Comparative spine imaging in leptomeningeal metastases
Identifieur interne : 000126 ( Main/Exploration ); précédent : 000125; suivant : 000127Comparative spine imaging in leptomeningeal metastases
Auteurs : RBID : ISTEX:11060_1995_Article_BF01059954.pdfEnglish descriptors
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Abstract
Sixty-one patients (34 men; 27 women) ranging in age from 1–74, median 40 years with leptomeningeal metastases (LM) as defined by either positive CSF cytology (85%) or a clinical syndrome and compatible neuroradiographic findings (15%) underwent CT-myelographic (CT-M), spine MR (S-MR) and111Indium-DTPA CSF flow studies (FS). Each patient underwent sequential spine imaging (CT-M, S-MR and FS) over a median of 5 days. In 57% of patients, all 3 spine imaging modalities were normal. 43% of patients demonstrated abnormalities on spine imaging; 33% had abnormal FS, 34% showed abnormalities on S-MR and 33% had abnormalities by CT-M. FS were most sensitive for detecting interruption of CSF flow whereas CT-M and S-MR better demonstrated nerve root thickening (CT-M ∼ S-MR), cord enlargement (CT-M > S-MR), subarachnoid nodules (S-MR>CT-M), intraparenchymal cord tumor (S-MR > CT-M) and epidural spinal cord compression (S-MR=CT-M). In conclusion, patients with LM frequently require spine imaging and the results of this study suggest both S-MR and FS provide the best radiographic assessment wherein S-MR is superior for detecting bulky disease and FS best demonstrates interruption of CSF flow.
DOI: 10.1007/BF01059954
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<record><TEI><teiHeader><fileDesc><titleStmt><title>Comparative spine imaging in leptomeningeal metastases</title><author><name>Marc C. Chamberlain</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurosciences, University of California, San Diego, California, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosciences, University of California, San Diego, California</wicri:regionArea><wicri:noRegion>California</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="RBID">ISTEX:11060_1995_Article_BF01059954.pdf</idno><date when="1995">1995</date><idno type="doi">10.1007/BF01059954</idno><idno type="wicri:Area/Main/Corpus">000C81</idno><idno type="wicri:Area/Main/Curation">000C81</idno><idno type="wicri:Area/Main/Exploration">000126</idno></publicationStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>CT myelography</term><term>Leptomeningeal metastasis</term><term>Spine MR</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="eng">Sixty-one patients (34 men; 27 women) ranging in age from 1–74, median 40 years with leptomeningeal metastases (LM) as defined by either positive CSF cytology (85%) or a clinical syndrome and compatible neuroradiographic findings (15%) underwent CT-myelographic (CT-M), spine MR (S-MR) and111Indium-DTPA CSF flow studies (FS). Each patient underwent sequential spine imaging (CT-M, S-MR and FS) over a median of 5 days. In 57% of patients, all 3 spine imaging modalities were normal. 43% of patients demonstrated abnormalities on spine imaging; 33% had abnormal FS, 34% showed abnormalities on S-MR and 33% had abnormalities by CT-M. FS were most sensitive for detecting interruption of CSF flow whereas CT-M and S-MR better demonstrated nerve root thickening (CT-M ∼ S-MR), cord enlargement (CT-M > S-MR), subarachnoid nodules (S-MR>CT-M), intraparenchymal cord tumor (S-MR > CT-M) and epidural spinal cord compression (S-MR=CT-M). In conclusion, patients with LM frequently require spine imaging and the results of this study suggest both S-MR and FS provide the best radiographic assessment wherein S-MR is superior for detecting bulky disease and FS best demonstrates interruption of CSF flow.