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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. RileyIII, MD1; Bruce A. Wasserman, MD1; 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
The Journal of Bone & Joint Surgery.  2008; 90:146-162  doi:10.2106/JBJS.H.00825
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Extract

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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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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