The role of imaging in extremity sarcoma surgery

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 patient...

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Bibliographic Details
Published in:Skeletal radiology 2024-09, Vol.53 (9), p.1937-1953
Main Authors: Kantzos, Andrew J., Fayad, Laura M., Abiad, Jad El, Ahlawat, Shivani, Sabharwal, Samir, Vaynrub, Max, Morris, Carol D.
Format: Article
Language:English
Subjects:
Bone imaging
Bone marrow
Bone surgery
Coma
Edema
Image resolution
Imaging
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Metastases
Metastasis
Mineralization
Nuclear Medicine
Orthopedics
Pathology
Patients
Radiation
Radiology
Review Article
Sarcoma
Soft tissues
Surgeons
Surgery
Surveillance
Tumors
Ultrasonic imaging
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Summary: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.
ISSN:0364-2348
1432-2161
1432-2161
DOI:10.1007/s00256-024-04586-7