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Detection of cancerous lesions in skeletal remains using visual methods and radiographs
International Journal of Osteoarchaeology ( IF 1.361 ) Pub Date : 2021-05-29 , DOI: 10.1002/oa.3008
Sara Fatula 1
Affiliation  

The recognition and diagnosis of pathological conditions can provide identifying characteristics that lead to the identification of unknown remains. While pathological lesions on dry bone are usually detected by gross visual examination, potentially individuating lesions may not be detected without radiographic analysis. Radiography may be especially important to diagnose metastatic cancer, where lesions may begin on the inner surface of the bone. The objective of this study was to determine if and on what skeletal elements metastatic cancerous lesions are detected more frequently when using radiographs compared to dry bone examination. Multiple skeletal elements from 30 individuals with reported soft tissue cancers were examined for the presence of visible lesions on dry bone and on radiographs. Results show that 63% of the sample with reported soft tissue cancers exhibited visible lesions. Of these, 42% of the lesions were identified solely on radiographs and 58% exhibited distinct lesions using both dry bone and radiographic analyses. A comparison of the two methods of lesion detection indicates that macroscopic analysis alone cannot capture the range of cancerous lesion manifestations. Here, I suggest a method for practitioners that minimizes time and expense in radiographing to prioritize skeletal elements that best exhibit cancerous lesions that would have otherwise been hidden on dry bone.

中文翻译:

使用视觉方法和射线照片检测骨骼残骸中的癌性病变

病理状况的识别和诊断可以提供导致识别未知遗骸的识别特征。虽然干骨上的病理性病变通常通过肉眼检查发现,但如果没有放射学分析,可能无法检测到潜在的个体化病变。放射线照相术对于诊断转移性癌症尤其重要,其中病变可能从骨骼的内表面开始。本研究的目的是确定与干骨检查相比,在使用 X 光片时是否以及在哪些骨骼元素上更频繁地检测到转移性癌性病变。检查了来自 30 名报告为软组织癌症的个体的多个骨骼元素,以确定在干骨和 X 光片上是否存在可见病变。结果表明,63% 的报告的软组织癌症样本表现出可见的病变。其中,42% 的病变仅在 X 光片上被识别,58% 的病变使用干骨和 X 光片分析显示出明显的病变。两种病变检测方法的比较表明,仅靠宏观分析无法捕捉到癌性病变表现的范围。在这里,我为从业者建议一种方法,可以最大限度地减少 X 线照相的时间和费用,以优先考虑最能显示癌性病变的骨骼元素,否则这些元素会隐藏在干骨上。两种病变检测方法的比较表明,仅靠宏观分析无法捕捉到癌性病变表现的范围。在这里,我为从业者建议一种方法,可以最大限度地减少 X 线照相的时间和费用,以优先考虑最能显示癌性病变的骨骼元素,否则这些元素会隐藏在干骨上。两种病变检测方法的比较表明,仅靠宏观分析无法捕捉到癌性病变表现的范围。在这里,我为从业者建议一种方法,可以最大限度地减少 X 线照相的时间和费用,以优先考虑最能显示癌性病变的骨骼元素,否则这些元素会隐藏在干骨上。
更新日期:2021-05-29
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