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Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases
Clinical research into biomolecules from infectious diseases and cancers has advanced rapidly in recent years, with two key areas being DNA analysis and proteomics. If we wish to understand important diseases and their associated biomolecules in past populations, techniques are required that will al...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541957/ https://www.ncbi.nlm.nih.gov/pubmed/36247222 http://dx.doi.org/10.1002/oa.3087 |
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author | Mitchell, Piers D. Dittmar, Jenna M. |
author_facet | Mitchell, Piers D. Dittmar, Jenna M. |
author_sort | Mitchell, Piers D. |
collection | PubMed |
description | Clinical research into biomolecules from infectious diseases and cancers has advanced rapidly in recent years, with two key areas being DNA analysis and proteomics. If we wish to understand important diseases and their associated biomolecules in past populations, techniques are required that will allow accurate biopsy of lesions in excavated human skeletal remains. While locating lesions visible on the surface of a bone is simple, many lesions such as cancer metastases are located in the medulla of bones, unseen on visual inspection. Here, we use two novel image guided techniques to investigate how plain radiographs may improve accuracy in the localization of lesions within bones from medieval individuals. While both techniques were effective, we found the grid technique required fewer radiographs than the pointer technique to employ and so was responsible for a lower overall radiation dose. We then discuss methods available for biopsy in archeological bone and how the optimal location for the biopsy of malignant lesions will vary depending upon whether the tumor is blastic or lytic in nature. Limitations of this X‐ray guided approach include that not all cancer metastases are visible on plain radiographs, as erosion of cortical bone is frequently required for visualization of lytic metastases using this imaging modality. |
format | Online Article Text |
id | pubmed-9541957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95419572022-10-14 Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases Mitchell, Piers D. Dittmar, Jenna M. Int J Osteoarchaeol Short Reports Clinical research into biomolecules from infectious diseases and cancers has advanced rapidly in recent years, with two key areas being DNA analysis and proteomics. If we wish to understand important diseases and their associated biomolecules in past populations, techniques are required that will allow accurate biopsy of lesions in excavated human skeletal remains. While locating lesions visible on the surface of a bone is simple, many lesions such as cancer metastases are located in the medulla of bones, unseen on visual inspection. Here, we use two novel image guided techniques to investigate how plain radiographs may improve accuracy in the localization of lesions within bones from medieval individuals. While both techniques were effective, we found the grid technique required fewer radiographs than the pointer technique to employ and so was responsible for a lower overall radiation dose. We then discuss methods available for biopsy in archeological bone and how the optimal location for the biopsy of malignant lesions will vary depending upon whether the tumor is blastic or lytic in nature. Limitations of this X‐ray guided approach include that not all cancer metastases are visible on plain radiographs, as erosion of cortical bone is frequently required for visualization of lytic metastases using this imaging modality. John Wiley and Sons Inc. 2022-01-11 2022 /pmc/articles/PMC9541957/ /pubmed/36247222 http://dx.doi.org/10.1002/oa.3087 Text en © 2022 The Authors. International Journal of Osteoarchaeology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Short Reports Mitchell, Piers D. Dittmar, Jenna M. Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
title | Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
title_full | Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
title_fullStr | Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
title_full_unstemmed | Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
title_short | Employing radiography (X‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
title_sort | employing radiography (x‐rays) to localize lesions in human skeletal remains from past populations to allow accurate biopsy, using examples of cancer metastases |
topic | Short Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541957/ https://www.ncbi.nlm.nih.gov/pubmed/36247222 http://dx.doi.org/10.1002/oa.3087 |
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