脊柱腫瘤ppt課件

1、 CT脊柱檢查脊柱檢查DEGENERATION椎間盤變性：SET2 GRE T2* T1WI椎體終板信號改變：DEGENERATIONNormalPost-radiotherapyDISC-HERNIATIONDISC-HERNIATIONDISC-HERNIATIONDISC-HERNIATIONDISC-HERNIATIONDISC-HERNIATION椎管狹窄椎管狹窄分型：中心型外圍型先天型后天型頸頸椎椎病病DISC-HERNIATIONBASAL DEPRESSIONSPINAL CANAL STENOSIS OPLL脫位:位置錯位置錯位位 3.5cm成角成角 11度TRAUMATRA

2、UMA脊髓震蕩脊髓震蕩脊髓受壓脊髓受壓脊髓挫傷脊髓挫傷脊髓損傷脊髓損傷三型三型:1 挫傷挫傷伴出血伴出血2 水腫水腫3 混合混合TRAUMATRAUMATRAUMA(46%), 室管膜瘤室管膜瘤髓內腫瘤髓內腫瘤室管膜瘤室管膜瘤室管膜瘤室管膜瘤星形細胞瘤星形細胞瘤髓內腫瘤髓內腫瘤星形細胞瘤星形細胞瘤星形細胞瘤星形細胞瘤星形細胞瘤星形細胞瘤 CharacteristicCharacteristicEpendymomaAstrocytoma Population in which lesions Population in which lesions most commonly occur most

3、 commonly occurAdultPediatric Location in the spinal canal Location in the spinal canalCentralEccentric Morphologic appearance Morphologic appearanceWell circumscribedIll defined Hemorrhage HemorrhageCommonUncommon Enhancement with contrast material Enhancement with contrast materialF o c a l , i n

4、t e n s e homogeneousP a t c h y , irregular Predilection for involvement Predilection for involvement of the conus medullaris or filum terminale of the conus medullaris or filum terminaleYesNo血管母細胞瘤血管母細胞瘤血管母細胞瘤血管母細胞瘤轉移瘤轉移瘤轉移瘤轉移瘤MENINGIOMAMENINGIOMA-1MENINGIOMA-2神經纖維瘤神經纖維瘤神經纖維瘤神經纖維瘤神經鞘瘤神經鞘瘤TERATOMA其

5、他腫瘤其他腫瘤TERATOMAMETASTASISSUBDURAL CYSTSACRUM CANAL CYSTMETASTASISMETASTASIS-1METASTASIS-2脊索瘤脊索瘤METASTASISMETASTASISMETASTASISACIDOPHIL GRANULOMAMULTIPLE MYELOMA脊柱裂脊柱裂 脊髓栓系脊髓栓系脊脊膜膜膨膨出出脊髓縱裂脊髓縱裂TETHERED CORDTETHERED CORDSYRINGOMYELIASYRINGOMYELIASYRINGOMYELIA SYRINGOMYELIA(DIFFERENT TYPE) 復習題復習題1、急、慢性化膿性骨髓炎的發(fā)病過程和影像學表現。2、脊柱結核的影像學表現。3 、化膿性關節(jié)炎與滑膜