Vertebral body (VB) metastasis in perivertebral space (PVS)
Definitions
Metastatic tumor to cervical VB ± invasion of PVS
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Pricolo P et al: Whole-body magnetic resonance imaging (WB-MRI) reporting with the METastasis Reporting and Data System for Prostate Cancer (MET-RADS-P): inter-observer agreement between readers of different expertise levels. Cancer Imaging. 20(1):77, 2020
Hussain AK et al: The impact of metastatic spinal tumor location on 30-day perioperative mortality and morbidity after surgical decompression. Spine (Phila Pa 1976). 43(11):E648-55, 2018
Mesfin A et al: Management of metastatic cervical spine tumors. J Am Acad Orthop Surg. 23(1):38-46, 2015
Patel KB et al: Diffusion-weighted MRI "claw sign" improves differentiation of infectious from degenerative modic type 1 signal changes of the spine. AJNR Am J Neuroradiol. 35(8):1647-52, 2014
Prince EA et al: Interventional management of vertebral body metastases. Semin Intervent Radiol. 30(3):278-81, 2013
Grankvist J et al: MRI and PET/CT of patients with bone metastases from breast carcinoma. Eur J Radiol. 81(1):e13-8, 2012
Eleraky M et al: Management of metastatic spine disease. Curr Opin Support Palliat Care. 4(3):182-8, 2010
Chawla S et al: Stereotactic radiosurgery for spinal metastases: case report and review of treatment options. Bone. 45(4):817-21, 2009
Fehlings MG et al: Decision making in the surgical treatment of cervical spine metastases. Spine (Phila Pa 1976). 34(22 Suppl):S108-17, 2009
Gerszten PC et al: Radiotherapy and radiosurgery for metastatic spine disease: what are the options, indications, and outcomes? Spine (Phila Pa 1976). 34(22 Suppl):S78-92, 2009
Kim DS et al: Magnetic resonance imaging diagnoses of bone scan abnormalities in breast cancer patients. Nucl Med Commun. 30(9):736-41, 2009
Kwon YM et al: Survival rate and neurological outcome after operation for advanced spinal metastasis (Tomita's classification > or = type 4). Yonsei Med J. 50(5):689-96, 2009
Laufer I et al: The accuracy of [(18)F]fluorodeoxyglucose positron emission tomography as confirmed by biopsy in the diagnosis of spine metastases in a cancer population. Neurosurgery. 64(1):107-13; discussion 113-4, 2009
Lee B et al: The efficacy of percutaneous vertebroplasty for vertebral metastases associated with solid malignancies. Eur J Cancer. 45(9):1597-602, 2009
Venkitaraman R et al: Whole-body magnetic resonance imaging in the detection of skeletal metastases in patients with prostate cancer. J Med Imaging Radiat Oncol. 53(3):241-7, 2009
Cascini G et al: Whole-body magnetic resonance imaging for detecting bone metastases: comparison with bone scintigraphy. Radiol Med. 113(8):1157-70, 2008
Feiz-Erfan I et al: The role of surgery in the management of metastatic spinal tumors. Semin Oncol. 35(2):108-17, 2008
Rodallec MH et al: Diagnostic imaging of solitary tumors of the spine: what to do and say. Radiographics. 28(4):1019-41, 2008
Guillevin R et al: Spine metastasis imaging: review of the literature. J Neuroradiol. 34(5):311-21, 2007
Tokuhashi Y et al: A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976). 30(19):2186-91, 2005
Bauer H et al: Surgical strategy for spinal metastases. Spine (Phila Pa 1976). 27(10):1124-6, 2002
Taoka T et al: Factors influencing visualization of vertebral metastases on MR imaging versus bone scintigraphy. AJR Am J Roentgenol. 176(6):1525-30, 2001
Davis WL et al: CT and MRI of the normal and diseased perivertebral space. Neuroradiology. 37(5):388-94, 1995
Mehta RC et al: MR evaluation of vertebral metastases: T1-weighted, short-inversion-time inversion recovery, fast spin-echo, and inversion-recovery fast spin-echo sequences. AJNR Am J Neuroradiol. 16(2):281-8, 1995
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KEY FACTS
Terminology
Imaging
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Pathology
