MRI in the diagnosis of spinal tumors progress.doc

 PAGE \* MERGEFORMAT 13 MRI in the diagnosis of spinal tumors progress [Keywords:] spinal canal; tumor; MRI Intraspinal tumors that grow in the spinal cord and the spinal cord itself and relative to the adjacent structure (such as the nerve root, epidural, spinal tissue, blood vessels, etc.) primary tumors and metastatic tumors collectively. Incidence rates by Statistics 2.5/10 million foreign residents, accounting for nervous system diseases of domestic coverage, 2.5% of hospitalized patients with brain tumors, as compared to 1:10.7 over the same period [1,2]. spinal cord tumors occur in the extramedullary, can be found in the spinal cord any segment and cauda equina, but most of thoracic [3], accounting for about 42% to 67%, cervical 20% to 26%. lumbosacral and tail 12% to 24%. The disease can occur in any age, most seen in adults aged 20 to 40, male to female ratio was approximately 1.5:1. intraspinal tumors earlier and more hidden lesion, atypical symptoms, diagnosis is difficult misdiagnosed and missed diagnosis [4]. The main clinical symptoms of pain, sensory dysfunction, movement disorders, sphincter disorders, and sometimes because of disease symptoms and lead to misdiagnosis and missed diagnosis, clinicians should increase the vigilance of this disease, early diagnosis is the key to treatment [5]. A classification of tumors Clinically, according to the tumor and spinal cord, spinal position, and that most will be divided into intramedullary spinal cord tumor, intradural extramedullary and epidural three categories [1]. (1) intramedullary tumors: the most rare spinal tumor, accounting for 9% to 18%. Mainly gliomas. Histologic types generally are: ependymomas: the surface of the central canal of the spinal cord from the subventricular membrane cell, hard, often obvious boundaries. astrocytoma: Although the malignant growth of less invasive but often with no obvious boundaries spinal cord tissue. nerve glioblastoma, rare, highly malignan