Diagnosis of vertebral metastasis, epidural metastasis, and malignant spinal cord compression: are T1-weighted sagittal images sufficient?
| Autor: | Thomas J. Learch, Jennifer K Kim, Michael R. Terk, John W Lee, Patrick M. Colletti, Steven D Tran |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Cord Biomedical Engineering Biophysics Lumbar vertebrae Sensitivity and Specificity Thoracic Vertebrae Spinal cord compression Confidence Intervals medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over Lumbar Vertebrae Spinal Neoplasms business.industry Reproducibility of Results Middle Aged Spinal cord medicine.disease Magnetic Resonance Imaging Spinal column Sagittal plane medicine.anatomical_structure Thoracic vertebrae Cervical Vertebrae Female Epidural Neoplasms Radiology business Spinal Cord Compression Cervical vertebrae |
| Zdroj: | Magnetic Resonance Imaging. 18:819-824 |
| ISSN: | 0730-725X |
| Popis: | The objective of this study was to determine whether T(1)-weighted sagittal images alone are adequate in the diagnosis of vertebral metastasis, epidural metastasis, and malignant spinal cord compression. Ninety-four complete magnetic resonance (MR) studies of the spinal column (a complete study consisting of T(1)-weighted sagittal images, T(2)-weighted sagittal images, and T(1)- and/or T(2)-weighted axial images) and 94 T(1)-weighted sagittal images alone (a subset of the complete studies) from 57 consecutive cancer patients over the last 2 years with clinically suspected cord compression were blindly and independently evaluated by four radiologists. The complete MR studies were used as the standard. Overall, the sensitivity of T(1)-weighted sagittal images alone to vertebral metastasis (87%) was statistically greater than cord compression (70%) (p = 0.05), and statistically greater than epidural metastasis (46%) (p |
| Databáze: | OpenAIRE |
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