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the physician can use the time be- fore the hub is filled to maximize ing more cells relative to blood. Conversely, if the first needle needle pass yields motion, scanty thus obtainas material, determined by immediate assessment of cellularity by gist, the second needle pass may be performed with a technique. This approach allows for maximum diagnostic independent of the nature of the organ or lesion being pled. At the same time, the problem of bloody taps can fectively reduced. This is only one example of the way a radiologist a cytotosuction yield, sambe ef- myxoid-containing culoskeletal tumors. Thus, an unsuspecting observer may ily mistake a musculoskeletal myxoid tumor for a synovial An observation by Peterson et at suggests a way of avoiding this pitfall: They have noted that myxoid tissue in musculoskeletal tumors enhances (increases in signal intensity) on images after intravenous administration of contrast media. administer gadolinium contrast media when we encounter myxoid reported liposarcomas can mimic cysts. that the same is true of other Peterson et at (2) have museascyst. MR We musculoskeletal âcystâ at MR imaging unless there is obvious experi- enced in aspiration can draw on a variety of biopsy techniques to achieve the best possible result in a given situation. There really is no need to be limited to one biopsy approach. connection to a joint space (eg, in a typical enabled us to avoid the error of mistaking cysts in at least two instances. Baker cyst). This has solid tumors for
Radiology – Radiological Society of North America, Inc.
Published: Aug 1, 1993
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