脊髓病变的诊断方法
Hermann Krähling1, Max Seidensticker2, Walter L Heindel1
1Clinic of Radiology, University of Münster, Münster, Germany.
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
|November 15, 2023
概括
大多数脏病变是良性的,在成像中偶尔会发现. 计算机断层扫描 (CT) 和磁共振成像 (MRI) 有助于诊断这些罕见的发现,经常避免侵入性手术.
科学领域:
- 放射学 放射学是一门学科.
- 腹部成像 腹部成像 腹部成像
- 诊断成像 诊断成像 诊断成像
背景情况:
- 脏病变不常见,在横截面成像过程中经常偶然发现.
- 大多数脏病变表现出良性特征,可通过成像特征识别.
- 侵袭性评估只适用于具有模两可或潜在恶性起源的脏病变.
研究的目的:
- 审查脏病变的差异诊断.
- 概述成像特征,并为脏病变提供诊断流程图.
- 强调成像在诊断脏病变中的作用,并尽量减少对侵入性手术的需要.
主要方法:
- 关于脏病变及其成像特征的文献综述.
- 使用计算机断层扫描 (CT) 和磁共振成像 (MRI) 作为主要的诊断方式.
- 开发一个流程图来指导对脏病变的诊断方法.
主要成果:
- 有相当数量的脏病变可以仅基于成像形态学来诊断,从而消除了对组织学的需要.
- CT和MRI是评估脏病变的首选成像工具.
- 组织学检查仅在某些特定情况下才适用,特别是对于有不确定的病因的偶然发现.
结论:
- 脏病变很少见,通常是良性的,通常是偶然发现的.
- 对CT和MRI的成像特征对于诊断至关重要.
- 在需要组织学确认时,图像导向活检优先于脊髓切除术.
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