CT Area of Interest Without and With IV Contrast CT can be useful for surveillance of local recurrence when MRI is unable to be obtained. CT imaging can also be of benefit if metal artifact on MRI cannot be resolved, although it should be noted, CT is also susceptible to artifact from metal hardware. Although IV contrast does not provide added benefit for evaluation of bone, given many bone sarcoma recurrences present as soft tissue masses, IV contrast can be useful to increase the conspicuity of enhancing soft tissue tumors. However, given increased radiation dose without clinical benefit, CT without and with IV contrast is usually not recommended over CT with IV contrast alone. CT Area of Interest Without IV Contrast CT can be useful for surveillance of local recurrence when MRI is unable to be obtained. CT imaging can also be of benefit if metal artifact on MRI cannot be resolved, although it should be noted, CT is also susceptible to artifact from metal hardware. Although IV contrast does not provide added benefit for evaluation of bone, given many bone sarcoma recurrences present as soft tissue masses, IV contrast can be useful to increase the conspicuity of enhancing soft tissue tumors and is usually recommended in this setting. FDG-PET/MRI Whole Body There is no relevant literature to support the use of FDG-PET/MRI whole body as surveillance of local recurrence of malignant or aggressive primary bone tumors. Fluoride PET/CT Whole Body There is no relevant literature to support the use of fluoride PET/CT whole body as surveillance of local recurrence of malignant or aggressive primary bone tumors. MRI Area of Interest Without and With IV Contrast MRI of the primary tumor resection site has further asserted its usefulness for surveillance of local recurrence with improvements in metal artifact reduction.
Malignant or Aggressive Primary Musculoskeletal Tumor Staging And Surveillance PCAs. CT Area of Interest Without and With IV Contrast CT can be useful for surveillance of local recurrence when MRI is unable to be obtained. CT imaging can also be of benefit if metal artifact on MRI cannot be resolved, although it should be noted, CT is also susceptible to artifact from metal hardware. Although IV contrast does not provide added benefit for evaluation of bone, given many bone sarcoma recurrences present as soft tissue masses, IV contrast can be useful to increase the conspicuity of enhancing soft tissue tumors. However, given increased radiation dose without clinical benefit, CT without and with IV contrast is usually not recommended over CT with IV contrast alone. CT Area of Interest Without IV Contrast CT can be useful for surveillance of local recurrence when MRI is unable to be obtained. CT imaging can also be of benefit if metal artifact on MRI cannot be resolved, although it should be noted, CT is also susceptible to artifact from metal hardware. Although IV contrast does not provide added benefit for evaluation of bone, given many bone sarcoma recurrences present as soft tissue masses, IV contrast can be useful to increase the conspicuity of enhancing soft tissue tumors and is usually recommended in this setting. FDG-PET/MRI Whole Body There is no relevant literature to support the use of FDG-PET/MRI whole body as surveillance of local recurrence of malignant or aggressive primary bone tumors. Fluoride PET/CT Whole Body There is no relevant literature to support the use of fluoride PET/CT whole body as surveillance of local recurrence of malignant or aggressive primary bone tumors. MRI Area of Interest Without and With IV Contrast MRI of the primary tumor resection site has further asserted its usefulness for surveillance of local recurrence with improvements in metal artifact reduction.