Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors
The features of non-neoplastic lesions are often similar to those of intramedullary tumors, and a differential diagnosis is challenging to obtain in some cases. A surgical biopsy, which is performed on highly invasive tumors, should be avoided in cases of non-neoplastic lesions. Therefore, an accura...
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| Format: | Article |
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MDPI AG
2022-11-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/12/2969 |
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| author | Keita Kajikawa Narihito Nagoshi Osahiko Tsuji Satoshi Suzuki Masahiro Ozaki Yohei Takahashi Mitsuru Yagi Morio Matsumoto Masaya Nakamura Kota Watanabe |
| author_facet | Keita Kajikawa Narihito Nagoshi Osahiko Tsuji Satoshi Suzuki Masahiro Ozaki Yohei Takahashi Mitsuru Yagi Morio Matsumoto Masaya Nakamura Kota Watanabe |
| author_sort | Keita Kajikawa |
| collection | DOAJ |
| description | The features of non-neoplastic lesions are often similar to those of intramedullary tumors, and a differential diagnosis is challenging to obtain in some cases. A surgical biopsy, which is performed on highly invasive tumors, should be avoided in cases of non-neoplastic lesions. Therefore, an accurate diagnosis is important prior to treatment. We evaluated 43 patients suspected of having spinal cord tumors and, finally, were diagnosed with non-neoplastic intramedullary lesions via magnetic resonance imaging. The patients commonly presented with myelitis. The patients with non-neoplastic neurological diseases had a significantly shorter symptom duration than those with intramedullary astrocytomas. The proportion of patients with non-neoplastic neurological diseases who presented with lesions at the cervical spinal level and focal lesions on axial imaging but without a spinal cord enlargement was significantly higher than that of patients with intramedullary astrocytomas. The current study aimed to distinguish spinal cord tumors from non-neoplastic intramedullary lesions based on their distinct features. |
| first_indexed | 2024-03-09T17:08:35Z |
| format | Article |
| id | doaj.art-a73b5d921965493984f330b6a55388a3 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T17:08:35Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-a73b5d921965493984f330b6a55388a32023-11-24T14:16:23ZengMDPI AGDiagnostics2075-44182022-11-011212296910.3390/diagnostics12122969Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary TumorsKeita Kajikawa0Narihito Nagoshi1Osahiko Tsuji2Satoshi Suzuki3Masahiro Ozaki4Yohei Takahashi5Mitsuru Yagi6Morio Matsumoto7Masaya Nakamura8Kota Watanabe9Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanThe features of non-neoplastic lesions are often similar to those of intramedullary tumors, and a differential diagnosis is challenging to obtain in some cases. A surgical biopsy, which is performed on highly invasive tumors, should be avoided in cases of non-neoplastic lesions. Therefore, an accurate diagnosis is important prior to treatment. We evaluated 43 patients suspected of having spinal cord tumors and, finally, were diagnosed with non-neoplastic intramedullary lesions via magnetic resonance imaging. The patients commonly presented with myelitis. The patients with non-neoplastic neurological diseases had a significantly shorter symptom duration than those with intramedullary astrocytomas. The proportion of patients with non-neoplastic neurological diseases who presented with lesions at the cervical spinal level and focal lesions on axial imaging but without a spinal cord enlargement was significantly higher than that of patients with intramedullary astrocytomas. The current study aimed to distinguish spinal cord tumors from non-neoplastic intramedullary lesions based on their distinct features.https://www.mdpi.com/2075-4418/12/12/2969non-neoplastic intramedullary lesionintramedullary tumormagnetic resonance imaging (MRI) |
| spellingShingle | Keita Kajikawa Narihito Nagoshi Osahiko Tsuji Satoshi Suzuki Masahiro Ozaki Yohei Takahashi Mitsuru Yagi Morio Matsumoto Masaya Nakamura Kota Watanabe Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors Diagnostics non-neoplastic intramedullary lesion intramedullary tumor magnetic resonance imaging (MRI) |
| title | Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors |
| title_full | Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors |
| title_fullStr | Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors |
| title_full_unstemmed | Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors |
| title_short | Clinical and Imaging Characteristics of Non-Neoplastic Spinal Lesions: A Comparative Study with Intramedullary Tumors |
| title_sort | clinical and imaging characteristics of non neoplastic spinal lesions a comparative study with intramedullary tumors |
| topic | non-neoplastic intramedullary lesion intramedullary tumor magnetic resonance imaging (MRI) |
| url | https://www.mdpi.com/2075-4418/12/12/2969 |
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