Summary
The bones are frequently involved as a site of meta-static disease in patients with cancer. Accurate determination of the presence, location and extent of bone involvement is of therapeutic and prognostic importance. Diffusion-weighted MR imaging performed regionally or as whole-body imaging has been shown to have a high diagnostic accuracy for the identification of bone metastases when combined with conventional MR imaging. Both qualitative and quantitative DW-MRI have also been found to be of value for distinguishing between benign and malignant causes of vertebral fractures. There is also promise in the application of quantitative ADC for evaluating treatment response of malignant bone diseases, as current imaging criteria are inadequate in assessing treatment changes of bone lesions to therapy.
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References
Balliu E, Vilanova JC, Pelaez I, et al (2009) Diagnostic value of apparent diffusion coefficients to differentiate benign from malignant vertebral bone marrow lesions. Eur J Radiol 69:560–6
Ballon D, Dyke J, Schwartz LH, et al (2000) Bone marrow segmentation in leukemia using diffusion and T(2) weighted echo planar magnetic resonance imaging. NMR Biomed 13:321–8
Bauerle T, Semmler W (2009) Imaging response to systemic therapy for bone metastases. Eur Radiol 2009 May 26. [Epub ahead of print]
Baur-Melnyk A, Buhmann S, Becker C, et al (2008a) Whole-body MRI versus whole-body MDCT for staging of multiple myeloma. AJR Am J Roentgenol 190:1097–104
Baur-Melnyk A, Reiser M (2008b) Oncohaematologic disorders affecting the skeleton in the elderly. Radiol Clin North Am 46:785–98
Baur A, Huber A, Durr HR, et al (2002a) [Differentiation of benign osteoporotic and neoplastic vertebral compression fractures with a diffusion-weighted, steady-state free precession sequence]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:70–5
Baur A, Huber A, Ertl-Wagner B, et al (2001a) Diagnostic value of increased diffusion weighting of a steady-state free precession sequence for differentiating acute benign osteo-porotic fractures from pathologic vertebral compression fractures. AJNR Am J Neuroradiol 22:366–72
Baur A, Stabler A, Arbogast S, et al (2002b) Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology 225:730–5
Baur A, Stabler A, Bruning R, et al (1998) Diffusion-weighted MR imaging of bone marrow: differentiation of benign versus pathologic compression fractures. Radiology 207:349–56
Baur A, Stabler A, Huber A, et al (2001b) Diffusion-weighted magnetic resonance imaging of spinal bone marrow. Semin Musculoskelet Radiol 5:35–42
Bhalla S, Reinus WR (1998) The linear intravertebral vacuum: a sign of benign vertebral collapse. AJR Am J Roentgenol 170:1563–9
Byun WM, Shin SO, Chang Y, et al (2002) Diffusion-weighted MR imaging of metastatic disease of the spine: assessment of response to therapy. AJNR Am J Neuroradiol 23:906–12
Castillo M, Arbelaez A, Smith JK, et al (2000) Diffusion-weighted MR imaging offers no advantage over routine noncontrast MR imaging in the detection of vertebral metastases. AJNR Am J Neuroradiol 21:948–53
Chan JH, Peh WC, Tsui EY, et al (2002) Acute vertebral body compression fractures: discrimination between benign and malignant causes using apparent diffusion coefficients. Br J Radiol 75:207–14
Cheran SK, Herndon JE II, Patz EF Jr (2004) Comparison of whole-body FDG-PET to bone scan for detection of bone metastases in patients with a new diagnosis of lung cancer. Lung Cancer 44:317–25
