On-demand Webinar
ยท
0.5 CME Credits
Spinal Cord Tumors and Diff Dg
Intramedullary spinal cord tumours and non-neoplastic mimics are differentiated through a pattern-based imaging approach.
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Description
MRI technique and the imaging features of ependymoma, astrocytoma, haemangioblastoma, metastasis, and other intramedullary masses are reviewed. The differential diagnosis extends to vascular, inflammatory, demyelinating, traumatic, metabolic, and ischaemic lesions, including dural arteriovenous fistula and conus abnormalities.
Learning Objectives
- Characterise intramedullary lesions by location, morphology, signal, and enhancement.
- Differentiate common primary tumours, metastases, and vascular lesions of the spinal cord.
- Recognise inflammatory, demyelinating, ischaemic, traumatic, and metabolic tumour mimics.
- Recognise spinal dural arteriovenous fistula and other lesions with characteristic cord and conus findings.
Topics Covered
To jump to a specific chapter, click on the chapter title once the video is playing.
00:04 - Introduction to Spinal Cord Lesions and Imaging Techniques
00:55 - Spinal Cord Herniation Appearance and Challenges
01:31 - Syringomyelia and Terminal Ventricles
03:00 - Identifying Epidermoid Cysts
04:47 - Traumatic Cord Hemorrhage and Cavernoma Characteristics
06:05 - Primary Intramedullary Tumors: Ependymomas and Astrocytomas
08:49 - Differentiating Tumor Types: Hemangioblastoma
10:08 - Pediatric Intramedullary Tumors: Pilocytic Astrocytomas
11:48 - Challenges in Identifying Spinal Cord Tumor Enhancements
13:52 - Intramedullary Metastases and Differentiation from Primary Tumors
16:17 - Radiation Myelopathy versus Metastatic Lesions
18:12 - Non-Tumor Lesions: Multiple Sclerosis and Its Features
20:13 - Neuromyelitis Optica and ADEM Diagnostic Features
22:37 - Spinal Cord Infarction and Viral Involvement
24:29 - Vitamin Deficiencies Leading to Subacute Combined Degeneration
32:36 - Spinal Dural AV Fistulas and Their Imaging Characteristics
36:47 - Understanding Intramedullary AVMs
39:03 - Lesions at the Conus Medullaris and Their Differentials
41:01 - Key Points and Takeaways from Spinal Cord Lesion Imaging
Lecturers
Zoran RumboldtM.D. Ph.D.
Rovinj-Rovigno, Croatia
Consultant neuroradiologist at TMC; Professor of Radiology at University of Rijeka, Croatia; Adjunct Professor of Radiology at MUSC, Charleston, SC, USA
Over 20 years of experience in neuroradiology, previously Neuroradiology Section Chief and Fellowship Program Director at MUSC, Charleston, USA. Invited speaker at major meetings (RSNA, ECR, ARRS, ASNR, ESNR) from 2005, visiting professor on four continents from 2008, lecturer at various courses from 2013, including ECNR. Over 100 peer-reviewed articles; editor of books Brain Imaging with MRI and CT & Clinical Imaging of Spine Trauma; over 30 review articles and book chapters; awards for teaching since 2004.
