Valor de la Resonancia Nuclear Magnética en Ortopedia Oncológica

Abstract

The preliminary experience using Magnetic Resonance imaging for pre- and post-operative assessment of orthopaedic oncologic patients is hereby reported. Twenty-one patients with histologically characterized bone and soft tissue tumors have been reviewed. Seventeen patients had primary musculoskeletal neoplasia: 10 had soft tissue sarcomas and 7 bone tumors. The remained 4 patients consisted of bone metastasis or local racidive. Magnetic resonance images were acquired using a superconductive magnet operating at 0.5 Tesla. T1- and T2-weighted transaxial and coronal images were obtained in all cases. An excellent contrast between the signal of the lesion and the normal adjacent structures was usually obtained. Only in one osteosarcoma of the proximal fibula, an extraosseous extension was presumed but not found during surgical resection. Changes in image intensity did not permit to identify tumor tissue specificity neither distinguish between benign and malignat lesions. In our experience, Magnetic Resonance shows a great advantage in order to determine tumor anatomical extension, providing a useful information for the surgical planning required by current reconstructive techniques in orthopaedic oncology.