Costelloe CM, Rohren EM, Madewell JE, et al (2009) Imaging bone metastases in breast cancer: techniques and recommendations for diagnosis. Lancet Oncol 10:606–14
Daffner RH, Lupetin AR, Dash N, et al (1986) MRI in the detection of malignant infiltration of bone marrow. AJR Am J Roentgenol 146:353–8
Dinter DJ, Neff WK, Klaus J, et al (2009) Comparison of whole-body MR imaging and conventional X-ray examination in patients with multiple myeloma and implications for therapy. Ann Hematol 88:457–64
Eisenhauer EA, Therasse P, Bogaerts J, et al (2009) New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer 45:228–47
Eustace S, Tello R, DeCarvalho V, et al (1997) A comparison of whole-body turboSTIR MR imaging and planar 99mTc-methylene diphosphonate scintigraphy in the examination of patients with suspected skeletal metastases. AJR Am J Roentgenol 169:1655–61
Fornasier VL, Czitrom AA (1978) Collapsed vertebrae: a review of 659 autopsies. Clin Orthop Relat Res (131):261–5
Griffith JF, Yeung DK, Antonio GE, et al (2006) Vertebral marrow fat content and diffusion and perfusion indexes in women with varying bone density: MR evaluation. Radiology 241:831–8
Guo Y, Cai YQ, Cai ZL, et al (2002) Differentiation of clinically benign and malignant breast lesions using diffusion-weighted imaging. J Magn Reson Imaging 16:172–8
Hacklander T, Scharwachter C, Golz R, et al (2006) [Value of diffusion-weighted imaging for diagnosing vertebral metastases due to prostate cancer in comparison to other primary tumors]. Rofo 178:416–24
Hamaoka T, Madewell JE, Podoloff DA, et al (2004) Bone imaging in metastatic breast cancer. J Clin Oncol 22:2942–53
Hamstra DA, Galban CJ, Meyer CR, et al (2008) Functional diffusion map as an early imaging biomarker for high-grade glioma: correlation with conventional radiologic response and overall survival. J Clin Oncol 26:3387–94
Hayashida Y, Hirai T, Yakushiji T, et al (2006a) Evaluation of diffusion-weighted imaging for the differential diagnosis of poorly contrast-enhanced and T2-prolonged bone masses: initial experience. J Magn Reson Imaging 23:377–82
Hayashida Y, Yakushiji T, Awai K, et al (2006b) Monitoring therapeutic responses of primary bone tumors by diffusion-weighted image: initial results. Eur Radiol 16:2637–43
Herneth AM, Naude J, Philipp M, et al (2000) [The value of diffusion-weighted MRT in assessing the bone marrow changes in vertebral metastases]. Radiologe 40:731–6
Herneth AM, Philipp MO, Naude J, et al (2002) Vertebral metastases: assessment with apparent diffusion coefficient. Radiology 225:889–94
Hricak H, Choyke PL, Eberhardt SC, et al (2007) Imaging prostate cancer: a multidisciplinary perspective. Radiology 243:28–53
Huisman TA (2003) Diffusion-weighted imaging: basic concepts and application in cerebral stroke and head trauma. Eur Radiol 13:2283–97
Ichikawa T, Araki T (1999) Fast magnetic resonance imaging of liver. Eur J Radiol 29:186–210
Imamura F, Kuriyama K, Seto T, et al (2000) Detection of bone marrow metastases of small cell lung cancer with magnetic resonance imaging: early diagnosis before destruction of osseous structure and implications for staging. Lung Cancer 27:189–97
Jacobsson H, Goransson H (1991) Radiological detection of bone and bone marrow metastases. Med Oncol Tumor Pharmacother 8:253–60
Komori T, Narabayashi I, Matsumura K, et al (2007) 2- [Fluorine-18]-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography versus whole-body diffusion-weighted MRI for detection of malignant lesions: initial experience. Ann Nucl Med 21:209–15