</div></front></TEI><mods xsi:schemaLocation="http://www.loc.gov/mods/v3 file:///applis/istex/home/loadistex/home/etc/xsd/mods.xsd" version="3.4" istexId="defb997bb928f5cc0c48c388d67769030b6dff1d"><titleInfo lang="eng"><title>Comparative spine imaging in leptomeningeal metastases</title></titleInfo><name type="personal"><namePart type="given">Marc C.</namePart><namePart type="family">Chamberlain</namePart><role><roleTerm type="text">author</roleTerm></role><affiliation>Department of Neurosciences, University of California, San Diego, California, USA</affiliation></name><typeOfResource>text</typeOfResource><genre>Original Paper</genre><originInfo><publisher>Kluwer Academic Publishers, Dordrecht</publisher><dateValid encoding="w3cdtf">2005-01-12</dateValid><copyrightDate encoding="w3cdtf">1995</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="eng">Sixty-one patients (34 men; 27 women) ranging in age from 1–74, median 40 years with leptomeningeal metastases (LM) as defined by either positive CSF cytology (85%) or a clinical syndrome and compatible neuroradiographic findings (15%) underwent CT-myelographic (CT-M), spine MR (S-MR) and111Indium-DTPA CSF flow studies (FS). Each patient underwent sequential spine imaging (CT-M, S-MR and FS) over a median of 5 days. In 57% of patients, all 3 spine imaging modalities were normal. 43% of patients demonstrated abnormalities on spine imaging; 33% had abnormal FS, 34% showed abnormalities on S-MR and 33% had abnormalities by CT-M. FS were most sensitive for detecting interruption of CSF flow whereas CT-M and S-MR better demonstrated nerve root thickening (CT-M ∼ S-MR), cord enlargement (CT-M > S-MR), subarachnoid nodules (S-MR>CT-M), intraparenchymal cord tumor (S-MR > CT-M) and epidural spinal cord compression (S-MR=CT-M). In conclusion, patients with LM frequently require spine imaging and the results of this study suggest both S-MR and FS provide the best radiographic assessment wherein S-MR is superior for detecting bulky disease and FS best demonstrates interruption of CSF flow.</abstract><subject lang="eng"><genre>Key words</genre><topic>leptomeningeal metastasis</topic><topic>spine MR</topic><topic>CT myelography</topic></subject><relatedItem type="series"><titleInfo type="abbreviated"><title>J Neuro-Oncol</title></titleInfo><titleInfo><title>Journal of Neuro-Oncology</title><partNumber>Year: 1995</partNumber><partNumber>Volume: 23</partNumber><partNumber>Number: 3</partNumber></titleInfo><genre>Archive Journal</genre><originInfo><dateIssued encoding="w3cdtf">1995-10-01</dateIssued><copyrightDate encoding="w3cdtf">1995</copyrightDate></originInfo><subject usage="primary"><topic>Medicine & Public Health</topic><topic>Oncology</topic></subject><identifier type="issn">0167-594X</identifier><identifier type="issn">Electronic: 1573-7373</identifier><identifier type="matrixNumber">11060</identifier><identifier type="local">IssueArticleCount: 13</identifier><recordInfo><recordOrigin>Kluwer Academic Publishers, 1995</recordOrigin></recordInfo></relatedItem><identifier type="doi">10.1007/BF01059954</identifier><identifier type="matrixNumber">Art7</identifier><identifier type="local">BF01059954</identifier><accessCondition type="use and reproduction">MetadataGrant: OpenAccess</accessCondition><accessCondition type="use and reproduction">AbstractGrant: OpenAccess</accessCondition><accessCondition type="restriction on access">BodyPDFGrant: Restricted</accessCondition><accessCondition type="restriction on access">BodyHTMLGrant: Restricted</accessCondition><accessCondition type="restriction on access">BibliographyGrant: Restricted</accessCondition><accessCondition type="restriction on access">ESMGrant: Restricted</accessCondition><part><extent unit="pages"><start>233</start><end>238</end></extent></part><recordInfo><recordOrigin>Kluwer Academic Publishers, 1995</recordOrigin><recordIdentifier>11060_1995_Article_BF01059954.pdf</recordIdentifier></recordInfo></mods></record>Pour manipuler ce document sous Unix (Dilib)
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