Magnetic resonance imaging of spinal infection

Bernhard J Tins1, Victor N Cassar-Pullicino, Radhesh K Lalam

  • 1Department of Radiology, The Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, United Kingdom. Bernhard.Tins@rjah.nhs.uk

Insights

This review highlights magnetic resonance imaging (MRI) as the top diagnostic tool for spinal infections. It details MRI techniques and appearances to differentiate infection types and aid clinical diagnosis.

Area of Science:

  • Radiology
  • Infectious Diseases
  • Orthopedics

Background:

  • Spinal infections pose diagnostic challenges.
  • Accurate imaging is crucial for effective treatment.
  • Understanding pathophysiology aids interpretation.

Purpose of the Study:

  • To review the pathophysiology of spinal infection.
  • To discuss the role and techniques of imaging, particularly MRI.
  • To outline differential diagnoses based on imaging findings.

Main Methods:

  • Review of existing literature on spinal infections and imaging.
  • Emphasis on Magnetic Resonance Imaging (MRI) principles and applications.
  • Analysis of imaging features differentiating infection types.

Main Results:

  • MRI offers superior sensitivity and specificity for diagnosing spinal infections.
  • Specific MRI appearances are characteristic of different infection types.
  • Clinical diagnosis can be difficult, underscoring imaging's importance.

Conclusions:

  • MRI is the gold standard for imaging spinal infections.
  • Understanding pathophysiology and imaging techniques improves diagnostic accuracy.
  • Differentiating pyogenic and non-pyogenic infections via MRI is feasible and clinically relevant.

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