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TERMINOLOGY
Abbreviations
Vertebral body (VB) metastasis in perivertebral space (PVS)
Definitions
Metastatic tumor to cervical VB ± invasion of PVS
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Pricolo P et al: Whole-body magnetic resonance imaging (WB-MRI) reporting with the METastasis Reporting and Data System for Prostate Cancer (MET-RADS-P): inter-observer agreement between readers of different expertise levels. Cancer Imaging. 20(1):77, 2020
Hussain AK et al: The impact of metastatic spinal tumor location on 30-day perioperative mortality and morbidity after surgical decompression. Spine (Phila Pa 1976). 43(11):E648-55, 2018
Mesfin A et al: Management of metastatic cervical spine tumors. J Am Acad Orthop Surg. 23(1):38-46, 2015
Patel KB et al: Diffusion-weighted MRI "claw sign" improves differentiation of infectious from degenerative modic type 1 signal changes of the spine. AJNR Am J Neuroradiol. 35(8):1647-52, 2014
Prince EA et al: Interventional management of vertebral body metastases. Semin Intervent Radiol. 30(3):278-81, 2013
Grankvist J et al: MRI and PET/CT of patients with bone metastases from breast carcinoma. Eur J Radiol. 81(1):e13-8, 2012
Eleraky M et al: Management of metastatic spine disease. Curr Opin Support Palliat Care. 4(3):182-8, 2010
Chawla S et al: Stereotactic radiosurgery for spinal metastases: case report and review of treatment options. Bone. 45(4):817-21, 2009
Fehlings MG et al: Decision making in the surgical treatment of cervical spine metastases. Spine (Phila Pa 1976). 34(22 Suppl):S108-17, 2009
Gerszten PC et al: Radiotherapy and radiosurgery for metastatic spine disease: what are the options, indications, and outcomes? Spine (Phila Pa 1976). 34(22 Suppl):S78-92, 2009
Kim DS et al: Magnetic resonance imaging diagnoses of bone scan abnormalities in breast cancer patients. Nucl Med Commun. 30(9):736-41, 2009
Kwon YM et al: Survival rate and neurological outcome after operation for advanced spinal metastasis (Tomita's classification > or = type 4). Yonsei Med J. 50(5):689-96, 2009
Laufer I et al: The accuracy of [(18)F]fluorodeoxyglucose positron emission tomography as confirmed by biopsy in the diagnosis of spine metastases in a cancer population. Neurosurgery. 64(1):107-13; discussion 113-4, 2009
Lee B et al: The efficacy of percutaneous vertebroplasty for vertebral metastases associated with solid malignancies. Eur J Cancer. 45(9):1597-602, 2009
Venkitaraman R et al: Whole-body magnetic resonance imaging in the detection of skeletal metastases in patients with prostate cancer. J Med Imaging Radiat Oncol. 53(3):241-7, 2009
Cascini G et al: Whole-body magnetic resonance imaging for detecting bone metastases: comparison with bone scintigraphy. Radiol Med. 113(8):1157-70, 2008
Feiz-Erfan I et al: The role of surgery in the management of metastatic spinal tumors. Semin Oncol. 35(2):108-17, 2008
Rodallec MH et al: Diagnostic imaging of solitary tumors of the spine: what to do and say. Radiographics. 28(4):1019-41, 2008
Guillevin R et al: Spine metastasis imaging: review of the literature. J Neuroradiol. 34(5):311-21, 2007
Tokuhashi Y et al: A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976). 30(19):2186-91, 2005
Bauer H et al: Surgical strategy for spinal metastases. Spine (Phila Pa 1976). 27(10):1124-6, 2002
Taoka T et al: Factors influencing visualization of vertebral metastases on MR imaging versus bone scintigraphy. AJR Am J Roentgenol. 176(6):1525-30, 2001
Davis WL et al: CT and MRI of the normal and diseased perivertebral space. Neuroradiology. 37(5):388-94, 1995
Mehta RC et al: MR evaluation of vertebral metastases: T1-weighted, short-inversion-time inversion recovery, fast spin-echo, and inversion-recovery fast spin-echo sequences. AJNR Am J Neuroradiol. 16(2):281-8, 1995
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