Abstract [Objective]To investigate the imaging features of intraspinal angiolipoma, and to review the literature at home and abroad in order to improve the accuracy of diagnosis. [Materials and methods]The clinical manifestations and imaging data of 7 patients with intraspinal epidural angiolipoma diagnosed by pathology in our hospital were collected, and combined with the pathological results, the morphological classification, imaging characteristics, enhancement methods and differential diagnosis of the vulnerable sites were observed and analyzed. [Result] Among the 7 patients, 5 were thoracic vertebra, 1 was lumbar vertebra and 1 was lumbosacral vertebra. One patient was anterior to the dural and the other 6 were posterior to the dural.Intraspinal growth was restricted in 3 cases (type I,3/7,42.8%), and extraspinal growth was observed in 4 cases along the foramina, with enlargement of the foramina on the affected side (type II,4/7,57.2%).Tumors are made up of fat and blood vessels.MRI of 7 patients showed empty vascular shadow in 2 patients, and fat signal shadow in 5 patients.The enhanced scan showed uneven enhancement in 5 cases and uniform enhancement in 2 cases.4 of the 7 patients underwent CT, including 2 with slightly high density and 2 with equal density.The tumor density was uniform in 3 cases, and uneven in 1 case.Necrosis and calcification were not observed in all 4 cases. [Conclusion] MRI is a reliable imaging method for the diagnosis of intraspinal Angilipoma, which can better observe the tumor location, morphology and its classification, and helpful to make the localization, the qualitative diagnosis and the choice of operation plan in time.