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犬猫硬膜外脊髓肿瘤的磁共振成像上的“鸟翼征”可优先考虑圆细胞肿瘤。

A "gullwing sign" on magnetic resonance imaging of extradural spinal tumors in dogs and cats allows prioritization of round cell neoplasia.

机构信息

Department of Small Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee, USA.

Animages, Longueuil, Quebec, Canada.

出版信息

Vet Radiol Ultrasound. 2024 Nov;65(6):832-835. doi: 10.1111/vru.13448. Epub 2024 Sep 27.

Abstract

Extradural neoplasms are the most common spinal tumors in small animals. A bilobed appearance of ventral extradural spinal lesions ("gullwing sign") on MRI has been described with various conditions. The objective of this retrospective study was to determine if a "gullwing sign" is more common with certain types of extradural tumors. MRI studies of dogs and cats with extradural spinal neoplasms were reviewed for the presence of a "gullwing sign". Statistical analysis was performed to evaluate a possible relationship between tumor class and the presence of a "gullwing sign". Sixty-six cases were included (5 epithelial, 31 mesenchymal, 4 neuroendocrine, and 26 round cell tumors). A "gullwing sign" was identified in 12 of 66 cases (18.2%) and was significantly more common with round cell neoplasia than other tumor types (P < .001; OR = 28.6, 95% CI [3.4, 241.1]). This information may aid radiologists in prioritizing differential diagnoses for extradural tumors in small animals.

摘要

硬膜外肿瘤是小动物中最常见的脊髓肿瘤。MRI 上已描述过各种情况下出现的腹侧硬膜外脊髓病变的双叶外观(“海鸥翼征”)。本回顾性研究的目的是确定“海鸥翼征”是否与某些类型的硬膜外肿瘤更为常见。对患有硬膜外脊髓肿瘤的犬和猫的 MRI 研究进行了回顾,以确定是否存在“海鸥翼征”。进行了统计学分析,以评估肿瘤类型与“海鸥翼征”存在之间的可能关系。共纳入 66 例(5 例上皮性肿瘤,31 例间质性肿瘤,4 例神经内分泌肿瘤和 26 例圆形细胞肿瘤)。在 66 例中有 12 例(18.2%)发现了“海鸥翼征”,与其他肿瘤类型相比,圆形细胞肿瘤更常见(P<.001;OR=28.6,95%CI [3.4,241.1])。该信息可能有助于放射科医生优先考虑小动物硬膜外肿瘤的鉴别诊断。

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