Laurent V, Trausch G, Bruot O, et al (2009) Comparative study of two whole-body imaging techniques in the case of melanoma metastases: advantages of multi-contrast MRI examination including a diffusion-weighted sequence in comparison with PET-CT. Eur J Radiol 2009 Jun 2. [Epub ahead of print]
Lecouvet F (1998) Morphologic and quantitative MRI assessment of bone marrow in multiple myeloma and chronic lymphocytic leukemia: clinical and prognostic value. J Belge Radiol 81:301
Lee KC, Bradley DA, Hussain M, et al (2007) A feasibility study evaluating the functional diffusion map as a predictive imaging biomarker for detection of treatment response in a patient with metastatic prostate cancer to the bone. Neoplasia 9:1003–11
Libicher M, Appelt A, Berger I, et al (2007) The intravertebral vacuum phenomen as specific sign of osteonecrosis in vertebral compression fractures: results from a radiological and histological study. Eur Radiol 17:2248–52
Lichy M P, Aschoff P, Plathow C, et al (2007) Tumor detection by diffusion-weighted MRI and ADC-mapping–initial clinical experiences in comparison to PET-CT. Invest Radiol 42:605–13
Lichy MP, Mueller-Horvat C, Jellus V, et al (2008) Image quality improvement of composed whole-spine MR images by applying a modified homomorphic filter—first results in cases of multiple myeloma. Eur Radiol 18:2274–82
Luboldt W, Kufer R, Blumstein N, et al (2008) Prostate carcinoma: diffusion-weighted imaging as potential alternative to conventional MR and 11C-choline PET/CT for detection of bone metastases. Radiology 249:1017–25
Maeda M, Sakuma H, Maier SE, et al (2003) Quantitative assessment of diffusion abnormalities in benign and malignant vertebral compression fractures by line scan diffusion-weighted imaging. AJR Am J Roentgenol 181:1203–9
Mahner S, Schirrmacher S, Brenner W, et al (2008) Comparison between positron emission tomography using 2-[ fluorine-18] fluoro-2-deoxy-d-glucose, conventional imaging and computed tomography for staging of breast cancer. Ann Oncol 19:1249–54
Miller TT (2008) Bone tumors and tumorlike conditions: analysis with conventional radiography. Radiology 246:662–74
Moon WJ, Lee MH, Chung EC (2007) Diffusion-weighted imaging with sensitivity encoding (SENSE) for detecting cranial bone marrow metastases: comparison with T1-weighted images. Korean J Radiol 8:185–91
Mulligan ME, Badros AZ (2007) PET/CT and MR imaging in myeloma. Skeletal Radiol 36:5–16
Nakanishi K, Kobayashi M, Nakaguchi K, et al (2007) Whole-body MRI for detecting metastatic bone tumor: diagnostic value of diffusion-weighted images. Magn Reson Med Sci 6:147–55
Nakanishi K, Kobayashi M, Takahashi S, et al (2005) Whole body MRI for detecting metastatic bone tumor: comparison with bone scintigrams. Magn Reson Med Sci 4:11–7
Nemeth AJ, Henson JW, Mullins ME, et al (2007) Improved detection of skull metastasis with diffusion-weighted MR imaging. AJNR Am J Neuroradiol 28:1088–92
Nonomura Y, Yasumoto M, Yoshimura R, et al (2001) Relationship between bone marrow cellularity and apparent diffusion coefficient. J Magn Reson Imaging 13:757–60
Ohno Y, Koyama H, Onishi Y, et al (2008) Non-small cell lung cancer: whole-body MR examination for M-stage assessment–utility for whole-body diffusion-weighted imaging compared with integrated FDG PET/CT. Radiology 248:643–54
Oner AY, Aggunlu L, Akpek S, et al (2007) Diffusion-weighted imaging of the appendicular skeleton with a non-Carr-Purcell-Meiboom-Gill single-shot fast spin-echo sequence. AJR Am J Roentgenol 189:1494–501
Pappou IP, Papadopoulos EC, Swanson AN, et al (2008) Osteo-porotic vertebral fractures and collapse with intravertebral vacuum sign (Kummel's disease). Orthopedics 31:61–6
