Radiotherapy of Vertebral Hemangiomas
Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy...
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Veröffentlicht in: | Acta oncologica 1997, Vol.36 (7), p.719-724 |
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container_title | Acta oncologica |
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creator | Sakata, Koh-Ichi Hareyama, Masato Oouchi, Atushi Sido, Mitsuo Nagakura, Hisayasu Tamakawa, Mituharu Akiba, Hidenari Morita, Kazuo |
description | Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. Radiological imaging is indispensable for the diagnosis of vertebral hemangiomas but does not appear to be useful for evaluating the effects of radiotherapy. |
doi_str_mv | 10.3109/02841869709001344 |
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Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. Radiological imaging is indispensable for the diagnosis of vertebral hemangiomas but does not appear to be useful for evaluating the effects of radiotherapy.</description><identifier>ISSN: 0284-186X</identifier><identifier>EISSN: 1651-226X</identifier><identifier>DOI: 10.3109/02841869709001344</identifier><identifier>PMID: 9490090</identifier><identifier>CODEN: ACTOEL</identifier><language>eng</language><publisher>Basingstoke: Informa UK Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Back Pain - etiology ; Biological and medical sciences ; Diseases of the osteoarticular system ; Diseases of the respiratory system ; Diseases of the spine ; Female ; Hemangioma - diagnostic imaging ; Hemangioma - radiotherapy ; Humans ; Low Back Pain - etiology ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Spinal Neoplasms - diagnostic imaging ; Spinal Neoplasms - radiotherapy ; Tomography, X-Ray Computed</subject><ispartof>Acta oncologica, 1997, Vol.36 (7), p.719-724</ispartof><rights>1997 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1997</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-85fe33009746cf2fb368279815094f77c6f397f5b34c6dbdd4b64255c41cd3673</citedby><cites>FETCH-LOGICAL-c420t-85fe33009746cf2fb368279815094f77c6f397f5b34c6dbdd4b64255c41cd3673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/02841869709001344$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/02841869709001344$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,4010,27900,27901,27902,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2135747$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9490090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakata, Koh-Ichi</creatorcontrib><creatorcontrib>Hareyama, Masato</creatorcontrib><creatorcontrib>Oouchi, Atushi</creatorcontrib><creatorcontrib>Sido, Mitsuo</creatorcontrib><creatorcontrib>Nagakura, Hisayasu</creatorcontrib><creatorcontrib>Tamakawa, Mituharu</creatorcontrib><creatorcontrib>Akiba, Hidenari</creatorcontrib><creatorcontrib>Morita, Kazuo</creatorcontrib><title>Radiotherapy of Vertebral Hemangiomas</title><title>Acta oncologica</title><addtitle>Acta Oncol</addtitle><description>Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. Radiological imaging is indispensable for the diagnosis of vertebral hemangiomas but does not appear to be useful for evaluating the effects of radiotherapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Back Pain - etiology</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the respiratory system</subject><subject>Diseases of the spine</subject><subject>Female</subject><subject>Hemangioma - diagnostic imaging</subject><subject>Hemangioma - radiotherapy</subject><subject>Humans</subject><subject>Low Back Pain - etiology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Spinal Neoplasms - diagnostic imaging</subject><subject>Spinal Neoplasms - radiotherapy</subject><subject>Tomography, X-Ray