Magnetic resonance imaging of soft tissue sarcoma: features related to prognosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-05-29

AUTHORS

Giulia Scalas, Anna Parmeggiani, Claudia Martella, Gianmarco Tuzzato, Giuseppe Bianchi, Giancarlo Facchini, Roberta Clinca, Paolo Spinnato

ABSTRACT

Magnetic Resonance Imaging is a fundamental tool in the evaluation of soft tissue sarcoma. Imaging features are relevant for the assessment of treatment strategies, surgical planning and also for patients’ prognosis prediction. Among soft tissue sarcoma and also other malignancies, the size of the mass is usually considered the prognostic key element in diagnostic imaging. Moreover, several other features should be obtained from MRI studies with prognostic implications in all type of soft tissue sarcoma: peritumoral enhancement, signs of necrosis, deep location, ill-defined borders/signs of infiltrations. Focusing on soft tissue sarcoma subtypes, some other magnetic resonance imaging features are more specific and related to prognosis. In myxofibrosarcoma the magnetic resonance imaging “tail sign” and a “water-like” appearance on fluid-sensitive sequences, due to rich myxoid matrix content, are both associated with higher risk of local recurrence after surgical excision; nevertheless, the “tail sign” is also related to a higher risk of distant metastases at diagnosis. The “tail sign” is associated with higher risk of local recurrence after surgical excision in undifferentiated pleomorphic sarcoma as well. In patients affected by synovial sarcoma, the “triple sign” identifiable in magnetic resonance imaging (T2w sequences) is associated with decreased disease-free survival and indicates the simultaneous presence of solid cellular elements (intermediate signal intensity), hemorrhage or necrosis (high signal intensity) and fibrotic regions (low signal intensity). In addition, absence of calcifications are associated with reduced disease-free survival in patients affected by synovial sarcoma. Signal heterogeneity is associated with worst prognosis in all type of soft tissue sarcoma, particularly in myxoid liposarcoma. In recent years, several new quantitative tools applied on magnetic resonance imaging have been proved to predict patients’ prognosis. Above all the new tools, radiomics seems to be one of the most promising, and, has been proved to have the capability in discriminating low-grade from high-grade soft tissue sarcomas. Therefore, magnetic resonance imaging studies in patients with soft tissue sarcoma should be accurately evaluated and their results should be taken into account for prognostic assessment. More... »

PAGES

1567-1575

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00590-021-03003-2

DOI

http://dx.doi.org/10.1007/s00590-021-03003-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1138468283

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34052920


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95 reduced disease-free survival
96 region
97 resonance
98 resonance imaging
99 results
100 risk
101 sarcoma
102 sarcoma subtypes
103 sequence
104 signal heterogeneity
105 signs
106 signs of necrosis
107 simultaneous presence
108 size
109 soft tissue sarcoma subtypes
110 soft tissue sarcomas
111 strategies
112 study
113 subtypes
114 surgical excision
115 surgical planning
116 survival
117 synovial sarcoma
118 tail sign
119 tissue sarcomas
120 tool
121 treatment strategies
122 triple sign
123 types
124 undifferentiated pleomorphic sarcoma
125 worse prognosis
126 years
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