Document Detail


Vertebral neoplastic compression fractures: assessment by dual-phase chemical shift imaging.
MedLine Citation:
PMID:  15558548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare normal vertebrae with vertebrae with neoplastic compression fractures by means of opposed-phase (OP) and in-phase (IP) gradient-echo (GRE) imaging. MATERIALS AND METHODS: On OP and IP T1-W GRE images (obtained at 1.5 T with the fast low-angle shot (FLASH) technique) of dual-phase chemical shift sequences, we compared the signal intensity ratios (SIRs) of normal and compression-fractured vertebrae in 108 patients. Dual-phase chemical shift sequences were measured in three groups of vertebral bone marrow in terms of the relative SIR in OP and IP images: group 1: normal vertebrae (N = 30 with 90 vertebrae); group 2: non-neoplastic compression-fractured vertebrae (N = 58 with 73 vertebrae); and group 3: neoplastic compression-fractured vertebrae (N = 20 with 27 vertebrae). The presence of compressed vertebrae was ascertained based on the consensus of two experienced radiologists. The mean SIRs among the three groups were compared by means of the Tukey-Kramer test. RESULTS: The mean SIRs of the three groups (group 1: 0.46 +/- 0.14; group 2: 0.63 +/- 0.21; and group 3: 1.02 +/- 0.11) were significantly different according to the Tukey-Kramer test (P < 0.01). CONCLUSION: OP and IP T1-W GRE MRI of vertebral SI abnormalities can help predict the nature of compression fractures.
Authors:
Kozawa Eito; Saito Waka; Nishi Naoko; Arnanuma Makoto; Heshiki Atsuko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  20     ISSN:  1053-1807     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-26     Completed Date:  2005-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1020-4     Citation Subset:  IM    
Copyright Information:
2004 Wiley-Liss, Inc.
Affiliation:
Department of Radiology, Saitama Medical School, Saitama, Japan. 8kozawa@saitama-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Fractures, Spontaneous / diagnosis*,  etiology
Humans
Lumbar Vertebrae / injuries*,  pathology
Magnetic Resonance Imaging* / methods
Male
Middle Aged
Spinal Fractures / diagnosis*,  etiology
Spinal Neoplasms / complications*,  secondary*

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


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