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Angiography of Bone and Soft Tissue Lesions by I. Yaghmai

By I. Yaghmai

Many bone lesions have a attribute roentgen visual appeal, whereas others create diagnostic dilemmas not just for the radiologist, but in addition for the pathologist and health care provider. Arteriography is useful within the prognosis of those tough situations, which can't be clinically determined with sure bet via the mixed facts from simple radiographs and histologic fabric. due to the fact remedy is depen­ dent at the particular prognosis, and pointless radical surgical procedure has been played some time past for benign affliction, the addition of arteriographic information could be sure or refute a analysis and be really worthwhile to the sufferer and orthopedic medical professional. Issa Yaghmai has had an outstanding curiosity within the angiography of bone lesions and has accumulated over 650 situations up to now 10 years. He has tested sufferers with almost every kind of bone lesion, and has faithfully cat­ alogued and recorded his findings in addition to these of the pathologist. The histologically uncertain instances have been despatched to different well known bone patholo­ gists for evaluations in order that he should be as exact as attainable in correlating his angiographic findings with particular histologic diagnoses. His choice of bone arteriograms is unquestionably essentially the most wide on the planet. He has recorded during this quantity the illustrations and knowledge he has accrued, and supplemented it with pertinent info from an exhaustive assessment of the literature. Bone angiography isn't really for each sufferer with a bone lesion, and Issa rigorously tells us whilst it is going to or won't support us in our differential diagnosis.

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Example text

D, E Anteroposterior (D) and lateral (E) roentgenograms of the venous phase reveal extraosseous and soft tissue extension of the tumor, and the presence of large draining veins around the tumor. F Modified subtraction film reveals the relationship of the arteries and veins in one film. The arteries are white, the veins are black, and the gray color corresponds to the tumor stain o F 37 Fig. 10 A-C. Sclerotic osteosarcoma in a 17-year-old male. A Conventional roentgenogram reveals the typical sunburst appearance of periosteal new bone formation in a sclerotic type of osteosarcoma.

C, D Arterial (C) and venous (D) phases of the arteriogram reveal a few arteries in the tumor area with no definite stain. E, F Subtrac- 48 tion films of the same reveal numerous small arteries and a stain in the tumor area with uneven distribution. Note the presence of pooling of opaque material around the sequestered bone. At this time, the tumor was diagnosed as neoplastic and probably fibrosarcoma. Histopathologic findings were reported as fibroblastic osteosarcoma 49 Fig. 16 A-F. Osteosarcoma in a l7-year-old male.

C, D Arterial (C) and venous (D) phases of the arteriogram reveal a few arteries in the tumor area with no definite stain. E, F Subtrac- 48 tion films of the same reveal numerous small arteries and a stain in the tumor area with uneven distribution. Note the presence of pooling of opaque material around the sequestered bone. At this time, the tumor was diagnosed as neoplastic and probably fibrosarcoma. Histopathologic findings were reported as fibroblastic osteosarcoma 49 Fig. 16 A-F. Osteosarcoma in a l7-year-old male.

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