Ultrasound Versus Magnetic Resonance Imaging for Extremity Soft Tissue Sarcoma Surveillance: A Scoping Review.

J Surg Oncol · Nov 2025 · Review

Smith J, Dallas-Orr D, Todi N, Brown D, Randall RL

Department of Orthopaedic Surgery, UC Davis Health, Sacramento

Orthopaedic Oncology

SUMMARY — THE REDUCTIONThis scoping review of eight studies found ultrasound and MRI perform comparably for post-resection soft tissue sarcoma surveillance, with ultrasound offering notable cost savings and hybrid protocols emerging.
Abstract, as published

An extensive literature search was conducted using PRISMA-ScR guidelines to evaluate ultrasound and/or MRI for postresection surveillance of soft tissue sarcoma (STS) based on diagnostic accuracy, recurrence detection, cost-effectiveness, and clinical outcomes. Of the 366 articles identified, only 8 studies met the inclusion criteria. This scoping review revealed comparable diagnostic performance between ultrasound and MRI in STS surveillance. Additionally, this study highlights significant cost savings with ultrasound utilization and emerging evidence for hybrid surveillance protocols.

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