The Role of CT in Differential Diagnosis Between Infectious and Tumoral Pathologies of Spine.

[Vertebranın Tümöral ve İnfeksiyöz Patolojilerinin Ayırıcı Tanısında BT'nin Rolü]


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Authors

  • M. Metin Bayram Gaziantep Üniversitesi Tıp Fak.Radyoloji ABD. Yrd.Doç.Dr.
  • Levent Dülgar GAP-TIP Teşhis Merkezi/Gaziantep Radyoloji Uzmanı
  • Abdülvahap Gök Gaziantep Üniversitesi Tıp Fak.Naroşirarji ABD. Yrd.Doç.Dr.
  • Coşkun Özsaraç Gaziantep Üniversitesi Tıp Fak.Patoloji ABD. Yrd.Doç.Dr.

DOI:

https://doi.org/10.58600/eurjther-199342-1102-x

Keywords:

Spine, Infection, Tumor, CT

Abstract

To investigate the role of computed tomography (CT) in diagnosis of infectious and tumoral processes of spine total 29 CT examination has been evaluated retrospectively. There were 13 cases of metastasis, 9 tuberculous osteomyelitis, 3 pyogenic osteomyelitis and 4 multipl myeloma. Reliable criterias for tumoral processes were presence of posterior element involvement and paravertebral soft tissue component when paravertebral fat tissue density was normal. in infectious processes (both pyogenic and non-pyogenic) litic-destructive lesions were observed. Paravertebral soft tissue component was biJateral and large and typically paravertebral fat tissue was obliterated. There was no CT criteria observed in differentiation of pyogenic versus non-pyogenic infections. Sclerotic vertebteral lesions were characteristic for tumoral processes (especially metastasis ). If typical litic-destructive pattern is observed corpus and/or posterior elements of vertebra spesific diagnosis of multipl myeloma can be made.

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References

Golimbu C., Firooznia H., Rafii M.CT of Osteomyelitis of the Spine. AJR 1984; 142:159-163.

Price AC., Allen JH., Eggers FM., Shaff MI., James AE Jr. Intervertebral disk-space infection:CT changes. Radiology 1983; 149:725-729.

Harbin WP. Metastatic disease and the non-spesific bone scan:value of the spinal computed tomography. Radiology 1982; 145:105-107.

LaBerge JM., Brant-Zawadzki M., Evaluation of the Pott's disease with computed tomography. Neuroradiology 1984; 26:429-434.

Whelan MA., Schonfeld 5., Post JD et al.:Computed tomography of non-tuberculous spinal infection. J.Comput Assist Tomogr 1985; 9:280-287.

Burke DR., Brant-Zawadzki M.CT of pyogenic spine infection. Neuroradiology 1985; 27:131-137.

Kattapuram SV., Phillips WC., Boyd R. CT in pyogenic osteomyelitis of the spine. AJR 1983; 140:1199-1201.

Van Lom KJ., Kellerhouse LE., Pathria MN et al.:Infection versus tumor in the spine:Criteria for distinction with CT. Radiology 1988; 166:851-855.

Beli D., Cockshott WP.:Tuberculosis of the vertebral pedicles. Radiology 1971; 99:43-48.

Larde D., Mathieu D., Frija J et al.:Vertebral osteomyelitis:Disk hypodensity on CT.AJR 1982; 139:963-967.

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Published

1993-06-01

How to Cite

Bayram, M. M., Dülgar, L., Gök, A., & Özsaraç, C. (1993). The Role of CT in Differential Diagnosis Between Infectious and Tumoral Pathologies of Spine.: [Vertebranın Tümöral ve İnfeksiyöz Patolojilerinin Ayırıcı Tanısında BT’nin Rolü]. European Journal of Therapeutics, 4(2), 229–236. https://doi.org/10.58600/eurjther-199342-1102-x

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Original Articles