Crone-Münzebrock W, Spielmann R P, Brockmann W P
Radiologische Klinik, Universitätskrankenhauses Hamburg-Eppendorf.
Rontgenblatter. 1988 Jun;41(6):223-8.
Results are represented a clinical experimental series of examinations in 19 patients having osteolytic and osteoplastic metastases in the region of the vertebral column. An attempt was made to quantify the changes in mineral salt content after high-voltage therapy, via two-energy computed tomography. The vertebral bodies with osteolytic affection showed directly after completion of the irradiation an individually highly differentiated increase in mineral salt content. This was due both to recalcification of the osteolysis and an increase in mineral salt content of the still intact spongiosa. Likewise, an increase in mineral salt content was seen in patients with osteoplastic metastases, in the tumour-free bony substance. The methodical approach is described and the different reactive behaviour of the vertebral body metastases in response to radiotherapy is discussed.
结果呈现了对19例在脊柱区域有溶骨性和成骨性转移瘤患者的临床实验系列检查。尝试通过双能计算机断层扫描来量化高压治疗后矿物质盐含量的变化。溶骨性病变的椎体在照射完成后立即显示出矿物质盐含量个别高度分化的增加。这既归因于骨溶解的再钙化，也归因于仍完整的松质骨中矿物质盐含量的增加。同样，在有成骨性转移瘤的患者中，在无肿瘤的骨质中也观察到矿物质盐含量增加。描述了该方法，并讨论了椎体转移瘤对放疗的不同反应行为。
