Key Points
• MR imaging is a powerful tool in the detection, diagnosis, staging, and follow-up of bone tumors.
• Images should be obtained with the smallest practical field of view in order to maximize image detail, while performing the entire study in a clinically practical time period.
• T1-weighted spin-echo images are particularly important in the evaluation of bone marrow, whereas intermediate-weighted images should be avoided.
• Fat suppression must be applied when obtaining T2-weighted fast spin-echo images to demarcate tumor from surrounding bone marrow and edema.
• Administration of a gadolinium-chelate contrast material can provide useful information in characterization of bone lesions, as well as in assessment of response to therapy and detection of recurrent tumor.
• Various MR imaging artifacts need to be recognized and appropriate steps taken to minimize their occurrence during image acquisition.
• The signal characteristics of a bone lesion, combined with its demonstrated morphology, location, and anatomic relationships, provide essential information that facilitates state-ofthe-art patient care.
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Hwang, S., Panicek, D. (2009). Imaging Techniques: Magnetic Resonance Imaging. In: Davies, A., Sundaram, M., James, S. (eds) Imaging of Bone Tumors and Tumor-Like Lesions. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77984-1_3
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