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Differentiation of Spinal Schwannomas and Myxopapillary Ependymomas: MR Imaging and Pathologic Features
http://hdl.handle.net/2237/25759
http://hdl.handle.net/2237/25759ae64805f-a9b8-4cfd-bf0b-e4cd194760f3
名前 / ファイル | ライセンス | アクション |
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No126ando.pdf (74.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-03-23 | |||||
タイトル | ||||||
タイトル | Differentiation of Spinal Schwannomas and Myxopapillary Ependymomas: MR Imaging and Pathologic Features | |||||
言語 | en | |||||
著者 |
Ando, Kei
× Ando, Kei× Imagama, Shiro× Ito, Zenya× Hirano, Kenichi× Tauchi, Ryoji× Muramoto, Akio× Matsui, Hiroki× Matsumoto, Tomohiro× Sakai, Yoshihito× Matsuyama, Yukihiro× Ishiguro, Naoki |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | This is a non-final version of an article published in final form in (Journal of Spinal Disorders & Techniques. v.27, n.2, 2014, p.105-110). | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | MR imaging | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | pathologic features | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | spinal schwannomas | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | myxopapillary ependymomas | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | differentiation | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | STUDY DESIGN: Retrospective clinical study. OBJECTIVE: The objective of this study is to evaluate magnetic resonance imaging and pathologic features of spinal schwannomas (SCHs) and myxopapillary ependymomas (MPEs) with focus on differentiating 2 disease entities. SUMMARY OF BACKGROUND DATA: Few studies have reported on the differentiation of SCHs and MPEs. METHODS: Fifty-three patients were retrospectively reviewed with histologically confirmed spinal SCHs (41 patients) or MPEs (12 patients) of the cauda equina and/or conus medullaris. We evaluated neurological deterioration after surgery in association with the intraoperative findings of the tumor, as well as with the preoperative magnetic resonance images and postoperative histologic findings. RESULTS: Patients in the SCH group had a greater mean age at surgery and a greater mean disease duration. In the SCH group, all 24 tumors that were homogeneously hyperintense on the T2-weighted (T2W) images showed rim enhancement on the postcontrast T1-weighted (T1W) images. Moreover, all 14 of the SCHs with homogeneous enhancement on the postcontrast T1W images were isointense on the T2W images. However, in the MPE group, all 8 of the tumors that were homogeneously hyperintense on T2W images showed homogeneous enhancement on their postcontrast T1W images. CONCLUSIONS: It is very important to differentiate SCHs and MPEs before surgery, because there are reported cases of dissemination of MPEs through cerebrospinal fluid throughout the neuraxis; the tumor must be removed en block to prevent this. Although MPEs and SCHs may have similar imaging characteristics, detailed examination of the magnetic resonance T2W image and postcontrast T1W image facilitates their differentiation. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Lippincott Williams & Wilkins | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1097/BSD.0b013e31825017aa | |||||
ISSN | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 1536-0652 | |||||
書誌情報 |
en : Journal of Spinal Disorders & Techniques 巻 27, 号 2, p. 105-110, 発行日 2014-04 |
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著者版フラグ | ||||||
値 | author | |||||
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識別子 | http://doi.org/10.1097/BSD.0b013e31825017aa | |||||
識別子タイプ | DOI | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/25759 | |||||
識別子タイプ | HDL |