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Are MRI Findings Accurate?

Posted on Thu, 17 Jul 2014

Question: when an mri says abnormal enhancement in the anterior and posterior aspect of the T3 vertebral body. It's appearance suggests a metastratic lesion, and the other mti says gives the appearance of a metastatic lesion, how accurate are they usually. I am having a ct scan biopsy done, but wondered how close the mti teadfings come to accurate

also, what is the ptognosis for a malignant tumor on the spine. Is there a cure ir just management and dererioriATION

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
MRI is highly sensitive for spinal metastasis.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

I have gone through your findings in detail.
MRI is the most sensitive and specific modality for imaging of spinal metastasis.It is even more sensitive than bone scan in diagnosing bony metastasis.
Contrast enhanced fat suppressed images help to differentiate metastasis from degenerative bone marrow.Diffusion weighted images distinguish metastasis from osteoporotic bone.
However,CT guided biopsy gives the final diagnosis.

The three treatment modalities mainly used for spinal metastases are chemotherapy,radiotherapy and surgery.The goals of therapy are pain control and functional preservation.
However,radiotherapy remains the mainstay of therapy for metastatic spinal tumour.Radiation therapy is more effective in achieving pain control than surgery.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar