The Journal of Bone and Joint Surgery (American). 2008;90:146-162.
doi:10.2106/JBJS.H.00825
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Magnetic Resonance Imaging of Spine Tumors: Classification, Differential Diagnosis, and Spectrum of Disease

Gregory P. Gebauer, MD, MS1, Payam Farjoodi, MD1, Daniel M. Sciubba, MD1, Ziya L. Gokaslan, MD1, Lee H. Riley, III, MD1, Bruce A. Wasserman, MD1 and A. Jay Khanna, MD1

1 c/o Elaine P. Henze, BJ, ELS, Medical Editor, Department of Orthopaedic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, #A672, Baltimore, MD 21224-2780. E-mail address for E.P. Henze: ehenze1@jhmi.edu

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   Introduction
 
Magnetic resonance imaging is an excellent modality for imaging pathologic processes involving the spine1-3. It permits high-resolution imaging of not only the osseous structures but also the soft-tissue structures in multiple orthogonal planes through the use of varying pulse sequences that allow for characterization of the different tissues in and around the spine. The purposes of this report are to (1) describe the specialized pulse sequences and imaging techniques available for evaluation of the spine, (2) describe the defining characteristics of the three compartments into which spinal tumors can be classified, (3) define the differential diagnoses for tumors identified in each of these three compartments, and (4) provide a basic knowledge of the tumors that are commonly encountered in the spine.


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  		Figs. 1-A through 1-D Figs. 1-A through 1-D Magnetic resonance images of a normal lumbar spine: sagittal T1-weighted (Fig. 1-A), axial T1-weighted (Fig. 1-B), sagittal T2-weighted (Fig. 1-C), and axial T2-weighted (Fig. . . . [Full Text of this Article]

 

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