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未雨绸缪:脊柱 CT/MRI 偶然发现的椎管外病变分析。

Preparing for the Unexpected: A Review of Incidental Extraspinal Findings on Computed Tomography/Magnetic Resonance Imaging of the Spine.

机构信息

Department of Radiology, Jacobi Medical Center, 1400 Pelham Parkway South Building #1, Room #4N15, Bronx, NY 10461, USA.

Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Sherman 231, Boston, MA 02215, USA.

出版信息

Radiol Clin North Am. 2021 Jul;59(4):511-523. doi: 10.1016/j.rcl.2021.03.003.

Abstract

Potentially clinically important incidental/unexpected extraspinal findings occur with sufficient frequency in cross-sectional imaging of the spine to warrant the radiologist's careful consideration, regardless of whether the interpreter is a neuroradiologist, a musculoskeletal radiologist, an emergency radiologist, or a generalist. Awareness of the commonly encountered incidentalomas and the anatomy contained within the field of view of cervical, thoracic, and lumbar spine cross-sectional imaging examinations, respectively, assists radiologists in their efficient and accurate analysis. This article familiarizes radiologists with some of the potential relevant extraspinal findings that may be encountered, and recommends an extraspinal search pattern for each spinal segment.

摘要

在脊柱的横断面成像中,经常会出现具有潜在临床重要意义的意外/意外的非脊柱发现,因此无论解释者是神经放射科医生、肌肉骨骼放射科医生、急诊放射科医生还是普通放射科医生,放射科医生都需要仔细考虑。了解常见的意外瘤和颈椎、胸椎和腰椎横断面成像检查视野内的解剖结构,有助于放射科医生进行高效、准确的分析。本文使放射科医生熟悉可能遇到的一些潜在相关的脊柱外发现,并为每个脊柱节段推荐了一种脊柱外搜索模式。

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