Malignant fibrous histiocytoma of bone: Conventional X-ray and MR imaging features

Thomas M. Link, Marc D. Haeussler, Susanne Poppek, Klaus Woertler, Sebastian Blasius, Norbert Lindner, Ernst J. Rummeny

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objective. To evaluate the conventional X-ray and MR imaging features of malignant fibrous histiocytoma (MFH) of bone. Design. MRI examinations and conventional radiographs were reviewed in 39 patients with biopsy-proven MFH. Imaging characteristics were analyzed and the differential diagnoses assessed in a masked fashion by two experienced radiologists. Results. Typical X-ray features included aggressive, destructive tumor growth centrally located in the metaphysis of long bones. Periosteal reactions and expansive growth were rarely seen. On MR images extraosseous tumor spread was frequently noted. On T2-weighted images and contrast-enhanced T1-weighted images most of the tumors displayed an inhomogeneous, nodular signal pattern with peripheral Gd-DTPA enhancement. Conclusions. Although several MR imaging criteria were typical for MFH none of them was specific. X-ray diagnosis of MFH may also prove difficult, with the main differential diagnosis being metastasis in the older and osteosarcoma in the younger population.

Original languageEnglish
Pages (from-to)552-558
Number of pages7
JournalSkeletal Radiology
Issue number10
StatePublished - Oct 1998
Externally publishedYes


  • Bone tumors
  • Conventional radiography
  • MRI
  • Malignant fibrous histiocytoma


Dive into the research topics of 'Malignant fibrous histiocytoma of bone: Conventional X-ray and MR imaging features'. Together they form a unique fingerprint.

Cite this