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La radiologia medica

, Volume 124, Issue 4, pp 253–258 | Cite as

Role of interventional radiology in the management of musculoskeletal soft-tissue lesions

  • Francesco Arrigoni
  • Federico Bruno
  • Luigi Zugaro
  • Alessandra Splendiani
  • Ernesto Di Cesare
  • Antonio BarileEmail author
  • Carlo Masciocchi
MUSCULOSKELETAL RADIOLOGY

Abstract

The lesions of the soft tissues are rare and extremely heterogeneous; even if the surgical treatment is usually the standard therapy, the role of the interventional radiology (IR) in this field is growing up for multiple reasons. First, because the imaging alone usually is not able to ensure a definitive diagnosis, IR has a basic role in the staging: the percutaneous biopsy is infact an irreplaceable step. Moreover, biopsy is necessary not only for histologic evaluations but also for the biochemical and molecular studies. Furthermore, the proved safety and effectiveness of IR in a multiple oncologial applications prompt a wider use also in this field.

Keywords

Soft-tissue lesions Sarcomas Desmoid lesions Interventional radiology Biopsy 

Notes

Compliance with ethical standards

Funding

This study was not funded.

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

References

  1. 1.
    Fletcher CDM, Bridge JA, Hogendoorn PCW, (2013), World Health Organization, International Agency for Research on Cancer, WHO classification of tumours of soft tissue and bone, International Agency for Research on CancerGoogle Scholar
  2. 2.
    Polo MH, Dick E, Bhumbra R, Pollock R, Sandhu R, Saifuddin A (2017) Surgical considerations when reporting MRI studies of soft tissue sarcoma of the limbs. Skeletal Radiol.  https://doi.org/10.1007/s00256-017-2745-z Google Scholar
  3. 3.
    Grimer R, Judson I, Peake D, Seddon B (2010) Guidelines for the management of soft tissue sarcomas. Sarcoma 2010(1):1–15.  https://doi.org/10.1155/2010/506182 Google Scholar
  4. 4.
    Dangoor A, Seddon B, Gerrand C, Grimer R, Whelan J, Judson I (2016) UK guidelines for the management of soft tissue sarcomas. Clin Sarcoma Res.  https://doi.org/10.1186/s13569-016-0060-4 Google Scholar
  5. 5.
    Pozzi G, Albano D, Messina C, Angileri SA, Al-Mnayyis A, Galbusera F et al (2017) Solid bone tumors of the spine: diagnostic performance of apparent diffusion coefficient measured using diffusion-weighted MRI using histology as a reference standard. J Magn Reson Imaging.  https://doi.org/10.1002/jmri.25826 Google Scholar
  6. 6.
    Bleloch JS, Ballim RD, Kimani S, Parkes J, Panieri E, Willmer T, Prince S (2017) Managing sarcoma: where have we come from and where are we going? Ther Adv Med Oncol 9(10):637–659.  https://doi.org/10.1177/1758834017728927 CrossRefGoogle Scholar
  7. 7.
    Foster R, Stavas J (2014) Bone and soft tissue ablation. Semin Intervent Radiol 31(02):167–179.  https://doi.org/10.1055/s-0034-1373791 CrossRefGoogle Scholar
  8. 8.
    Masciocchi C, Lanni G, Conti L, Conchiglia A, Fascetti E, Flamini S, Coletti G, Barile A (2012) Soft-tissue inflammatory myofibroblastic tumors (IMTs) of the limbs: potential and limits of diagnostic imaging. Skeletal Radiol 41(6):643–649CrossRefGoogle Scholar
  9. 9.
    Masciocchi C, Conti L, D’Orazio F, Conchiglia A, Lanni G, Barile A (2012) Errors in Musculoskeletal MRI. In: Romano L, Pinto A (eds) Errors in Radiology. Springer, Milano.  https://doi.org/10.1007/978-88-470-2339-0_18 Google Scholar
  10. 10.
    Zoccali C, Rossi B, Zoccali G, Barbarino E, Gregori L, Barile A, Masciocchi C (2015) A new technique for biopsy of soft tissue neoplasms: a preliminary experience using MRI to evaluate bleeding. Minerva Med 106(2):117–120Google Scholar
  11. 11.
