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已知或疑似单节段脊柱感染病例中全脊柱矢状位磁共振成像的效用:过度检查还是良好的临床实践?

Utility of sagittal MR imaging of the whole spine in cases of known or suspected single-level spinal infection: Overkill or good clinical practice?

作者信息

Cox Mougnyan, Curtis Brian, Patel Manisha, Babatunde Victor, Flanders Adam E

机构信息

Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, United States.

Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103, United States.

出版信息

Clin Imaging. 2018 Sep-Oct;51:98-103. doi: 10.1016/j.clinimag.2018.02.009. Epub 2018 Feb 13.

DOI:10.1016/j.clinimag.2018.02.009
PMID:29452925
Abstract

OBJECTIVE

Multi-sequence sagittal magnetic resonance imaging (MRI) of the entire spine is performed in patients with known single level spondylodiscitis. Our objective is to determine the frequency of multifocal infection.

METHODS

After IRB approval, a retrospective five-year review of all patients with spondylodiscitis was performed.

RESULTS

MRI identified 82 patients with single-level infection. All 82 had entire spine imaging performed within 72 h of admission, showing additional non-continuous sites of infection in 19 patients (23%). Remote levels of spondylodiscitis were present in 11 patients (13%).

CONCLUSION

Multi-sequence sagittal MRI of the entire spine may be helpful in patients with known single-level spine infection.

摘要

目的

对已知患有单节段脊椎椎间盘炎的患者进行全脊柱多序列矢状面磁共振成像(MRI)检查。我们的目的是确定多灶性感染的发生率。

方法

经机构审查委员会(IRB)批准后,对所有脊椎椎间盘炎患者进行了为期五年的回顾性研究。

结果

MRI检查发现82例单节段感染患者。所有82例患者均在入院72小时内进行了全脊柱成像,其中19例(23%)显示有额外的非连续性感染部位。11例(13%)存在远处节段的脊椎椎间盘炎。

结论

对已知患有单节段脊柱感染的患者,全脊柱多序列矢状面MRI检查可能会有帮助。

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