Document Detail


Diagnostic imaging of solitary tumors of the spine: what to do and say.
MedLine Citation:
PMID:  18635627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Metastatic disease, myeloma, and lymphoma are the most common malignant spinal tumors. Hemangioma is the most common benign tumor of the spine. Other primary osseous lesions of the spine are more unusual but may exhibit characteristic imaging features that can help the radiologist develop a differential diagnosis. Radiologic evaluation of a patient who presents with osseous vertebral lesions often includes radiography, computed tomography (CT), and magnetic resonance (MR) imaging. Because of the complex anatomy of the vertebrae, CT is more useful than conventional radiography for evaluating lesion location and analyzing bone destruction and condensation. The diagnosis of spinal tumors is based on patient age, topographic features of the tumor, and lesion pattern as seen at CT and MR imaging. A systematic approach is useful for recognizing tumors of the spine with characteristic features such as bone island, osteoid osteoma, osteochondroma, chondrosarcoma, vertebral angioma, and aneurysmal bone cyst. In the remaining cases, the differential diagnosis may include other primary spinal tumors, vertebral metastases and major nontumoral lesions simulating a vertebral tumor, Paget disease, spondylitis, echinococcal infection, and aseptic osteitis. In many cases, vertebral biopsy is warranted to guide treatment.
Authors:
Mathieu H Rodallec; Antoine Feydy; Frédérique Larousserie; Philippe Anract; Raphaël Campagna; Antoine Babinet; Marc Zins; Jean-Luc Drapé
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  28     ISSN:  1527-1323     ISO Abbreviation:  Radiographics     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-07-18     Completed Date:  2008-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1019-41     Citation Subset:  IM    
Affiliation:
Department of Radiology, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674 Paris 14, France. mathieurodallec@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Physician-Patient Relations*
Solitary Fibrous Tumors / diagnosis*
Spinal Neoplasms / diagnosis*
Tomography, X-Ray Computed / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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