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MRI 特征在犬只的孤立性脊椎肿块:20 个案例(2010-2019 年)。

MRI Features of Solitary Vertebral Masses in Dogs: 20 Cases (2010-2019).

出版信息

J Am Anim Hosp Assoc. 2021 Jul 1;57(4):189-198. doi: 10.5326/JAAHA-MS-7063.

Abstract

The objective of the study was to describe the MRI features of cytologically or histologically diagnosed solitary vertebral masses in dogs and identify potential MRI features enabling differentiation between malignant and benign lesions. Patients were divided into malignant and benign groups according to the final diagnosis. Medical records and MRI studies were retrospectively reviewed, and specific imaging features were compared. The malignant group comprised 15 dogs, with 5 dogs included in the benign group. MRI features of the different histopathologic/cytologic types of masses are described. Involvement of the vertebral body, a hyperintense signal on T2-weighted, short tau inversion recovery, T1-weighted, and T1-weighted gradient echo sequences and evidence of cortical destruction were signifi-cantly associated with malignancy (P < .05). Hypointensity on T1-weighted gradient echo sequence was significantly associated with benign masses (P < .05). The presence of bone sclerosis was significantly associated with osteosarcomas compared with other malignant masses (P < .05). Fractures (5 cases) were only seen in the group of malignant masses. This pilot study identifies some MRI features that may help differentiate between malignant and benign solitary vertebral masses. Greater case numbers are needed in future studies.

摘要

本研究旨在描述经细胞学或组织学诊断的犬单一性椎体肿块的 MRI 特征,并确定潜在的 MRI 特征,以区分良恶性病变。根据最终诊断,将患者分为恶性组和良性组。回顾性分析了病历和 MRI 研究,并比较了特定的影像学特征。恶性组包括 15 只狗,良性组包括 5 只狗。描述了不同组织病理学/细胞学类型肿块的 MRI 特征。椎体受累、T2 加权、短 tau 反转恢复、T1 加权和 T1 加权梯度回波序列上的高信号以及皮质破坏的证据与恶性显著相关(P<0.05)。T1 加权梯度回波序列上的低信号与良性肿块显著相关(P<0.05)。与其他恶性肿块相比,骨硬化的存在与骨肉瘤显著相关(P<0.05)。骨折(5 例)仅见于恶性肿块组。这项初步研究确定了一些可能有助于区分良恶性单一性椎体肿块的 MRI 特征。未来的研究需要更大的病例数量。

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