脊髓受压患者的脊椎椎间盘炎：放射肿瘤学中一个可能的陷阱。
Spondylodiscitis in patients with spinal cord compression: a possible pitfall in radiation oncology.
作者信息
Rades D, Bremer M, Goehde S, Joergensen M, Karstens J H
机构信息
Department of Radiation Oncology, Hannover Medical University, Carl-Neuberg-Str 1, D-30625, Hannover, Germany.
出版信息
Radiother Oncol. 2001 Jun;59(3):307-9. doi: 10.1016/s0167-8140(00)00300-5.
PURPOSE
In patients presented for spinal irradiation it may be difficult to distinguish between malignant and benign lesions if only plain X-rays and computed tomography (CT)-scans are available. Spinal magnetic resonance imaging (MRI) can be of great diagnostic value.
METHODS
From 11/1995 to 05/2000 447 patients were presented for spinal irradiation, 264 beyond regular operating hours. At presentation no spinal MRI was available in 170/447 and 132/264 patients.
RESULTS
After spinal MRI, diagnosis was changed from vertebral metastases to spondylodiscitis in 10/170 and 8/132 patients. Six of these patients were already known as cancer patients.
CONCLUSION
In patients presented for spinal irradiation spondylodiscitis is not very uncommon. If there is any doubt about metastatic disease as the cause for spinal cord compression a spinal MRI has to be demanded, even beyond regular operating hours.
目的
对于接受脊柱放疗的患者，如果仅能获得普通X线和计算机断层扫描（CT），则可能难以区分恶性和良性病变。脊柱磁共振成像（MRI）具有很大的诊断价值。
方法
1995年11月至2000年5月，447例患者接受脊柱放疗，其中264例在正常工作时间以外就诊。在就诊时，170/447例和132/264例患者没有脊柱MRI检查结果。
结果
经过脊柱MRI检查后，10/170例和8/132例患者的诊断从椎体转移瘤改为椎间盘炎。这些患者中有6例已经确诊为癌症患者。
结论
在接受脊柱放疗的患者中，椎间盘炎并不罕见。如果对转移性疾病作为脊髓压迫的病因存在任何疑问，即使在正常工作时间以外，也必须进行脊柱MRI检查。
Zotero 插件