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脊柱转移瘤的MRI诊断
引用本文:王友良,孙兮文,潘颂华. 脊柱转移瘤的MRI诊断[J]. 现代医用影像学, 2001, 10(3): 103-105
作者姓名:王友良  孙兮文  潘颂华
作者单位:1. 安徽省淮南朝阳医院影像中心,232007
2. 上海华东医院MRI室
摘    要:目的:探讨脊柱转移瘤的MRI表现及诊断价值。材料与方法:回顾性分析52例经临床和病理证实的脊柱转移瘤的MRI表现。结果:(1)52例共累及209节椎体,167节附件,“跳跃征”发生率占71.7%。(2)病灶T1WI均表现为低信号,T2WI因其类型不同而分为高(24.4%),低(30.1%)和混杂(45.5%)信号,“晕征”出现率占26.9%。(3)椎旁肿块、椎管受累和椎间隙狭窄发生率分别为57.1%、60.7%和64.3%。结论:MRI对脊柱转移瘤的诊断有重要的价值。

关 键 词:脊柱转移瘤 磁共振成像 诊断

MRI Diagnosis of Spinal Metatases
Wang Youliang,SUN Xiwen,Pan Songhua. MRI Diagnosis of Spinal Metatases[J]. Modern Medical Imagelogy, 2001, 10(3): 103-105
Authors:Wang Youliang  SUN Xiwen  Pan Songhua
Affiliation:Wang Youliang Sun Xiwen Pan Songhua Department of Radiology,Huainan Chao Yang Hospital,Anhui 232007
Abstract:Purpose:To explored the MRI signs and diagnostic values of spinal metastases.Materials and Methods:The MRI Features of 52 cases of spinal metastases proved clinically or histologically were analyzed retrospectively.Results:(1)52 cases had destoryed 209 vertebral body and 167 accessory parts.The "Jump Up"sign occurred in 71 7% cases;(2)Tumors generally appeared hypointense on T 1WI.Depending on different bony destructive types,the signals on T 2WI were divided into three groups:high(24 4%),low (30 1%)and mixed (45 5%).The "halo" sign occurred in 26 9%.(3)Masses of paravertebra,intraspinal involvement and accessory intervertebral foramen narrow were 57 1%,60 7% and 64 3%.Conclusion:MRI is great practical important in the diagnosis of spinal metastases.
Keywords:Spinal Metastases MRI
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