of pediatric bone lesions
Author
Mary R. Wyers
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 4/2010
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-010-1547-4

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