Imaging Features of Soft-Tissue Calcifications and Related Diseases: A Systematic Approach

Korean J Radiol. 2018 Nov-Dec;19(6):1147-1160. doi: 10.3348/kjr.2018.19.6.1147. Epub 2018 Oct 18.

Abstract

Soft-tissue calcification refers to a broad category of lesions. Calcifications are frequently identified by radiologists in daily practice. Using a simple algorithm based on the distribution pattern of the lesions and detailed clinical information, these calcified lesions can be systematically evaluated. The distribution pattern of the calcific deposits enables initial division into calcinosis circumscripta and calcinosis universalis. Using laboratory test results (serum calcium and phosphate levels) and clinical history, calcinosis circumscripta can be further categorized into four subtypes: dystrophic, iatrogenic, metastatic, and idiopathic calcification. This pictorial essay presents a systematic approach to the imaging features of soft-tissue calcifications and related diseases.

Keywords: Calcification; Radiograph; Soft tissue.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Calcinosis / diagnosis*
  • Calcinosis / diagnostic imaging
  • Calcium / blood
  • Female
  • Humans
  • Joint Diseases / diagnosis
  • Joint Diseases / diagnostic imaging
  • Male
  • Middle Aged
  • Monckeberg Medial Calcific Sclerosis / diagnosis
  • Monckeberg Medial Calcific Sclerosis / diagnostic imaging
  • Phosphates / blood
  • Sarcoma, Synovial / diagnosis
  • Sarcoma, Synovial / diagnostic imaging
  • Vascular Malformations / diagnosis
  • Vascular Malformations / diagnostic imaging
  • Venous Insufficiency / diagnosis*
  • Venous Insufficiency / diagnostic imaging
  • Young Adult

Substances

  • Phosphates
  • Calcium