Musculoskeletal neoplasms: static and dynamic Gd-DTPA--enhanced MR imaging

Radiology. 1989 Jun;171(3):767-73. doi: 10.1148/radiology.171.3.2717749.

Abstract

Static and dynamic magnetic resonance imaging studies were performed in 69 patients with bone and soft-tissue tumors. T1-weighted spin-echo (SE) imaging after intravenous administration of gadolinium diethylenetriaminepentaacetic acid (DTPA) improved the differentiation of necrotic from viable areas; the contrast-to-noise ratio (C/N) between tumor and muscle was an average of 44% lower compared with that in T2-weighted SE imaging. The C/N between tumor and bone marrow or fatty tissue was 43% and 37% lower, respectively, compared with that in nonenhanced T1-weighted SE imaging. Dynamic changes of signal intensity (SI) after Gd-DTPA enhancement were assessed with fast low-angle shot imaging. Of malignant tumors, 84.1% exhibited slopes higher than 30% per minute; 72% of benign tumors showed slopes lower than 30% per minute. The dynamic technique enabled assessment of the malignant potential of a tumor with some overlap (accuracy, 79.7%). Necrotic areas and peritumorous edema showed significantly lower and more gradual increases in SI than adjacent neoplastic tissue.

MeSH terms

  • Adipose Tissue / pathology
  • Adult
  • Bone Marrow / pathology
  • Bone Neoplasms / diagnosis*
  • Edema / diagnosis
  • Female
  • Gadolinium DTPA
  • Gadolinium*
  • Humans
  • Image Enhancement*
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Muscular Diseases / diagnosis
  • Necrosis / diagnosis
  • Organometallic Compounds*
  • Pentetic Acid*
  • Prospective Studies
  • Soft Tissue Neoplasms / diagnosis*

Substances

  • Organometallic Compounds
  • Pentetic Acid
  • Gadolinium
  • Gadolinium DTPA