Staffen W, Rettenbacher L, Ladurner G, Boné G
Neurologische Abteilung Landesnervenklinik, Salzburg.
Nervenarzt. 1994 Dec;65(12):841-5.
12 patients were diagnosed as suffering from spondylodiscitis by means of clinical and laboratory investigations. Magnetic resonance tomography (MRT) and bone scintigraphy (with Tc 99m-diphosphonate) were performed and 6 patients had further MRT follow up investigations. In the initial state of disease the comparison of MRT and bone scan both revealed a sensitivity of 92%. The specificity was 83% for MRT and 50% for bone scintigraphy, respectively. Therefore we conclude MRT is a more specific diagnostic tool in patients with spondylodiscitis. 6 patients were followed up with additional 13 MRT scans. During the first two months of treatment period in most of the patients more distinct pathological findings were seen in MRT in comparison with MRT at the start. No signs of any improvement despite effective treatment were found in the first three months of therapy.
通过临床和实验室检查，12例患者被诊断为脊椎椎间盘炎。进行了磁共振断层扫描（MRT）和骨闪烁显像（使用锝99m - 二膦酸盐），6例患者进行了进一步的MRT随访检查。在疾病初始阶段，MRT和骨扫描的比较显示两者敏感性均为92%。MRT的特异性分别为83%，骨闪烁显像的特异性为50%。因此我们得出结论，MRT是脊椎椎间盘炎患者更具特异性的诊断工具。6例患者进行了另外13次MRT扫描随访。在治疗期的前两个月，大多数患者与开始时的MRT相比，在MRT中可见更明显的病理表现。在治疗的前三个月，尽管治疗有效，但未发现任何改善迹象。
