Chondroblastoma: Classic and confusing appearance at MR imaging

Paul T. Weatherall, Gerhard E. Maale, Dianne B. Mendelsohn, Cynthia S. Sherry, William E. Erdman, H. Richard Pascoe

Research output: Contribution to journalArticle

84 Scopus citations

Abstract

PURPOSE: To define the characteristics of chondroblastoma at magnetic resonance (MR) imaging and the combination of findings that are diagnostic for chondroblastoma. MATERIALS AND METHODS: From January 1987 through December 1992, 22 patients with histologically confirmed chondroblastoma and prior MR imaging examinations were seen. Patients included 16 men and six women, aged 10-58 years (median, 17 years). Retrospective analysis of findings at MR imaging, plain radiography, computed tomography, and bone scanning was performed. RESULTS: Low to intermediate heterogeneous signal intensity, lobular internal architecture, and fine lobular margins were well defined with high-resolution T2-weighted (repetition time ≥1,500 msec, echo time ≥70 msec) MR imaging. Adjacent bone-marrow and soft-tissue edema and periosteal reactions were more dramatically demonstrated on MR images than on radiographs. Bone marrow edema was prominent in all but five cases. Obvious periosteal reaction and adjacent soft-tissue edema were visible in 17 cases. CONCLUSION: Knowledge of the MR imaging findings of chondroblastoma will allow accurate diagnosis and help avoid confusion with infection and aggressive neoplasms.

Original languageEnglish (US)
Pages (from-to)467-474
Number of pages8
JournalRadiology
Volume190
Issue number2
DOIs
StatePublished - Feb 1994

Keywords

  • Chondroma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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