Bloomer Courtnay W, Ackerman Andrew, Bhatia Rita G
Department of Radiology, University of Miami/Jackson Memorial Hospital, Miami, FL 33136, USA.
Top Magn Reson Imaging. 2006 Apr;17(2):69-87. doi: 10.1097/RMR.0b013e31802bb38f.
Discuss intramedullary, intradural/extramedullary, and extradural spinal tumors including imaging characteristics with emphasis on MR and advances in treatment.
Literature and institutional review.
Spinal tumors: intramedullary, intradural/extramedullary, and extradural, comprise a wide range of histological tumors with an even wider range of clinical symptoms and prognostic features. They are relatively rare and if left untreated, can cause serious neurological deficits and disability. An accurate diagnosis is therefore crucial in determining prognosis and directing therapy. Magnetic resonance imaging (MRI) has revolutionized the diagnosis of intraspinal tumors, allowing for early detection and improved anatomical localization. Magnetic resonance has also become an integral part in staging of both primary and metastatic neoplasms of the spine for guiding therapy and is an excellent modality for follow-up. Advances in MRI (perfusion and molecular imaging) may help refine and describe these neoplasms for accurate treatment and prognosis in the future. Surveillance protocols and role of magnetic resonance are not well established.
Magnetic resonance plays an integral role in evaluation of spinal tumors with increasing role in staging and treatment.
讨论髓内、髓外硬膜内和硬膜外脊柱肿瘤，包括影像学特征，重点是磁共振成像（MR）及治疗进展。
文献及机构回顾。
脊柱肿瘤包括髓内、髓外硬膜内和硬膜外肿瘤，涵盖多种组织学类型，临床症状和预后特征范围更广。它们相对罕见，若不治疗可导致严重神经功能缺损和残疾。因此，准确诊断对于确定预后和指导治疗至关重要。磁共振成像（MRI）彻底改变了脊柱肿瘤的诊断，能够实现早期检测并改善解剖定位。磁共振成像在脊柱原发性和转移性肿瘤的分期中也已成为不可或缺的一部分，用于指导治疗，并且是随访的极佳方式。MRI（灌注和分子成像）的进展可能有助于未来更精确地界定和描述这些肿瘤，以实现准确治疗和预后评估。监测方案及磁共振成像的作用尚未完全确立。
磁共振成像在脊柱肿瘤评估中发挥着不可或缺的作用，在分期和治疗中的作用日益增强。
