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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1992-7-15
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pubmed:abstractText |
The children affected with acute lymphoblastic leukemia (ALL) often exhibit secondary lesions of the spine. The diagnosis of spinal involvement is currently made by means of conventional radiography in postero-anterior and lateral views. The osteolytic lesions of the vertebral body present with collapse of the vertebral plates in a wide range of severity. Body evaluation is usually made by comparison with the adjacent vertebrae. Since leukemia is a systemic disease, several vertebrae are possibly involved in each case. In the attempt to develop a more sensitive method, which is less dependent on observers' evaluation, a quantitative and comparative analysis of vertebral bodies was performed. The radiographs in lateral view of the dorsal and lumbar spine of 14 children with ALL were analyzed: previous radiological reports suggested the lesion of one or more vertebral bodies. The area of each vertebral body was measured and digitalized by means of a backlighted graphic table and of a software developed to this purpose. The criteria to define the collapse of a vertebral body were the ratio between areas of adjacent vertebral bodies, in conformity to the anatomic and radiographic principle that, in the dorsal and lumbar spine, the body of a normal vertebra is equal to or bigger than that of the upper one. The data obtained by quantitative analysis were compared with conventional radiologic reports. A hundred and fifty-five vertebrae were analyzed by computerized analysis; 17 (10.9%) vertebrae, undetected at conventional analysis, were collapsed. This method allows a more precise diagnosis of collapsed vertebral lesions; its accuracy can be improved with further development of digital technology.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0033-8362
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
83
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
414-8
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pubmed:dateRevised |
2008-10-21
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pubmed:meshHeading |
pubmed-meshheading:1603997-Adolescent,
pubmed-meshheading:1603997-Child,
pubmed-meshheading:1603997-Child, Preschool,
pubmed-meshheading:1603997-Humans,
pubmed-meshheading:1603997-Infant,
pubmed-meshheading:1603997-Lumbar Vertebrae,
pubmed-meshheading:1603997-Precursor Cell Lymphoblastic Leukemia-Lymphoma,
pubmed-meshheading:1603997-Spinal Neoplasms,
pubmed-meshheading:1603997-Thoracic Vertebrae,
pubmed-meshheading:1603997-Tomography, X-Ray Computed
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pubmed:year |
1992
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pubmed:articleTitle |
[The direct and computed radiographic assessment of vertebral locations in children with acute lymphatic leukemia].
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pubmed:affiliation |
Clinica Ortopedica e Traumatologica, II Facoltà di Medicina e Chirurgia, Università, Pavia.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
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