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State-of-the-art HR-US imaging findings of the most frequent musculoskeletal soft-tissue tumors

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Abstract

High resolution ultrasound (HR-US) including color Doppler ultrasound (CD-US), power Doppler ultrasound (PD-US), and spectral wave analysis (SWA), is a broadly available, non-invasive and relatively low-cost modality without ionizing radiation. It is increasingly used for initial assessment of an ambiguous musculoskeletal soft-tissue lesion and for sonographically guided core biopsy. The aim of this review is to provide sonographic findings of the most frequent benign and malign soft-tissue lesions. By this essay, we can show that combined with clinical features, with information on tumor-localization and patient age, many musculoskeletal lesions may be successfully characterized by HR-US. In contrast, a mere morphologic assignment of some fibrous tumors and malignant lesions remains often impossible; however, certain CD-US signs such as anarchic vascular architecture or arteriovenous shunting may be very helpful indicators for malignancy. HR-US offers a simple, quick, and reliable first-line examination of musculoskeletal soft-tissue lesions and may have an important role in the diagnostic work-up followed by magnetic resonance or multimodality imaging and guided core biopsy.

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Authors and Affiliations

  1. Department of Radiology, Clinical Division of Diagnostic Radiology I, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria

    Gerlig Widmann, Andreas Riedl, Daniel Schoepf, Bernhard Glodny, Siegfried Peer & Hannes Gruber

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  1. Gerlig Widmann
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  2. Andreas Riedl
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  6. Hannes Gruber
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Correspondence to Gerlig Widmann.

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Widmann, G., Riedl, A., Schoepf, D. et al. State-of-the-art HR-US imaging findings of the most frequent musculoskeletal soft-tissue tumors. Skeletal Radiol 38, 637–649 (2009). https://doi.org/10.1007/s00256-008-0602-9

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  • DOI: https://doi.org/10.1007/s00256-008-0602-9

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