2024年5月3日 · The epidural spinal cord compression (ESCC) scale, sometimes known eponymously as the Bilsky scale, is used to assess the degree to which vertebral body metastasis compromises the spinal canal and whether cord compression is present. It may serve as a guide as to when intervention (radiotherapy or surgery) is helpful.

Determination of the degree of spinal cord compression is facilitated by the epidural spinal cord compression (ESCC) score. ESCC score ranges from 0-3. Patients with low grade ESCC scores (0 and 1) have bone only disease or mild epidural …

Epidural spinal cord compression (ESCC) scale (Bilsky score) used to describe metastatic tumor extension from the vertebral body into the spinal canal and to assess the degree of spinal cord compromise.

2023年12月1日 · We proposed a novel grading system, called the 12-point ESCC grading system, to evaluate ESCC based on findings from spinal magnetic resonance imaging (MRI). This new grading system consists of 12 grades, ranging from Grade 0 to 3, with higher grades indicating more severe ESCC.

2015年8月1日 · High-grade ESCC was defined as deformation of the spinal cord with partial (ESCC Grade 2) or complete (ESCC Grade 3) obliteration of the CSF space. Surgery was justified for neurologic preservation in radiotherapy-resistant tumors with high-grade ESCC.

SBRT is technically feasible in low-grade MSCC (up to Bilsky 1c) [105] and is mainly indicated in the setting of oligometastatic disease, re-irradiation, and in the treatment of radioresistant ...

2010年9月1日 · To assess spinal cord and dura compression, the Epidural Spinal Cord Compression (ESCC) score was employed, a metric previously validated for its reliability in evaluating intraspinal structure...

Bilsky et al 3 proposed the epidural spinal cord compression (ESCC) scale as a tool for evaluating the severity of spinal cord compression on cross sections obtained with T2-weighted magnetic resonance imaging (MRI).

ESCC grade 1b (C) involves epidural extension and thecal sac compression (blue arrow) without abutment of the spinal cord. ESCC grade 1c (D) is abutment of the spinal cord without...

lesions classified as ESCC grade 0 to 1c may be suitable for radiation therapy alone, while surgical decompression proves beneficial for ESCC grade 3 lesions [4].