Raya JG, Dietrich O, Reiser MF, et al (2006) Methods and applications of diffusion imaging of vertebral bone marrow. J Magn Reson Imaging 24:1207–20
Rubens RD (1998) Bone metastases—the clinical problem. Eur J Cancer 34:210–3
Schmidt G P, Reiser MF, Baur-Melnyk A (2009) Whole-body MRI for the staging and follow-up of patients with metastasis. Eur J Radiol 70:393–400
Spuentrup E, Buecker A, Adam G, et al (2001) Diffusion-weighted MR imaging for differentiation of benign fracture edema and tumor infiltration of the vertebral body. AJR Am J Roentgenol 176:351–8
Spuentrup E, Buecker A, Koelker C, et al (2003) Respiratory motion artifact suppression in diffusion-weighted MR imaging of the spine. Eur Radiol 13:330–6
Suarez S V, Amadon A, Giacomini E, et al (2009) Brain activation by short-term nicotine exposure in anesthetized wildtype and beta2-nicotinic receptors knockout mice: a BOLD fMRI study. Psychopharmacology (Berl) 202:599–610
Sugimoto E, Tamagawa M, Okawara K, et al (1988) [Radiologic detection of metastatic bone tumors]. Gan No Rinsho 34:1491–7
Takahara T, Imai Y, Yamashita T, et al (2004) Diffusion weighted whole body imaging with background body signal suppression (DWIBS): technical improvement using free breathing, STIR and high resolution 3D display. Radiat Med 22:275–82
Takano A, Oriuchi N, Tsushima Y, et al (2008) Detection of metastatic lesions from malignant pheochromocytoma and paraganglioma with diffusion-weighted magnetic resonance imaging: comparison with 18F-FDG positron emission tomography and 123I-MIBG scintigraphy. Ann Nucl Med 22:395–401
Thomson V, Pialat JB, Gay F, et al (2008) Whole-body MRI for metastases screening: a preliminary study using 3D VIBE sequences with automatic subtraction between noncon-trast and contrast enhanced images. Am J Clin Oncol 31:285–92
Vande Berg BC, Malghem J, Lecouvet FE, et al (1998) Magnetic resonance imaging of normal bone marrow. Eur Radiol 8:1327–34
Vanel D, Casadei R, Alberghini M, et al (2009) MR imaging of bone metastases and choice of sequence: spin echo, in-phase gradient echo, diffusion, and contrast medium. Semin Musculoskelet Radiol 13:97–103
Weinreb JC (1990) MR imaging of bone marrow: a map could help. Radiology 177:23–4
Winterbottom A P, Shaw AS (2009) Imaging patients with myeloma. Clin Radiol 64:1–11
Xu X, Ma L, Zhang JS, et al (2008) Feasibility of whole body diffusion weighted imaging in detecting bone metastasis on 3.0T MR scanner. Chin Med Sci J 23:151–7
Yasumoto M, Nonomura Y, Yoshimura R, et al (2002) MR detection of iliac bone marrow involvement by malignant lymphoma with various MR sequences including diffusion-weighted echo-planar imaging. Skeletal Radiol 31:263–9
Yeung DK, Wong SY, Griffith JF, et al (2004) Bone marrow diffusion in osteoporosis: evaluation with quantitative MR diffusion imaging. J Magn Reson Imaging 19:222–8
Zhang CY, Rong R, Wang XY (2008) Age-related changes of bone marrow of normal adult man on diffusion weighted imaging. Chin Med Sci J 23:162–5
Zhou XJ, Leeds NE, McKinnon GC, et al (2002) Characterization of benign and metastatic vertebral compression fractures with quantitative diffusion MR imaging. AJNR Am J Neuroradiol 23:165–70
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Nakanishi, K., Gutzeit, A. (2010). Evaluation of Malignant Bone Disease Using DW-MRI. In: Koh, D.M., Thoeny, H.C. (eds) Diffusion-Weighted MR Imaging. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78576-7_13
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DOI: https://doi.org/10.1007/978-3-540-78576-7_13
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