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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https://doi.org/10.58600/eurjther-199342-1102-xKeywords:
Spine, Infection, Tumor, CTAbstract
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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