From the Department of Radiology, Mayo Clinic, Rochester, Minnesota.
AJNR Am J Neuroradiol. 2018 Sep;39(9):1584-1592. doi: 10.3174/ajnr.A5528. Epub 2018 Jan 18.
Vertebral compression fractures are very common, especially in the elderly. Benign osteoporotic and malignant vertebral compression fractures have extremely different management and prognostic implications. Although there is an overlap in appearances, characteristic imaging features can aid in the distinction between these 2 types of compression fractures. The aim of this review is to characterize the imaging features of benign and malignant vertebral compression fractures seen with CT, PET, SPECT, and MR imaging.
椎体压缩性骨折非常常见,尤其是在老年人中。良性骨质疏松性和恶性椎体压缩性骨折的处理方法和预后意义截然不同。尽管外观上有重叠,但特征性的影像学特征有助于区分这两种类型的压缩性骨折。本综述的目的是描述 CT、PET、SPECT 和 MRI 检查中所见的良性和恶性椎体压缩性骨折的影像学特征。