Zbojniewicz Andrew M, Hartel James, Nguyen Thuan, Wilks Kate, Mace Andrew, Hogg Jeffery P
Department of Radiology, West Virginia University, Morgantown, WV 26506, USA.
Curr Probl Diagn Radiol. 2010 Mar-Apr;39(2):74-90. doi: 10.1067/j.cpradiol.2009.07.004.
Spine imaging is frequently performed in daily practice. Due to the high frequency of spine examinations and the multiple modalities (ie, radiography, computed tomography, magnetic resonance imaging, positron emission tomography/computed tomography, single-photon emission computed tomography/computed tomography) used for imaging, neoplastic disease of the vertebral column will occasionally be encountered by practicing radiologists. When a lesion in the spine is encountered, it is helpful to have an understanding of the general types of pathology and key differentiating features that may aid in guiding appropriate workup (eg, no follow-up required, short-term follow-up, or directed biopsy). This article aims to provide a framework for characterizing neoplastic disease in the spine and allows the practicing radiologist an opportunity to develop a more concise and accurate differential diagnosis with which to guide clinical management.
脊柱成像在日常实践中经常进行。由于脊柱检查的频率很高，且用于成像的方式多种多样（即X线摄影、计算机断层扫描、磁共振成像、正电子发射断层扫描/计算机断层扫描、单光子发射计算机断层扫描/计算机断层扫描），执业放射科医生偶尔会遇到脊柱的肿瘤性疾病。当遇到脊柱病变时，了解可能有助于指导适当检查（如无需随访、短期随访或定向活检）的一般病理类型和关键鉴别特征是有帮助的。本文旨在提供一个脊柱肿瘤性疾病特征描述的框架，并让执业放射科医生有机会制定更简洁准确的鉴别诊断，以指导临床管理。
