MRI APPEARANCE OF SPINAL LESIONS: METASTATIC TUMORS OR INFECTIONS?
MRI APPEARANCE OF SPINAL LESIONS: METASTATIC TUMORS OR INFECTIONS?
摘要
Three patients with pathologically verified spinal osteomyelitis and another three with metastatic tumors of the spine were investigated. MRI of the spine of four patients show-ed several unusual findings. The preservation of intervertehral discs and endplates did not predict accurately the diagnosis of either infections or tumors. The pepper and salt appearing feature may also occur in a metastatic tumor. Plain radiographs. CT. and radioisotope bone scans were less sensitive than MRI to disclose the lesions. In cases of osteomyelitis, the systemic sources of infections were frequently not found. and the responsible microorganisms could not be identified even from the surgical specimens of two patients. However, mycobacterium tuberculosis was found in the surgical specimen of a patient with cervical spinal lesion whose MRI was indistinguishable from a metastatic tumor. Surgicopathological diagnosis was therefore crucial and mandatory in these in stances.
Three patients with pathologically verified spinal osteomyelitis and another three with metastatic tumors of the spine were investigated. MRI of the spine of four patients show-ed several unusual findings. The preservation of intervertehral discs and endplates did not predict accurately the diagnosis of either infections or tumors. The pepper and salt appearing feature may also occur in a metastatic tumor. Plain radiographs. CT. and radioisotope bone scans were less sensitive than MRI to disclose the lesions. In cases of osteomyelitis, the systemic sources of infections were frequently not found. and the responsible microorganisms could not be identified even from the surgical specimens of two patients. However, mycobacterium tuberculosis was found in the surgical specimen of a patient with cervical spinal lesion whose MRI was indistinguishable from a metastatic tumor. Surgicopathological diagnosis was therefore crucial and mandatory in these in stances.
参考文献8
-
1Duna R. Burke,M. Brant-Zawadzki.CT of pyogenic spine infection[J]. Neuroradiology . 1985 (2)
-
2Sze G,Krol G,Zimmerman RD,et al.Malignant extradural spinal tumors:MR imaging with Gd-DTPA. Radiology . 1988
-
3Valk J.Gd-DTPA in MR of spinal lesions. American Journal of Roentgenology . 1988
-
4Shackman R,Harrison C.Occult bone metastasis. British Journal of Surgery . 1948
-
5Stimac GK,Porter BA,Olson DO,et al.Gadolinium-DTPA-enhanced MR imaging of spinal neoplasms:preliminary investigation and comparison with unenhanced spin-echo and STIR sequences. American Journal of Roentgenology . 1988
-
6Livingston KE,Perrin RG.The neurosurgical management of spinal metastases causing cord and cauda equina compression. Journal of Neurosurgery . 1978
-
7Fornasier VL,Horne JG.Metastases to the vertebral column. Cancer . 1975
-
8Daffner RH,Lupetin AR,Dash N,et al.MRI in the detection of malignant infiltration of bone marrow. American Journal of Roentgenology . 1986
-
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-
2方水芹,阮卉.中心静脉导管相关感染的预防和护理现状[J].上海预防医学,2010,22(3):159-163. 被引量:24
-
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-
4练慧萍,刁淑华,谢乙明.集束化护理干预在PICC置管病人中的应用[J].全科护理,2016,14(29):3057-3059. 被引量:10
-
5蒋雅琼.中心静脉导管感染的预防与护理[J].护理实践与研究,2010,7(9):89-91. 被引量:11
-
6韦靖,何静,吴艳,廖晓玲.中心静脉导管相关性感染的危险因素与护理[J].中华现代护理杂志,2008,14(24):2632-2633. 被引量:5
-
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-
8陶宝英.首次换药时间对清创缝合术后患者伤口愈合的影响[J].上海护理,2012,12(3):30-31. 被引量:2
-
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-
10金山银山换不来第一胎 珍视初孕机会可降低不孕风险[J].自我保健,2014,0(12):64-65.