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Metastases: Bone Marrow
B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Metastatic carcinoma, skeletal deposits, osseous metastasis, secondaries in bone, bony implants
          • Definitions

            • Tumor involving bone which originated from another (distant) site

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    • Nuclear Medicine Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Hillner BE et al: 18F-fluoride PET used for treatment monitoring of systemic cancer therapy: Results from the National Oncologic PET Registry. J Nucl Med. 56(2):222-8, 2015
                                          2. Donovan A et al: Radiological features of superomedial iliac insufficiency fractures: a possible mimicker of metastatic disease. Skeletal Radiol. 38(1):43-9, 2009
                                          3. Kinkel S et al: Compound osteosynthesis for osteolyses and pathological fractures of the proximal femur. Orthopedics. 32(6):403, 2009
                                          4. Hsu WK et al: Characterization of osteolytic, osteoblastic, and mixed lesions in a prostate cancer mouse model using 18F-FDG and 18F-fluoride PET/CT. J Nucl Med. 49(3):414-21, 2008
                                          5. Tateishi U et al: Bone metastases in patients with metastatic breast cancer: morphologic and metabolic monitoring of response to systemic therapy with integrated PET/CT. Radiology. 247(1):189-96, 2008
                                          6. Taira AV et al: Detection of bone metastases: assessment of integrated FDG PET/CT imaging. Radiology. 243(1):204-11, 2007
                                          7. Callstrom MR et al: Painful metastases involving bone: percutaneous image-guided cryoablation--prospective trial interim analysis. Radiology. 241(2):572-80, 2006
                                          8. Choi JA et al: Osseous metastasis from renal cell carcinoma: "flow-void" sign at MR imaging. Radiology. 228(3):629-34, 2003
                                          9. Jung HS et al: Discrimination of metastatic from acute osteoporotic compression spinal fractures with MR imaging. Radiographics. 23(1):179-87, 2003
                                          10. Herneth AM et al: Vertebral metastases: assessment with apparent diffusion coefficient. Radiology. 225(3):889-94, 2002
                                          11. Jambhekar NA et al: Metastases involving bone. In Fletcher CDM et al: World Health Organization classification of tumors: tumours of soft tissue and bone. Lyon: IARC Press. 334-5, 2002
                                          12. Rompe JD et al: Metastatic instability at the proximal end of the femur. Comparison of endoprosthetic replacement and plate osteosynthesis. Arch Orthop Trauma Surg. 113(5):260-4, 1994
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Metastatic carcinoma, skeletal deposits, osseous metastasis, secondaries in bone, bony implants
                                                  • Definitions

                                                    • Tumor involving bone which originated from another (distant) site

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            • Nuclear Medicine Findings

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Hillner BE et al: 18F-fluoride PET used for treatment monitoring of systemic cancer therapy: Results from the National Oncologic PET Registry. J Nucl Med. 56(2):222-8, 2015
                                                                                  2. Donovan A et al: Radiological features of superomedial iliac insufficiency fractures: a possible mimicker of metastatic disease. Skeletal Radiol. 38(1):43-9, 2009
                                                                                  3. Kinkel S et al: Compound osteosynthesis for osteolyses and pathological fractures of the proximal femur. Orthopedics. 32(6):403, 2009
                                                                                  4. Hsu WK et al: Characterization of osteolytic, osteoblastic, and mixed lesions in a prostate cancer mouse model using 18F-FDG and 18F-fluoride PET/CT. J Nucl Med. 49(3):414-21, 2008
                                                                                  5. Tateishi U et al: Bone metastases in patients with metastatic breast cancer: morphologic and metabolic monitoring of response to systemic therapy with integrated PET/CT. Radiology. 247(1):189-96, 2008
                                                                                  6. Taira AV et al: Detection of bone metastases: assessment of integrated FDG PET/CT imaging. Radiology. 243(1):204-11, 2007
                                                                                  7. Callstrom MR et al: Painful metastases involving bone: percutaneous image-guided cryoablation--prospective trial interim analysis. Radiology. 241(2):572-80, 2006
                                                                                  8. Choi JA et al: Osseous metastasis from renal cell carcinoma: "flow-void" sign at MR imaging. Radiology. 228(3):629-34, 2003
                                                                                  9. Jung HS et al: Discrimination of metastatic from acute osteoporotic compression spinal fractures with MR imaging. Radiographics. 23(1):179-87, 2003
                                                                                  10. Herneth AM et al: Vertebral metastases: assessment with apparent diffusion coefficient. Radiology. 225(3):889-94, 2002
                                                                                  11. Jambhekar NA et al: Metastases involving bone. In Fletcher CDM et al: World Health Organization classification of tumors: tumours of soft tissue and bone. Lyon: IARC Press. 334-5, 2002
                                                                                  12. Rompe JD et al: Metastatic instability at the proximal end of the femur. Comparison of endoprosthetic replacement and plate osteosynthesis. Arch Orthop Trauma Surg. 113(5):260-4, 1994