Laredo J D, Assouline E, Gaston A, Gelbert F, Merland J J
Service de Radiologie, Hôpital Saint Antoine, Paris.
Neurochirurgie. 1989;35(5):284-8, 305-8.
CT scan and M.R.I. features have been evaluated in case of compressive (H.V.C.) and asymptomatic (H.V.A.) vertebral hemangiomas. The main datas observed in H.V.C. are: 1) thoracic localization; 2) whole vertebral body involvement; 3) extension to the pedicles; 4) irregular trabeculation; 5) swelling of bone contours with 6) epidural and perivertebral extension. H.V.C. always exhibit at least three of these six datas while H.V.A. are associated with 2 or less. Also H.V.C. frequently present intravertebral contrast enhancement on CT and low signal intensity on T1 weighted and high signal intensity on T2 weighted M.R.I.
已对压迫性(H.V.C.)和无症状性(H.V.A.)椎体血管瘤的CT扫描和磁共振成像(M.R.I.)特征进行了评估。在H.V.C.中观察到的主要数据有:1)胸椎定位;2)整个椎体受累;3)向椎弓根延伸;4)小梁不规则;5)骨轮廓肿胀以及6)硬膜外和椎旁延伸。H.V.C.总是呈现这六个数据中的至少三个,而H.V.A.则与两个或更少的数据相关。此外,H.V.C.在CT上经常出现椎体内对比增强,在T1加权磁共振成像上呈低信号强度,在T2加权磁共振成像上呈高信号强度。