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1、CHINESEJOURNALOFCTANDMRI,FEB2013,Vol.11,No.1TotalNo.48AnalysisofCTandMRIDiagnosisofSolitayPlasmacytomaofSpineTAOJun-hua,CAOHe-tao.DepartmentofMedicalImaging,thesecondPeople’sHospi-talofQidong,QidongJiangsu226241,China论著[Abstract]ObjectiveToexplorethevalueofCTandMRIdiagnosisofsolitaypl
2、asmacy-tomaofspine(SPS).Materialandmethods9casesSPSsurgicallyconfirmedwerecollected,ofwhich7caseswereexaminedbyCT,4caseswereexaminedbyMRI,3caseswereexaminedbyCTandMRIsimultaneously,5caseshaveenhancedscanning.ToobserveSPSwhetherithasthefeaturesofexpansionandMinibrainkindofbonedestructi
3、on,adjacent脊柱孤立性浆细胞softtissuemassandenhanceperformance.Results9casesSPSallrepresenteddifferentdegreevertebralbonedestruction,ofwhich5casesinvolvingtheaccessories,3caseswith瘤的CT和MRI诊断vertebralcompressionfractures;5casesshowedmildexpansionbonedestruction,5cases分析withresidualcrestboneofd
4、ifferentlengthandthicknessesinbonedestructionareaedgewhichsimilartoMinibrainappearanceinacross-sectional,4caseswithasymmetricsofttissuemassadjacenttovertebralbody,whichallenhanceddifferently.ConclusionMildexpansionbonedestructionwithMinibraininbonedestructionareaedgewasaspecial1.江苏省启东
5、市第二人民医院影像科performanceofSPS,whichhasimportantvaluetothediagnosis.（江苏启东226241）[Keywords]spineL»plasmacytoma;tomography;X-raycomputedL»magneticresonance2.江苏省南通大学附属医院影像科imagine（江苏南通226001）陶军华1曹和涛2脊柱孤立性浆细胞瘤（solitayplasmacytomaofspine，SPS）【摘要】目的探讨CT和MRI诊断脊柱少见，日常单发椎体破坏很少想到SPS诊断；对其特征性影像表现缺乏孤立
6、性浆细胞瘤（solitayplasmacytomaofspine，SPS）的价足够认识可能是误诊最主要的原因[1-8]。Major等[2]认为“微脑样”值。材料与方法收集手术病理证实的SPS9例，7例作了CT检查，4例作了(Minibrainapperance)骨质破坏是SPS的特征性影像表现，借此无需MRI检查，3例同时作了CT和MRI检查，活检即可诊断并进行针对性治疗；对此，国内笔者未见相关研究报道。为5例作了增强扫描。观察SPS有无膨胀、“微脑样”(Minibrainapperance)骨进一步提高认识SPS影像表现，尤其是特征性“微脑样”骨质破坏形成质破坏
7、特征、邻近软组织肿块以及增机制，笔者收集9例病理证实影像资料进行分析。强后表现。结果9例SPS均表现椎体不同程度骨质破坏，5例累及附件，3例椎体压缩骨折；5例表现轻度骨膨胀1材料与方法破坏，5例骨破坏边缘残留长短粗细不一的骨嵴，横断位类似于“微脑”征象，4例椎体边缘伴不对称软组织肿1.1一般资料9例SPS来源于本院1例，江苏省肿瘤医院2例，块，增强扫描均呈现不同程度强化。结上海长海医院2例，南通大学附属医院4例。男6例，女3例，年龄35~67论轻度膨胀性骨质破坏伴边缘“微脑”征象是SPS的特殊表现，对诊断具岁，平均48.2岁。患者临床上均表现为局部肿胀、疼痛，在确
8、诊前平均有
