Rafal M Kedzierski1, Paul T. Weatherall2
1Radiology, John Peter Smith Hospital, Fort Worth, TX, United States; 2Radiology, Univ. of Texas Southwestern Medical Center, Dallas, TX, United States
Assessment of the 3-Dimensional shape of bone lesions alone, frequently provides useful diagnostic information. Our data strongly supports the conclusion that a bone lesion that has a highly elliptical shape is very unlikely to represent a metastasis, if centrally located or otherwise unimpeded in its growth directions. This limited study showed a highly significant difference (p<0.01) in bone metastasis shape depending on the degree of contact with the cortical barrier of vertebral bodies.