Musculoskeletal imaging: what information is important to the orthopedic oncologist?

Imaging of a suspected musculoskeletal lesion is critical for proper treatment of the patient. Specific information from imaging studies is essential to the clinician. The most critical question is "What is the potential for the lesion to be malignant?" The opinion of the radiologist regarding the potential for malignancy will influence the clinician regarding referral of the patient to an orthopedic oncologist. Decisions regarding the type of biopsy and how the procedure should be performed are best made by collaborative discussion between the treating orthopedic oncologist and the radiologist. The orthopedic oncologist requires specific information from imaging studies focusing on the location and extent of tumor involvement to determine the appropriate surgical treatment for the patient and to perform an adequate resection of the tumor.