脊椎转移瘤11例MRI诊断及鉴别诊断

    Diagnosis and differential diagnosis of 11 cases with spinal column metastatic tumor by MRI

    • 摘要: 目的:探讨脊柱转移瘤的MRI表现及其诊断和鉴别诊断。方法:对11例经病理证实的脊柱转移瘤的MRI影像学资料进行回顾性分析。结果:11例共累及22节椎体;累及椎弓根5例,累及棘突及横突7例;22节病椎T1WI均呈低信号,T2WI中19节椎体呈混杂信号、3节椎体为低信号,T2WI/STIR病椎均呈高信号改变;12节椎体病理性骨折,11节椎体前后缘隆突;椎旁肿块5例;跳跃征5例。结论:脊柱转移瘤有特征性的MRI表现,可早期较准确地判断肿瘤的范围及程度。

       

      Abstract: Objective:To diagnose and differential diagnose spinal column metastatic tumor according to MRI appearance. Methods: MRI appearance of 11 cases with spinal column metastatic tumor which were verified by pathology were analysed retrospectively. Results:Twenty-two centrums were involved in 11 cases. Lateral mass of vertebrae of 5 cases, spinous process and transverse process of 7 cases were involved. Twenty-two vertebras showed low signal on T1WI. Mixed signal in 19 centrums and low signal in 3 centrums were detected on T2WI. The T2WI/STIR of vertebras showed high signal. Pathologic fracture in 12 centrums, anterior and posterior border swelling in 11 centrums, paraspinal mass in 5 centrums and skip sign in 5 centrums were confirmed. Conclusions:MRI appearance of spinal column metastatic tumor is distinctive, which can exactly provide the information of tumor extent and degree.

       

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