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27 cases of MRI diagnosis of spinal metastases
PAGE \* MERGEFORMAT 5
27 cases of MRI diagnosis of spinal metastases
[Keywords:] MRI diagnosis of spinal metastases
Spinal metastases clinical common diseases, this retrospective analysis of 27 cases with clinical and pathologically confirmed spinal metastasis MRI performance was to investigate the MRI in the diagnosis of spinal metastases in value.
1 Data and methods
1.1 General Information
The group of 27 cases in 19 males and 8 females, aged 35 to 82 years, an average of 58.5 years. The main clinical manifestations are back, lower back pain and spinal cord and nerve root compression symptoms. Primary tumor were as follows: 7 cases of lung cancer, nasopharyngeal carcinoma, 4 cases of endometrial carcinoma in 1 case, breast cancer, 4 cases, 3 cases of pancreatic head cancer, prostate cancer in 5 cases, liver in 2 cases, kidney in 1 case.
1.2 Inspection Method
Siemens NOVUS 0.35T permanent magnet magnetic resonance scanner, slice thickness 5mm, layer away from 1mm, all patients were using fast spin-echo sequence T1WI and T2WI imaging, some patients plus coronal scan imaging and fat-suppression sequence imaging, field of vision 320 , matrix 256 * 256, collecting the number of 3 times.
2 Results
27 cases of cases, 1 case involving a single vertebra, 26 cases involving multiple vertebral body at the same time, a total of involving the vertebral body 104, of which seven cervical, thoracic 54, lumbar sacral vertebrae 43; involving the attachment 72. Pathological vertebral fractures in 21 cases, 17 cases involving the spinal canal, one cases of violation of the spinal cord. No one cases of disc damage.
Like lesions on T1WI appeared as low signal, T2WI, as their different types of metastatic tumors and high performance, low-and mixed-signal, showing round or irregular shape, the border may be unclear or vague. Osteoblastic metastases in T1WI and T2WI on Jun Cheng low signal. Reposted elsewhere in the paper for free download
Multiple vertebral disease cas
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