Boardman John, Kanal Emanuel, Aldred Patrick, Boonsiri Joseph, Nworgu Chijindu, Zhang Feng
, Radiology Suite, 201 East Wing, 200 Lothrop St, Pittsburgh, PA, 15213, USA.
, Radiology Suite, 200 Lothrop St, Pittsburgh, PA, 15213, USA.
Emerg Radiol. 2017 Dec;24(6):645-651. doi: 10.1007/s10140-017-1537-z. Epub 2017 Jul 25.
We attempted to determine the frequency of acute longus colli tendinitis on diagnostic CT imaging performed at a large multicenter health care system. By correlating with the pre-imaging clinical information, we investigated which patient presentations should lead the radiologist to increased suspicion for this condition.
Images from a total of 8101 adult CT examinations of the neck and cervical spine performed over a 3-month period were evaluated by researchers independent of the original clinical report. Clinical information available at the time of imaging was reviewed and assigned to one of five categories. Frequency of the condition was calculated by sex and clinical presentation. This retrospective study with waiver of consent and waiver of HIPPA was approved by our IRB.
Nine positive scans were found for an overall frequency of 1.1 per 1000 examinations. The frequency was significantly higher (11.4 per thousand) on scans performed of patients presenting without history of recent trauma, concern for tumor, suspected postoperative complication, or clinical signs of infection localized to the neck. Although frequency in males was higher than in females, this did not reach statistical significance. In no positive or negative case was longus colli tendinitis considered in the pre-imaging documentation.
Findings of acute longus colli tendinitis on CT examination generally occur in the absence of prior mention of this condition in the medical record. The radiologist should be particularly alert for this diagnosis when a patient presents with rapid-onset neck pain without a clear history of recent trauma or other etiologies.
我们试图确定在一个大型多中心医疗系统中进行的诊断性CT成像上急性颈长肌肌腱炎的发生率。通过与成像前的临床信息相关联，我们调查了哪些患者表现应使放射科医生对这种情况的怀疑增加。
研究人员独立于原始临床报告，对在3个月期间进行的总共8101例成人颈部和颈椎CT检查的图像进行了评估。对成像时可获得的临床信息进行了审查，并将其归入五个类别之一。按性别和临床表现计算该病症的发生率。这项豁免同意书和豁免《健康保险流通与责任法案》（HIPPA）的回顾性研究获得了我们机构审查委员会（IRB）的批准。
发现9例阳性扫描，总发生率为每1000次检查1.1例。在没有近期外伤史、肿瘤担忧、疑似术后并发症或颈部局部感染临床体征的患者所进行的扫描中，发生率显著更高（千分之11.4）。虽然男性的发生率高于女性，但未达到统计学显著性。在任何阳性或阴性病例中，成像前的记录中均未考虑颈长肌肌腱炎。
CT检查中急性颈长肌肌腱炎的发现通常发生在病历中未事先提及这种情况的情况下。当患者出现快速发作的颈部疼痛且无近期外伤或其他病因的明确病史时，放射科医生应特别警惕这种诊断。
