转移灶以外的多级别脊柱病变。

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology Pub Date : 2025-07-09 DOI:10.1016/j.crad.2025.107013

S.L. Chung , P. Tantridge , H. Wassati , J. Jaremko

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引用次数: 0

摘要

目的：回顾多层次的脊柱病变，其中转移是可能的鉴别诊断。资料：我们回顾了一系列表现为多水平脊柱病变的匿名患者。一些患者表现为连续、多节段或弥漫性脊柱改变，尽管最初怀疑，但最终证明不是转移。所有这些脊柱病变都进行了广泛的影像学检查。如果影像学特征怀疑转移或表现出侵袭性特征，则行活检。所有数据都是匿名的。结果：尽管不是转移，但其中一些病变在性质上可能表现为侵袭性。多水平脊柱病变的鉴别诊断包括骨梗死、佩吉特病、髓外造血、治疗相关和轴型脊椎关节病。结论：帮助读者获得经验和信心，以评估可能是转移的多层次脊柱病变的鉴别诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Multilevel spinal lesions beyond metastases

Aim

To review multi-level spinal lesions where metastasis was a possible differential diagnosis.

Materials

A series of anonymised patients who presented with multilevel spinal lesions were reviewed. Some patients presented with contiguous, multilevel, or diffuse spinal changes which ultimately proved to not be metastases despite initial suspicion. All these spinal lesions were evaluated with extensive imaging. If imaging features were suspicious for metastases or showed aggressive features, biopsy was performed. All data was anonymised.

Results

Despite not being metastases, some of these lesions can appear aggressive in nature. Differential diagnosis of multilevel spinal lesions included bone infarcts, Paget's, extra-medullary haematopoiesis, treatment related and axial spondyloarthropathy.

Conclusions

To help readers gain experience and confidence in assessing the differential diagnosis of multi-level spinal lesions which could be metastases.

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来源期刊

Clinical radiology 医学-核医学

CiteScore

4.70

自引率

3.80%

发文量

528

审稿时长

76 days

期刊介绍： Clinical Radiology is published by Elsevier on behalf of The Royal College of Radiologists. Clinical Radiology is an International Journal bringing you original research, editorials and review articles on all aspects of diagnostic imaging, including: • Computed tomography • Magnetic resonance imaging • Ultrasonography • Digital radiology • Interventional radiology • Radiography • Nuclear medicine Papers on radiological protection, quality assurance, audit in radiology and matters relating to radiological training and education are also included. In addition, each issue contains correspondence, book reviews and notices of forthcoming events.