Lumbar vertebral chordoma: diffusion-weighted imaging findings are helpful to narrow the differential diagnosis. A case report

被引:4
作者
Sartoretti-Schefer, Sabine [1 ]
Oberle, Joachim [2 ]
Binkert, Christoph [1 ]
Pfofe, Denis [3 ]
Gutzeit, Andreas [1 ]
机构
[1] Kantonsspital Winterthur, Inst Radiol, CH-8401 Winterthur, Switzerland
[2] Kantonsspital Winterthur, Inst Neurosurg, CH-8401 Winterthur, Switzerland
[3] Kantonsspital Winterthur, Inst Pathol, CH-8401 Winterthur, Switzerland
关键词
Magnetic resonance imaging; Diffusion-weighted imaging; Apparent diffusion coefficient; Lumbar vertebral body; Chordoma; NOTOCHORDAL CELL TUMORS; COMPRESSION FRACTURES; MAGNETIC-RESONANCE; CLASSIC CHORDOMAS; BENIGN; PLASMACYTOMA; SPINE; REST; BODY;
D O I
10.1016/j.clinimag.2012.02.022
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Solitary vertebral chordoma presents as an intra- and extraosseous tumour with typical bright signal on T2-weighted images and moderate inhomogeneous enhancement on T1 postcontrast images. The diffusion weighted imaging (DWI) characteristics of this histologically proven third lumbar vertebra chordoma are reported for the first time. The DWI hyperintensity with increased apparent diffusion coefficient (ADC) values strongly supports the preoperative diagnosis of a vertebral chordoma, allows for careful preoperative planning of the surgical procedure, and helps to narrow the differential diagnosis. (c) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:176 / 179
页数:4
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