König R, van Kaick G, Braun A
Computertomographie. 1983 Mar;3(1):25-31.
The contribution made by computed tomography to the diagnostics of the skeletal system was studied in the basis of 53 examinations in patients with space-occupying growths and malformations. With reference to clinical final diagnoses the CT findings were graded into I. Correct diagnosis or diagnosis by exclusion, II. Contribution to determining the growth of the process, III. No additional information obtained via CT. The distribution of these grades was as follows: Grade I = 34%, II = 49%, III = 17%. Indications for CT of the skeletal system were based on the following problems: primary malignant bone tumours; bone metastases in the region on the vertebral column; benign and potentially malignant bone tumours and abscesses in the region of the skeleton itself and of the skull; suspected diastematomyelia; assessment of the vertebral canal in case of suspected inflammatory or tumorous changes of the adjacent areas as well as exclusion of osseous changes in the region of the vertebral canal with peripheral neurological symptoms. CT serves to determine the exact dimension of the growth; to prove infiltration of organs and structures; for the planning of operations; for controlling the course; and for diagnosing relapses.
基于对53例患有占位性病变和畸形患者的检查，研究了计算机断层扫描在骨骼系统诊断中的贡献。参照临床最终诊断结果，将CT检查结果分为：I. 正确诊断或排除诊断；II. 有助于确定病变进展；III. 通过CT未获得额外信息。这些分级的分布如下：I级 = 34%，II级 = 49%，III级 = 17%。骨骼系统CT检查的适应症基于以下问题：原发性恶性骨肿瘤；脊柱区域的骨转移瘤；骨骼本身及颅骨区域的良性和潜在恶性骨肿瘤及脓肿；疑似脊髓纵裂；在怀疑相邻区域有炎症或肿瘤性改变时评估椎管，以及排除伴有周围神经症状的椎管区域的骨质改变。CT用于确定病变的确切范围；证明器官和结构的浸润情况；用于手术规划；用于监测病程；以及用于诊断复发情况。
