Gualdi G F, Casciani E, Di Biasi C, Trasimeni G, Postacchini F
Servizio TC-RM, I Clinica Medica, Università di Roma La Sapienza, Italia.
Clin Ter. 1999 Jan-Feb;150(1):51-65.
The early detection and characterization of primary and metastatic spinal bone tumors permits early and appropriate surgical or nonsurgical intervention directed toward preserving life and function. The sensitivity and multiplanar capabilities inherent in Magnetic Resonance imaging make it the imaging procedure of choice in detecting and characterizing a spinal bone lesion. Spiral Computed Tomography with multiplanar reconstruction may be a useful supplementary procedure, especially when detailed bony anatomy, particular of the posterior elements, is required for surgical intervention. Plain films play little if any role in modern imaging. The may be used as screening procedures in situations in which MR and CT are not available.
原发性和转移性脊柱骨肿瘤的早期检测和特征描述有助于早期进行适当的手术或非手术干预,以维持生命和功能。磁共振成像固有的敏感性和多平面成像能力使其成为检测和描述脊柱骨病变的首选成像方法。具有多平面重建功能的螺旋计算机断层扫描可能是一种有用的辅助检查方法,特别是在手术干预需要详细的骨解剖结构,尤其是后部结构时。在现代成像中,平片的作用很小或几乎没有作用。在无法进行磁共振成像和计算机断层扫描的情况下,平片可作为筛查手段。