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Acute vertebral collapse due to osteoporosis or malignancy: appearance on unenhanced and gadolinium-enhanced MR images
- Source :
- Radiology. 199(2)
- Publication Year :
- 1996
-
Abstract
- To distinguish malignant from osteoporotic acute vertebral collapses.Sixty-three osteoporotic and 30 malignant vertebral collapses were studied in 51 patients (aged 33-88 years) with T1-weighted magnetic resonance (MR) images (n=93), gadolinium-enhanced T1-weighted images (n=72), and T2-weighted images (n=53).Four findings were suggestive of osteoporosis: retropulsion of a bone fragment (10 osteoporotic cases vs 0 malignant cases), preservation of normal signal intensity on T1-weighted images (43 vs four), return to normal signal intensity after gadolinium injection (42 vs four) with horizontal bandlike patterns, and isointense vertebrae on T2-weighted images (28 vs two). Six findings were suggestive of malignancy: convex posterior cortex (21 malignant cases vs four osteoporotic cases), epidural mass (24 vs 0), diffuse low signal intensity within the vertebral body on T1-weighted images (23 vs 12) and in the pedicles (24 vs four), high or inhomogeneous signal intensity after gadolinium injection (17 vs 0) and on T2-weighted images (17 vs 0).Gadolinium-enhanced and unenhanced MR images are useful in the differentiation of vertebral collapses.
- Subjects :
- Male
medicine.medical_specialty
Bone disease
Osteoporosis
Contrast Media
Lumbar vertebrae
Malignancy
Sensitivity and Specificity
Thoracic Vertebrae
Diagnosis, Differential
Heterocyclic Compounds
Predictive Value of Tests
medicine
Organometallic Compounds
Humans
Radiology, Nuclear Medicine and imaging
Retrospective Studies
Lumbar Vertebrae
Spinal Neoplasms
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
Middle Aged
medicine.disease
Magnetic Resonance Imaging
Vertebra
medicine.anatomical_structure
Fractures, Spontaneous
Logistic Models
Thoracic vertebrae
Acute Disease
Spinal Fractures
Female
Radiology
Differential diagnosis
business
Subjects
Details
- ISSN :
- 00338419
- Volume :
- 199
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Radiology
- Accession number :
- edsair.doi.dedup.....f56e49f74477ea008a4e7e61b71c8c10