An MR imaging
teaching file illustrating soft-tissue lesions of the extremities
was utilized to obtain material for the exhibit. This file had been
maintained by the primary author with contributions from the coauthors.
Several textbooks discussing the clinicopathological features of
soft-tissue sarcoma and its mimics were reviewed along with current
literature describing the MR imaging features of soft-tissue lesions
of the extremities. Individual cases were selected from the teaching
file to illustrate the spectrum of MR imaging features noted in
soft-tissue lesions of the extremities pre and post therapy. The
incidence and MR appearance of post surgical fluid collections was
determined by a retrospective review of 62 post operative cases
of soft-tissue sarcomas of the extremities. In selected cases correlative
gross photographs obtained at the time of surgery were available
for review. Histologic material illustrated in the exhibit was reviewed
by an experienced musculoskeletal pathologist
(A.G.
Ayala, M.D). In cases in which slides were not available
for viewing, the original histologic subtyping of tumor was accepted.
Most MR studies were performed on a 1.5T unit. Routine spin-echo
and gradient echo pulse sequences utilizing either the body coil
or an extremity coil were performed. In selected cases (not necessarily
in the same patient) fat suppression sequences, fast spin-echo T2-weighted
sequences, time of flight MR angiography and post contrast T1-weighted
sequences were obtained. MR imaging material was digitized using
a VORTECH film scanner from original film. Images were enhanced
using Adobe
Photoshop 2.5 to preserve image precision at reduced
sizes. Instructional design was developed using Microsoft Word,
Nisus software's Nisus word processor, UserLand software's Frontier,
and Common Knowledge's Arrange personal information manager. Graphic
design was developed using Aldus' SuperPaint and Photoshop. Data
was collected and incorporated into final form in MacroMedia's Authorware
Professional.
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