Computed</subject><issn>0284-186X</issn><issn>1651-226X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1Kw0AYRQdRaq0-gAuhC3UXnf8fXElRKxQEUekuTCYzNiXJ1Jlk0bd3SkM3gqtvcc-9fBwALhG8Iwiqe4glRZIrARWEiFB6BMaIM5RhzJfHYLzLswQsT8FZjGsIISaCjcBI0VRQcAxu3nVZ-W5lg95sp95Nv2zobBF0PZ3bRrfflW90PAcnTtfRXgx3Aj6fnz5m82zx9vI6e1xkhmLYZZI5S0gaFpQbh11BuMRCScSgok4Iwx1RwrGCUMPLoixpwSlmzFBkSsIFmYDb_e4m-J_exi5vqmhsXevW-j7mQjFOJJMJRHvQBB9jsC7fhKrRYZsjmO_U5H_UpM7VMN4XjS0PjcFFyq-HXEejaxd0a6p4wDAiTNDdjw97rGqdD41eWV13K6ODzde-D23y888Tv-Ene18</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Sakata, Koh-Ichi</creator><creator>Hareyama, Masato</creator><creator>Oouchi, Atushi</creator><creator>Sido, Mitsuo</creator><creator>Nagakura, Hisayasu</creator><creator>Tamakawa, Mituharu</creator><creator>Akiba, Hidenari</creator><creator>Morita, Kazuo</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1997</creationdate><title>Radiotherapy of Vertebral Hemangiomas</title><author>Sakata, Koh-Ichi ; Hareyama, Masato ; Oouchi, Atushi ; Sido, Mitsuo ; Nagakura, Hisayasu ; Tamakawa, Mituharu ; Akiba, Hidenari ; Morita, Kazuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-85fe33009746cf2fb368279815094f77c6f397f5b34c6dbdd4b64255c41cd3673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Back Pain - etiology</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the respiratory system</topic><topic>Diseases of the spine</topic><topic>Female</topic><topic>Hemangioma - diagnostic imaging</topic><topic>Hemangioma - radiotherapy</topic><topic>Humans</topic><topic>Low Back Pain - etiology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Spinal Neoplasms - diagnostic imaging</topic><topic>Spinal Neoplasms - radiotherapy</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakata, Koh-Ichi</creatorcontrib><creatorcontrib>Hareyama, Masato</creatorcontrib><creatorcontrib>Oouchi, Atushi</creatorcontrib><creatorcontrib>Sido, Mitsuo</creatorcontrib><creatorcontrib>Nagakura, Hisayasu</creatorcontrib><creatorcontrib>Tamakawa, Mituharu</creatorcontrib><creatorcontrib>Akiba, Hidenari</creatorcontrib><creatorcontrib>Morita, Kazuo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta oncologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakata, Koh-Ichi</au><au>Hareyama, Masato</au><au>Oouchi, Atushi</au><au>Sido, Mitsuo</au><au>Nagakura, Hisayasu</au><au>Tamakawa, Mituharu</au><au>Akiba, Hidenari</au><au>Morita, Kazuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiotherapy of Vertebral Hemangiomas</atitle><jtitle>Acta oncologica</jtitle><addtitle>Acta Oncol</addtitle><date>1997</date><risdate>1997</risdate><volume>36</volume><issue>7</issue><spage>719</spage><epage>724</epage><pages>719-724</pages><issn>0284-186X</issn><eissn>1651-226X</eissn><coden>ACTOEL</coden><abstract>Between 1975 and 1996, 14 patients (11 females, 3 males) with vertebral hemangioma received treatment with radiotherapy. Thirteen patients had a history of back pain or lumbago and 2 patients had neurological symptoms such as sensory impairment or paraplegia. The standard dose administered was 36 Gy in 18 fractions (five treatments per week). In the 13 patients with pain, this was completely or partially relieved. The condition of a man with hypesthesia of the legs deteriorated and a woman with paraplegia who was treated with decompressive laminectomy followed by radiotherapy recovered completely after irradiation. CT scan before irradiation showed thickened trabeculae as small punctate areas of sclerosis in all patients. At MR imaging before irradiation, T2-weighted MR images showed areas of high intensity in all patients and MR images demonstrated lesion enhancement. However, none of the patients who were treated successfully with radiation demonstrated any changes of the affected vertebra in the conventional radiographic films, CT scan or MR imaging, even 5 years after irradiation. 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subjects | Adult Aged Aged, 80 and over Back Pain - etiology Biological and medical sciences Diseases of the osteoarticular system Diseases of the respiratory system Diseases of the spine Female Hemangioma - diagnostic imaging Hemangioma - radiotherapy Humans Low Back Pain - etiology Magnetic Resonance Imaging Male Medical sciences Middle Aged Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Spinal Neoplasms - diagnostic imaging Spinal Neoplasms - radiotherapy Tomography, X-Ray Computed |
title | Radiotherapy of Vertebral Hemangiomas |
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