Phosphorus-31 chemical shift imaging of metastatic tumors located in the spine region.
OBJECTIVE
Phosphorus-31 magnetic resonance spectroscopy was used in 14 cases to examine metastases of known malignant tumors located in the spine region. The purpose was to test the hypothesis that tumor phosphomonoester (PME) is elevated.


METHODS
Two-dimensional chemical shift imaging was used in combination with a slice-select gradient in the third dimension to obtain true three-dimensional localization.


RESULTS
The spectral maps revealed PME signals increased up to 10 times in voxels containing contrast-enhancing metastatic spine lesions compared with adjacent areas and peripheral muscle voxels. Phosphomonoester increase was significant for all tumors combined (8.6 +/- 5.3 arbitrary units versus 2.4 +/- 0.5 and 2.2 +/- 0.8 arbitrary units in unaffected myelum and corpora; P < 0.001), though smaller than 2 standard deviations in 5 of 14 cases. The latter shared high proportions of phosphocreatine, phosphocreatine > 30% of total phosphate, indicating substantial amounts of muscle tissue included in the tumor voxels (partial volume effect).


CONCLUSIONS
Phosphorus-31 MR spectroscopy can be of value in the recognition of malignant vertebral column abnormalities. Malignant tumor is marked by drastic PME increases-fourfold to tenfold, provided that partial volume effects are small.
Sijens
P E
PE
Department of Radiology, Dr. Daniel den Hoed Cancer Center, University Hospital Rotterdam, The Netherlands. sijens@radh.azr.nl
van den Bent
M J
MJ
Oudkerk
M
M
D005260:Female; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D010759:Phosphorus Isotopes; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000473:pathology*; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary; D014057:Tomography, X-Ray Computed
D010759:Phosphorus Isotopes