The Journal of Bone and Joint Surgery (American). 2007;89:103-115.
doi:10.2106/JBJS.G.00711
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Magnetic Resonance Imaging of Soft-Tissue Tumors: Determinate and Indeterminate Lesions

Derek F. Papp, MD, A. Jay Khanna, MD, Edward F. McCarthy, MD, John A. Carrino, MD, MPH, Adam J. Farber, MD and Frank J. Frassica, MD

Corresponding author:
A. Jay Khanna, MD
c/o Elaine P. Henze, BJ, ELS, Medical Editor, Department of Orthopaedic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, #A672, Baltimore, MD 21224-2780.
E-mail address: ehenze1@jhmi.edu

The first 150 words of the full text of this article appear below.


   Introduction
 
The evaluation of patients with soft-tissue masses must be done in a systematic fashion to prevent management errors. Although most soft-tissue masses (approximately 99%) are benign, an error in the management of a soft-tissue sarcoma can lead to limb loss or adversely affect survival1. Before magnetic resonance imaging became easily available, physicians relied on the patient's history, physical examination, conventional radiographs, and computed tomography scans for decision-making. These modalities often were insufficient for establishing a definitive diagnosis. The patient's history alone cannot provide enough information for a diagnosis and, in fact, may be misleading. For example, lesions identified after a traumatic episode are not necessarily traumatic in origin; only half of soft-tissue sarcomas are painful at presentation2, and the growth rate may not assist in the diagnosis (slow-growing lesions can be malignant or benign). Similarly, although a patient may present with systemic symptoms, the lack of systemic symptoms . . . [Full Text of this Article]


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