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In this study the feasibility of using dynamic postcontrast imaging to separate hypo- and hypervascular spine metastases was assessed. Using a T1 postcontrast sequence with temporal resolution of 6 seconds, the authors imaged spine lesions in 26 patients and from the data collected calculated 3 dynamic parameters. Hypervascular lesions showed steeper and higher wash-in slopes and higher peak enhancement. Conversely, conventional pre- and postcontrast images were unable to differentiate lesions.