MRI characteristics of nodular fasciitis of the musculoskeletal system

Coyle, Joe; White, Lawrence M.; Dickson, Brendan C.; Ferguson, Peter C.; Wunder, Jay S.; Naraghi, Ali

doi:10.1007/s00256-013-1620-9

Cited by 59 publications

(64 citation statements)

References 21 publications

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“…On MRI, it shows low signal on T1w sequence and heterogeneous, mixed high signal on T2w sequence [15], depending on the distribution of myxoid and fibrous components (Fig. 5).…”

Section: Benign Lesionsmentioning

confidence: 99%

Focal hand lesions: review and radiological approach

Lee

Tandon

2014

Insights Imaging

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Focal hand lesions are commonly encountered in clinical practice and are often benign. Magnetic resonance (MR) imaging is the imaging modality of choice in evaluating these lesions as it can accurately determine the nature of the lesion, enhancement pattern and exact location in relation to surrounding tissues. However, while MR features of various soft tissue lesions in the hand have been well described, it is often still difficult to differentiate between benign and malignant lesions. We review the MR imaging features of a variety of focal hand lesions presenting at our institution and propose a classification into “benign”, “intermediate grade” (histologically benign but locally aggressive with potential for recurrence) and frankly “malignant” lesions based on MR findings. This aims to narrow down differential diagnoses and helps in further management of the lesion, preoperative planning and, in cases of primary malignancy, local staging.Teaching Points• Hand lesions are often benign and MR is essential as part of the workup.• MR features of various hand lesions are well described but are often non-specific.• Certain MR features may help for the diagnosis but histological examination is usually required.• We aim to classify hand lesions based on MR features such as margin, enhancement and bony involvement.• Classifying these lesions can help narrow down differential diagnoses and aid management.

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“…On MRI, it shows low signal on T1w sequence and heterogeneous, mixed high signal on T2w sequence [15], depending on the distribution of myxoid and fibrous components (Fig. 5).…”

Section: Benign Lesionsmentioning

confidence: 99%

Focal hand lesions: review and radiological approach

Lee

Tandon

2014

Insights Imaging

View full text Add to dashboard Cite

show abstract

“…The inverted target sign of a central high T2 signal with corresponding secondary to internal cystic change or necrosis is often seen. 10 Contrast enhancement is typically diffuse but may be peripheral in lesions with a greater extracellular myxoid matrix and central fluid-filled spaces. 11 An important diagnostic feature on MR imaging is linear extension of the lesion along the fascia (fascial tail appearance), which may also be enhanced with contrast.…”

Section: Nodular Fasciitismentioning

confidence: 99%