De Beuckeleer L, van den Hauwe L, Bracke P, Ceulemans R, Parizel P M, d'Archambeau O, De Schepper A
Department of Radiology, University Hospital Antwerp, Belgium.
J Belge Radiol. 1997 Feb;80(1):21-5.
Primary tumors of the osseous spine are rare. This article illustrates some aspects of imaging of tumoral pathology of the osseous spine. Plain film and CT scan still remain the initial imaging modalities in the work-up of tumoral pathology of the osseous spine. MR imaging however has proven its potentials in the detection of lesions in areas with superimposing structures which hamper reliable reading of the plain films or in areas with a complex bony anatomy such as the sacrum. MR imaging is exquisite in determining the local extent of tumoral lesions and in defining the relationship to adjacent central nervous system structures. In some tumors or tumor-like lesions, MR imaging allows to make a correct tissue-related diagnosis or to strengthen the diagnosis made on plain film/CT observations. In other case MR imaging only has a role in staging or may have definitely no role at all.
脊柱原发性肿瘤较为罕见。本文阐述了脊柱肿瘤病理学成像的一些方面。在脊柱肿瘤病理学检查中，平片和CT扫描仍是初始成像方式。然而，磁共振成像（MR成像）已证明其在检测有重叠结构（妨碍平片可靠解读）的区域或诸如骶骨等具有复杂骨骼解剖结构区域的病变方面具有潜力。MR成像在确定肿瘤病变的局部范围以及界定与相邻中枢神经系统结构的关系方面非常出色。在某些肿瘤或肿瘤样病变中，MR成像有助于做出正确的与组织相关的诊断，或强化基于平片/CT观察所做出的诊断。在其他情况下，MR成像仅在分期方面发挥作用，或者可能根本不起任何作用。
