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.

In the absence of mechanical instability, Grades 0, 1a, and 1b are considered for radiation as initial treatment. Grades 2 and 3 describe high-grade ESCC and, unless the tumor is highly radiosensitive, require surgical decompression prior to radiation therapy.

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.

The subjects were 467 patients with metastatic spine tumors and grade 1b or worse spinal cord compression according to the ESCC scale. Evaluations using this scale were performed by three spine surgeons, and results that were obtained by two or more surgeons were adopted.

Using this classification, high-grade epidural disease (ESCC grade 2 or 3) is optimally managed with surgical decompression prior to SBRT to improve rates of local control while minimizing ...

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...

ESCC is a 6 point grading system as illustrated in figure 3. The 0-1b are low ESCC graded and considered for radiation as initial treatment. ... ... neurologic assessment grades epidural...

近日，由复旦大学附属中山医院谭黎杰教授团队开展的一项新辅助阿得贝利单抗单药治疗局部晚期可切除食管鳞癌（ESCC）1b期研究（NATION-1907研究）发表于国际著名期刊Nature Medicine（IF=82.9），引起了广泛关注和讨论。