Magnetic resonance imaging of soft tissue expanders used in the management of musculoskeletal sarcomas.

A soft tissue expander is surgically inserted into the body to displace radiosensitive organs from the treatment field in a small number of patients receiving radiotherapy for musculoskeletal sarcoma. MRI is routinely used to monitor the response to the radiotherapy, local recurrence and complications of treatment. This study retrospectively reviews MRI of soft tissue expanders in seven patients with musculoskeletal sarcomas; six arising in the pelvis and one in the retroperitoneum. In the absence of an appropriate clinical history, the soft tissue expander may be mistaken for a pathological fluid collection such as abscess, post-operative seroma or even recurrent tumour. MRI of the soft tissue expanders and potential errors in image interpretation are illustrated.