Abstract
Three patients with benign subacute ostcoporotic vertebral compression fractures are presented. T1 weighted magnetic resonance (MR) images (SE 500/30) showed decreased vertebral signal. Because the results of the MR examination were thought to indicate malignant disease, extensive medical workups, including one biopsy, were pursued in all three patients. Routine (SE 500/30) spin-echo pulse sequences cannot definitively distinguish between benign and malignant vertebral compression fractures.
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Baker HL, Berquist TH, Kospert DB (1985) Magnetic resonance imaging in a routine clinical setting. Mayo Clin Proc 60:75
Bennett GA (1966) Bones. In: Anderson WAD (ed) Pathology. CV Mosby, St Louis, p 1290
Berger PE, Atkinson D, Wilson NJ, Wiltse L (1986) High resolution surface coil magnetic resonance imaging of the spine. Radiographics 6:573
Daffner RH, Lupetin AR, Dash N, Deeb ZL, Sefczek RJ, Schapiro RL (1986) MRI in the detection of malignant infiltration of bone marrow. AJR 136:353
Fletcher BD, Scoles PV, Nelson AD (1984) Osteomyelitis in children: detection by magnetic resonance. Radiology 150:57
Fornasier VL, Czitron AA (1978) Collapsed vertebrae: a review of 659 autopsies. Clin Orthop 131:261
McArdle CB, Crofford MJ, Mirfakhraee M, Amparo EG, Calhoun JS (1987) Surface coil MR of spinal trauma preliminary experience. AJNR 7:885
Mitchell DG, Rao VM, Dalinka MK (1986) Femoral head avascular necrosis: correlation of MR imaging, radiographic staging, radionuclide imaging and clinical findings. Radiology 162:709
Modic MT, Masaryk T, Paushter D (1986) Magnetic resonance imaging of the spine. Radiol Clin North Am 24:229
Norman D (1987) The spine. In: Brant-Zawadzki M, Norman D (eds) Magnetic resonance imaging of the central nervous system. Raven, New York, p 289
Porter BA, Shields AF, Olson DO (1986) Magnetic resonance imaging of bone marrow disorders. Radiol Clin North Am 24:269
Sarpel S, Gunseli S, Yu E, Hyder S, Kaufman B, Hindo W, Ezdinli E (1987) Early diagnosis of spinal-epidural metastasis by magnetic resonance imaging. Cancer 59:1112
Stafford SA, Rosenthal DI, Gebhardt MC, Brady TJ, Scott SA (1986) MRI in stress fracture. AJR 147:553
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Frager, D., Elkin, C., Swerdlow, M. et al. Subacute osteoporotic compression fracture: Misleading magnetic resonance appearance. Skeletal Radiol 17, 123–126 (1988). https://doi.org/10.1007/BF00365140
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DOI: https://doi.org/10.1007/BF00365140