Vogelsang H, Busse O
Neuropadiatrie. 1976 Feb;7(1):3-18. doi: 10.1055/s-0028-1091607.
In the diagnosis of spinal and intraspinal space-occupying processes great importance attaches to radiologic plain film diagnosis, including special projections and tomography. Using refined evaluation methods, direct and indirect signs of tumors can be demonstrated in 30-50% of cases. Of decisive importance is the myelographic examination. It permits the determination of the exact localization and the size of a tumor. Contrast studies frequently allow an identification of the tumor type. Spinal arteriography and phlebography, on the other hand, are of secondary importance in the diagnosis of tumors of both spinal canal and spinal cord. In patients with bone infiltration they accomplish a valuable contribution to determine whether this expansion is directed towards the epidural space or the soft tissue structures of the back.
在脊柱及椎管内占位性病变的诊断中，放射学平片诊断非常重要，包括特殊投照和体层摄影。采用精细的评估方法，在30%至50%的病例中可显示肿瘤的直接和间接征象。脊髓造影检查至关重要。它能确定肿瘤的确切位置和大小。对比研究常常有助于识别肿瘤类型。另一方面，脊柱动脉造影和静脉造影在椎管和脊髓肿瘤的诊断中重要性次之。对于有骨质浸润的患者，它们在确定这种扩展是朝向硬膜外间隙还是背部软组织结构方面有重要作用。
