Guillevin R, Vallee J-N, Lafitte F, Menuel C, Duverneuil N-M, Chiras J
Service de neuroradiologie Professeur-J.-Chiras, groupe hospitalier de la Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
J Neuroradiol. 2007 Dec;34(5):311-21. doi: 10.1016/j.neurad.2007.05.003.
Any malignant neoplasm possesses the capacity to metastasize to the musculoskeletal system. Because the spine is the most frequent site of bone metastasis, imaging must be discussed in cases of cancer. Bone marrow is the main interest in imaging the metastatic process by magnetic resonance, while X-rays allow the study of cortical involvement. This article presents our experience, and a review of the literature, in an overview of the different imaging techniques-X-rays and magnetic resonance-with emphasis on the many difficulties that can be encountered in the diagnosis and monitoring of spinal metastases, allowing a management strategy for diagnosis and follow-up.
任何恶性肿瘤都有转移至肌肉骨骼系统的能力。由于脊柱是骨转移最常见的部位，因此在癌症病例中必须讨论影像学检查。骨髓是通过磁共振成像观察转移过程的主要关注点，而X线则可用于研究皮质受累情况。本文介绍了我们的经验，并对文献进行了综述，概述了不同的影像学技术——X线和磁共振成像——重点关注在脊柱转移瘤的诊断和监测中可能遇到的诸多困难，从而制定出诊断和随访的管理策略。
