Journal of AdvancedMedical and Dental Sciences Research

Background: The evaluation of musculoskeletal tumors requires a close interaction between the orthopedic oncologist, radiologist, and the pathologist. Successful outcome can be achieved in a considerable number of patients by following the appropriate diagnostic strategies and staging studies. The purpose of this study is to evaluate the role of MRI in musculoskeletal tumours, especially, in prediction of malignancy & to compare whether the diagnosis made on MRI correlates with the cytological/histopathological diagnosis. Methods: Seventy (70) patients with clinically suspected malignancy of musculoskeletal were included in the study. All the patients were made to undergo MRI examination using 1.5 Tesla MRI, manufactured by GE, SIGNA HDX MACHINE. The findings of MRI spine were assessed and analyzed. Results: Out of 70 patients included in the study; 39 were male (55.7%) and remaining 31 were female (44.3%). The preliminary examination showed the presence of edema, necrosis, hemorrhage, fascial penetration, bone changes and neurovascular involvement. A correct histological diagnosis is reached on the basis of imaging studies alone in 65% to 75% of cases. The sensitivity for a MRI diagnosis of malignant tumour was 95% and specificity was 84%. Conclusion: Thus we conclude that Spinal dysraphism were common in females, with commonest anomaly being vertebral anomaly. Magnetic resonance imaging is an accurate, noninvasive, safe and advanced modality for evaluation of the malignant tumor diagnosis and help in better management of these patients with prompt and accurate diagnosis. A systematic approach markedly improves diagnostic results.