    Huang AJ, Kattapuram SV (2011) Musculoskeletal neoplasms: biopsy and intervention. Radiol Clin North Am 49(6):1287–1305.  https://doi.org/10.1016/j.rcl.2011.07.010 CrossRefGoogle Scholar
  12. 12.
    Le HB, Lee ST, Munk PL (2010) Image-guided musculoskeletal biopsies. Semin Intervent Radiol. 27(2):191–198.  https://doi.org/10.1055/s-0030-1253517 CrossRefGoogle Scholar
  13. 13.
    Errani C, Traina F, Perna F, Calamelli C, Faldini C (2013) Current concepts in the biopsy of musculoskeletal tumors. Sci World J 2013(368):1–7.  https://doi.org/10.1155/2013/538152 CrossRefGoogle Scholar
  14. 14.
    Traina F, Errani C, Toscano A, Pungetti C, Fabbri D, Mazzotti A et al (2015) Current concepts in the biopsy of musculoskeletal tumors. J Bone Joint Surg 97(2):e7–e9.  https://doi.org/10.2106/JBJS.N.00661 CrossRefGoogle Scholar
  15. 15.
    Kiatisevi P, Thanakit V, Sukunthanak B, Boonthatip M, Bumrungchart S, Witoonchart K (2013) Computed tomography–guided core needle biopsy versus incisional biopsy in diagnosing musculoskeletal lesions. J Orthop Surg 21(2):204–208CrossRefGoogle Scholar
  16. 16.
    Floridi C, Reginelli A, Capasso R, Fumarola E, Pesapane F, Barile A, Zappia M, Caranci F, Brunese L (2017) Percutaneous needle biopsy of mediastinal masses under C-arm cone beam CT guidance: diagnostic performance and safety. Med Oncol.  https://doi.org/10.1007/s12032-017-0911-8 Google Scholar
  17. 17.
    Kurup AN, Callstrom MR (2017) Expanding role of percutaneous ablative and consolidative treatments for musculoskeletal tumours. Clin Radiol.  https://doi.org/10.1016/j.crad.2017.02.019 Google Scholar
  18. 18.
    Arrigoni F, Barile A, Zugaro L, Fascetti E, Zappia M, Brunese L, Masciocchi C (2017) CT-guided radiofrequency ablation of spinal osteoblastoma: treatment and long-term follow-up. Int J Hyperth.  https://doi.org/10.1080/02656736.2017.1334168 Article in Press Google Scholar
  19. 19.
    Barile A, Arrigoni F, Zugaro L, Zappia M, Cazzato RL, Garnon J, Ramamurthy N, Brunese L, Gangi A, Masciocchi C (2017) Minimally invasive treatments of painful bone lesions: state of the art. Medical Oncology.  https://doi.org/10.1007/s12032-017-0909-2 Google Scholar
  20. 20.
    Rosenthal D, Callstrom MR (2012) Critical review and state of the art in interventional oncology: benign and metastatic disease involving bone. Radiol 262(3):765–780.  https://doi.org/10.1148/radiol.11101384 CrossRefGoogle Scholar
  21. 21.
    Cazzato RL, Garnon J, Ramamurthy N, Koch G, Tsoumakidou G, Caudrelier J, Arrigoni F, Zugaro L, Barile A, Masciocchi C, Gangi A (2016) Percutaneous image-guided cryoablation: current applications and results in the oncologic field. Med Oncol.  https://doi.org/10.1007/s12032-016-0848-3 Google Scholar
  22. 22.
    Masciocchi C, Zugaro L, Arrigoni F, Gravina GL, Mariani S, La Marra A, Zoccali C, Flamini S, Barile A (2016) Radiofrequency ablation versus magnetic resonance guided focused ultrasound surgery for minimally invasive treatment of osteoid osteoma: a propensity score matching study. Eur Radiol 26(8):2472–2481.  https://doi.org/10.1007/s00330-015-4111-7 CrossRefGoogle Scholar
  23. 23.
    Hinshaw JL, Lubner MG, Ziemlewicz TJ, Lee FT Jr, Brace CL (2014) Percutaneous tumor ablation tools: microwave, radiofrequency, or —what should you use and why? RadioGr 34(5):1344–1362.  https://doi.org/10.1148/rg.345140054 CrossRefGoogle Scholar
  24. 24.
    Arrigoni F, Barile A, Zugaro L, Splendiani A, Di Cesare E, Caranci F, Ierardi AM, Floridi C, Angileri AS, Reginelli A, Brunese L, Masciocchi C (2017) Intra-articular benign bone lesions treated with magnetic resonance-guided focused ultrasound (MRgFUS): imaging follow-up and clinical results. Medical Oncology.  https://doi.org/10.1007/s12032-017-0904-7 Google Scholar
  25. 25.
