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Message: <blockquote data-quote="amila_90210" data-source="post: 4089015" data-attributes="member: 111009"><p><span style="color: Sienna">1.4  Tumors and masses </span></p><p> <span style="color: Sienna"></span></p><p><span style="color: Sienna">1.4.1  Bone Tumors </span></p><p> <span style="color: Sienna"></span></p><p><span style="color: Sienna">Initial study is plain X-ray of the area of interest.  </span></p><p><span style="color: Sienna">Radiograph provides lesion location, matrix </span></p><p><span style="color: Sienna">mineralization, cortical involvement and </span></p><p><span style="color: Sienna">periosteal reaction. </span></p><p><span style="color: Sienna">CT is better for characterization of matrix </span></p><p><span style="color: Sienna">mineralization, cortical involvement and </span></p><p><span style="color: Sienna">periosteal reaction. </span></p><p><span style="color: Sienna">MRI gives improved anatomic details, define the </span></p><p><span style="color: Sienna">nature of the lesion and is sensitive & superior for </span></p><p><span style="color: Sienna">staging of bone tumors. It is useful to detect </span></p><p><span style="color: Sienna">invasion of muscle, neurovascular bundle, </span></p><p><span style="color: Sienna">adjacent fat planes, marrow, intracortical </span></p><p><span style="color: Sienna">extension, necrosis and hemorrhage. MR </span></p><p><span style="color: Sienna">spectroscopy has a potential to differentiate </span></p><p><span style="color: Sienna">benign from malignant lesion. </span></p><p><span style="color: Sienna">Bone scan is useful in patients with symptoms </span></p><p><span style="color: Sienna">related to bone or joint with normal X-ray. U/S </span></p><p><span style="color: Sienna">&CT guided biopsy can be done only after </span></p><p><span style="color: Sienna">discussion with referring surgeon. </span></p><p><span style="color: Sienna"></span></p></blockquote><p></p>

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