How Imaging Technologies Guide Treatment Decisions for Spinal Metastases
Imaging plays a central role in evaluating metastatic spinal tumors, shaping nearly every treatment decision. Since the spine is complex and sensitive, visualizing the tumor’s size, shape, and effect on surrounding structures helps clinicians plan safe and effective interventions.
MRI is considered the gold-standard imaging method. It provides clear views of soft tissues, including the spinal cord, nerves, ligaments, and tumor boundaries. MRI helps identify whether the tumor is compressing the spinal cord, infiltrating bone marrow, or spreading into the epidural space. It also reveals subtle changes, such as early nerve irritation, that might not yet show on CT or X-ray scans.
CT scans are particularly useful for assessing bone damage. Because metastatic tumors often weaken or hollow out vertebrae, CT imaging helps doctors detect fractures, instability, or areas at risk of collapse. When surgery is being considered, CT scans provide essential details about bone anatomy, helping surgeons plan precise…

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