The imaging of soft tissue tumors is notoriously perplexing, largely owing to the significant overlap in imaging characteristics. We present a unique structured approach to the imaging evaluation of soft tissue tumors to aid in converting the often generic imaging appearance of soft tissue tumors into an appropriate differential diagnosis.Teaching points include:
1. An approach in which emphasis is placed on categorizing tumors by MR features (ie: vascular, lipomatous, cartilaginous…) to create a structured approach in identifying lesions and devising reasonable differential considerations. The viewer is given new perspective on how these tumors may be evaluated and categorized.
2. Supplemental CT and Xrays will be provided when they can be useful for further categorization.
3. Patient age, clinical history, location and number of lesions are integrated into the systematic approach we demonstrate to aid in arriving at the diagnosis and accurate differential considerations.
1. Overview
2. Vascular Lesions
3. Fibrous Lesions
4. Lipomatous Lesions
5. Nerve Lesions
6. Synovial Lesions
7. Tumor mimickers
8. Intraarticular Lesions
9. Juxtaarticular Lesions
10. Subcutaneous Lesions
11. Multiple Lesions
12. Intramuscular Lesions
Bilinsky, E,
Wenokor, C,
A Hard Look at Soft Tissue Tumors: A Systematic Approach to Imaging Diagnosis . Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005400.html