The role of imaging in extremity sarcoma surgery.

IF 1.9 3区 医学 Q2 ORTHOPEDICS Skeletal Radiology Pub Date : 2024-09-01 Epub Date: 2024-01-17 DOI:10.1007/s00256-024-04586-7
Andrew J Kantzos, Laura M Fayad, Jad El Abiad, Shivani Ahlawat, Samir Sabharwal, Max Vaynrub, Carol D Morris
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Abstract

The surgical management of extremity bone and soft tissue sarcomas has evolved significantly over the last 50 years. The introduction and refinement of high-resolution cross-sectional imaging has allowed accurate assessment of anatomy and tumor extent, and in the current era more than 90% of patients can successfully undergo limb-salvage surgery. Advances in imaging have also revolutionized the clinician's ability to assess treatment response, detect metastatic disease, and perform intraoperative surgical navigation. This review summarizes the broad and essential role radiology plays in caring for sarcoma patients from diagnosis to post-treatment surveillance. Present evidence-based imaging paradigms are highlighted along with key future directions.

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成像在四肢肉瘤手术中的作用。
在过去的 50 年中,四肢骨和软组织肉瘤的手术治疗有了长足的发展。高分辨率横断面成像技术的引入和完善使人们能够准确评估解剖结构和肿瘤范围,在当今时代,90% 以上的患者可以成功接受肢体修复手术。成像技术的进步也彻底改变了临床医生评估治疗反应、检测转移性疾病和进行术中手术导航的能力。本综述总结了放射学在肉瘤患者从诊断到治疗后监测的护理过程中所发挥的广泛而重要的作用。重点介绍了目前以证据为基础的成像范例以及未来的主要发展方向。
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来源期刊
Skeletal Radiology
Skeletal Radiology 医学-核医学
CiteScore
4.40
自引率
9.50%
发文量
253
审稿时长
3-8 weeks
期刊介绍: Skeletal Radiology provides a forum for the dissemination of current knowledge and information dealing with disorders of the musculoskeletal system including the spine. While emphasizing the radiological aspects of the many varied skeletal abnormalities, the journal also adopts an interdisciplinary approach, reflecting the membership of the International Skeletal Society. Thus, the anatomical, pathological, physiological, clinical, metabolic and epidemiological aspects of the many entities affecting the skeleton receive appropriate consideration. This is the Journal of the International Skeletal Society and the Official Journal of the Society of Skeletal Radiology and the Australasian Musculoskelelal Imaging Group.
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