@article {Lin:2024:2637-8329:18,
title = "Multimodal Imaging of Solitary Fibrous Tumor in the CNS, Head and Neck, and Spine, with Pathologic Correlation",
journal = "Neurographics",
parent_itemid = "infobike://asnr/ng",
publishercode ="asnr",
year = "2024",
volume = "14",
number = "1",
publication date ="2024-02-01T00:00:00",
pages = "18-28",
itemtype = "ARTICLE",
issn = "2637-8329",
eissn = "2637-8329",
url = "https://asnr.publisher.ingentaconnect.com/content/asnr/ng/2024/00000014/00000001/art00002",
doi = "doi:10.3174/ng.2200030",
keyword = "nADC = normalized ADC, WHO = World Health Organization, HPC = hemangiopericytoma, HPF = high-power field, VEGF = vascular endothelial growth factor, SFT = solitary fibrous tumor",
author = "Lin, T.T. and Kurokawa, R. and Kurokawa, M. and Camelo-Piragua, S. and Kim, J. and Capizzano, A. and Moritani, T.",
abstract = "Solitary fibrous tumor is a rare mesenchymal neoplasm arising from the serosal membranes, dura, and deep soft tissues. A solitary fibrous tumor of the CNS, head, neck, and spine can be challenging to diagnose on imaging. Preoperative consideration of a solitary fibrous tumor is critical,
especially in the setting of a high-grade solitary fibrous tumor, which has a high recurrence rate and metastatic potential. This review highlights multimodal imaging features of solitary fibrous tumors, including CT, MR imaging (SWI, MRA, MRS, DWI, and perfusion), FDG PET, and catheter-directed
angiography. Radiologic pathologic correlations are also provided. The management of solitary fibrous tumor is a team effort orchestrated with surgery, radiation oncology, and neurointerventional and diagnostic radiology. For high-grade solitary fibrous tumors, preoperative tumor embolization
followed by surgical resection and adjuvant radiation therapy improves patient outcomes. Additional whole-body staging and follow-up MR imaging are important to evaluate recurrence or distal metastasis.Learning Objective: To recognize the multimodal imaging appearance of solitary fibrous
tumor in the CNS, head and neck, and spine",
}