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  1. 医学部
  1. 医学部
  2. 学術雑誌掲載論文  (医学部)

Radiographic Features of Spinal Meningioma and Schwannoma: A Novel Specific Feature-Ginkgo Leaf Sign

http://hdl.handle.net/10458/0002001297
http://hdl.handle.net/10458/0002001297
17488fab-ed58-487e-b64d-341524e63fd9
名前 / ファイル ライセンス アクション
9_2024-0059.pdf fulltext (504 KB)
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アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2025-05-25
タイトル
タイトル Radiographic Features of Spinal Meningioma and Schwannoma: A Novel Specific Feature-Ginkgo Leaf Sign
言語 en
言語
言語 eng
キーワード
言語 en
キーワード intradural-extramedullary spinal tumor
キーワード
言語 en
キーワード Meningioma
キーワード
言語 en
キーワード schwannoma
資源タイプ
資源タイプ journal article
アクセス権
アクセス権 open access
著者 Toda, Yu

× Toda, Yu

en Toda, Yu
Faculty of Medicine, Saga University

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Miyazaki, Masashi

× Miyazaki, Masashi

en Miyazaki, Masashi
Oita University Faculty of Medicine

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Kobayashi, Takaomi

× Kobayashi, Takaomi

en Kobayashi, Takaomi
Faculty of Medicine, Saga University

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Egashira, Yoshiaki

× Egashira, Yoshiaki

en Egashira, Yoshiaki
Faculty of Medicine, Saga University

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李, 徳哲

× 李, 徳哲

WEKO 31384
e-Rad_Researcher 60768175

en Lee, Deokcheol

ja 李, 徳哲

ja-Kana リ, トクチヨル

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濱中, 秀昭

× 濱中, 秀昭

WEKO 35365
e-Rad_Researcher 20381121

ja 濱中, 秀昭
宮崎大学

ja-Kana ハマナカ, ヒデアキ

en Hamanaka, Hideaki
University of Miyazaki

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Ueda, Shigeo

× Ueda, Shigeo

en Ueda, Shigeo
Katano Hospital

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Yoshizato, Hiromu

× Yoshizato, Hiromu

en Yoshizato, Hiromu
Faculty of Medicine, Saga University

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Tsukamoto, Masatsugu

× Tsukamoto, Masatsugu

en Tsukamoto, Masatsugu
Faculty of Medicine, Saga University

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Yoshihara, Tomohito

× Yoshihara, Tomohito

en Yoshihara, Tomohito
Faculty of Medicine, Saga University

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Hirata, Hirohito

× Hirata, Hirohito

en Hirata, Hirohito
Faculty of Medicine, Saga University

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Konishi, Hiroaki

× Konishi, Hiroaki

en Konishi, Hiroaki
Nagasaki Rosai Hospital

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Tanaka, Tatsuya

× Tanaka, Tatsuya

en Tanaka, Tatsuya
International University of Health and Welfare Narita Hospital

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Otani, Koji

× Otani, Koji

en Otani, Koji
Fukushima Medical University

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Mawatari, Masaaki

× Mawatari, Masaaki

en Mawatari, Masaaki
Faculty of Medicine, Saga University

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Morimoto, Tadatsugu

× Morimoto, Tadatsugu

en Morimoto, Tadatsugu
Faculty of Medicine, Saga University

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抄録
内容記述タイプ Abstract
内容記述 Introduction: Meningiomas and schwannomas are common intradural-extramedullary spinal tumors. Because of their different origins, they necessitate different surgical procedures, which makes preoperative diagnosis important.

Methods: In this study, clinical and imaging data for 62 patients diagnosed with either meningioma or schwannoma across multiple institutions were analyzed.

Results: The average age of patients was older (67.6 vs. 58.9 years), and the frequency of females was higher (72% vs. 46%) for meningioma than for schwannoma. Meningiomas were mostly found in the thoracic region (84%), whereas schwannomas were commonly located in the lumbar region (54%). For each tumor type, specific radiological findings were identified. For meningiomas, findings included the ginkgo leaf sign (GLS) (sensitivity 58%, specificity 100%), oval shape (sensitivity 84%, specificity 63%), dural tail sign (DTS) (sensitivity 75%, specificity 100%), and intertumoral calcification (sensitivity 39%, specificity 100%). Combining GLS and DTS greatly improved sensitivity to 89% (specificity 100%). For schwannomas, specific findings included a lobule shape (sensitivity 25%, specificity 95%), dumbbell shape (sensitivity 54%, specificity 100%), and cystic changes (sensitivity 54%, specificity 97%).

Conclusions: GLS may be a specific radiological feature for meningiomas and can aid in diagnosis when combined with DTS. Understanding these distinct radiological characteristics is valuable for preoperative differential diagnosis of intradural-extramedullary spinal tumors.
言語 en
bibliographic_information en : Spine Surgery and Related Research

巻 9, 号 1, p. 45-50, 発行日 2025-01-01
出版者
出版者 Japanese Society for Spine Surgery and Related Research
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 2432261X
item_10001_relation_14
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.22603/ssrr.2024-0059
権利
権利情報 © 2025 The Japanese Society for Spine Surgery and Related Research.
言語 en
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