Abstract:
The purpose of this article is to present algorithms for the diagnostic management of solitary bone lesions incidentally encountered on computed tomography (CT) and magnetic resonance (MRI) in adults. Based on review of the current literature and expert opinion, the Practice Guidelines and Technical Standards Committee of the Society of Skeletal Radiology (SSR) proposes a bone reporting and data system (Bone-RADS) for incidentally encountered solitary bone lesions on CT and MRI with four possible diagnostic management recommendations (Bone-RADS1, leave alone; Bone-RADS2, perform different imaging modality; Bone-RADS3, perform follow-up imaging; Bone-RADS4, biopsy and/or oncologic referral). Two algorithms for CT based on lesion density (lucent or sclerotic/mixed) and two for MRI allow the user to arrive at a specific Bone-RADS management recommendation. Representative cases are provided to illustrate the usability of the algorithms.
摘要:
本文的目的是提出用于诊断成人在计算机断层扫描(CT)和磁共振(MRI)上偶然遇到的孤立性骨病变的算法。在回顾现有文献和专家意见的基础上,骨放射学学会(SSR)的实践指南和技术标准委员会提出了一种骨报告和数据系统(Bone-RADS),用于CT和MRI上偶然发现的孤立性骨病变,并提出了4种可能的诊断管理建议(Bone-RADS1,leavealone;Bone-RADS2,执行不同的成像模式;Bone-RADS3,执行随访成像;Bone-RADS4,活检和/两种基于病变密度的CT算法(透明或硬化/混合)和两种用于MRI的算法允许用户得出特定的Bone-RADS管理建议。提供了代表性案例来说明算法的可用性。