    Masciocchi C, Arrigoni F, Marra AL, Mariani S, Zugaro L, Barile A (2016) Treatment of focal benign lesions of the bone: MRgFUS and RFA. Br J Radiol.  https://doi.org/10.1259/bjr.20150356 Google Scholar
  26. 26.
    Napoli A, Anzidei M, Marincola BC, Brachetti G, Noce V, Boni F et al (2013) MR imaging-guided focused ultrasound for treatment of bone metastasis. RadioGr 33(6):1555–1568.  https://doi.org/10.1148/rg.336125162 CrossRefGoogle Scholar
  27. 27.
    Masciocchi C, Conchiglia A, Gregori LM, Arrigoni F, Zugaro L, Barile A (2014) Critical role of HIFU in musculoskeletal interventions. Radiologia Medica 119(7):470–475.  https://doi.org/10.1007/s11547-014-0414-z CrossRefGoogle Scholar
  28. 28.
    Filippiadis DK, Tutton S, Mazioti A, Kelekis A (2014) Percutaneous image-guided ablation of bone and soft tissue tumours: a review of available techniques and protective measures. Insights Imaging 5:339–346CrossRefGoogle Scholar
  29. 29.
    Giordano AV, Arrigoni F, Bruno F, Carducci S, Varrassi M et al (2017) Interventional radiology management of a ruptured lumbar artery pseudoaneurysm after cryoablation and vertebroplasty of a lumbar metastasis. Cardiovasc Intervent Radiol 40(5):776–779.  https://doi.org/10.1007/s00270-016-1551-7 CrossRefGoogle Scholar
  30. 30.
    Deshmukh H, Rathod KK, Hira P, Sankhe S, Pandit N, Mittal K, Amit KD (2015) Hemangioma of rib: a different perspective. Pol J Radiol 80:172–175CrossRefGoogle Scholar
  31. 31.
    Jiang C, Wang J, Wang Y, Jungong Z, Zhu Y, Ma X et al (2016) Treatment outcome following transarterial chemoembolization in advanced bone and soft tissue sarcomas. Cardiovasc Intervent Radiol 39(10):1420–1428.  https://doi.org/10.1007/s00270-016-1399-x CrossRefGoogle Scholar
  32. 32.
    Cornélis F, Havez M, Lippa N, Al-Ammari S, Verdier D, Carteret T et al (2013) Radiologically guided percutaneous cryotherapy for soft tissue tumours: a promising treatment. Diagn Interv Imaging 94(4):364–370.  https://doi.org/10.1016/j.diii.2013.02.001 CrossRefGoogle Scholar
  33. 33.
    Schmitz JJ, Schmit GD, Atwell TD, Callstrom MR, Kurup AN, Weisbrod AJ, Morris JM (2016) Percutaneous cryoablation of extraabdominal desmoid tumors: a 10-year experience. Am J Roentgenol 207(1):190–195.  https://doi.org/10.2214/AJR.15.14391 CrossRefGoogle Scholar
  34. 34.
    Lee BB, Baumgartner I, Berlien P et al (2015) Diagnosis and treatment of venous malformations. consensus document of the international union 12. of phlebology (IUP): updated 2013. Int Angiol 34:97–149Google Scholar
  35. 35.
    Cornelis F, Havez M, Labreze C et al (2013) Percutaneous cryoablation of symptomatic localized venous malformations: preliminary short-term results. J Vasc Interv Radiol 24:823–827CrossRefGoogle Scholar
  36. 36.
    Thompson SM, Callstrom MR, McKusick MA, Woodrum DA (2015) Initial 17. results of image-guided percutaneous ablation as second-line treatment for symptomatic vascular anomalies. Cardiovasc Intervent Radiol 38:1171–1178CrossRefGoogle Scholar
  37. 37.
    Ghanouni P, Kishore S, Lungren MP, Bitton R, Chan L, Avedian R et al (2017) Treatment of low-flow vascular malformations of the extremities using Mr-guided high intensity focused ultrasound: preliminary experience. J Vasc Interv Radiol 28(12):1739–1744.  https://doi.org/10.1016/j.jvir.2017.06.002 CrossRefGoogle Scholar
  38. 38.
    Deschamps F, Farouil G, Ternes N, Gaudin A, Hakime A, Tselikas L et al (2014) Thermal ablation techniques: a curative treatment of bone metastases in selected patients? Eur Radiol 24(8):1971–1980.  https://doi.org/10.1007/s00330-014-3202-1 CrossRefGoogle Scholar

Copyright information

© Italian Society of Medical Radiology 2018

Authors and Affiliations

  1. 1.Department of Biotechnology and Applied Clinical SciencesUniversity of L’Aquila, S. Salvatore HospitalL’AquilaItaly

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