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Percutaneous inoculated rabbit model of intervertebral disc space infection: magnetic resonance imaging features with
Guillaume Bierry1, François Jehl, Gilles Prévost
1Department of Radiology, University Hospital of Strasbourg, Strasbourg, France. guillaume.bierry@chru-strasbourg.fr
Objectives:
The aims of this study were to characterize MRI features in percutaneously inoculated spondylodiscitis rabbit models, to evaluate MRI for non-invasive diagnosis, and to assess the incremental information brought by the use of gadolinium-enhanced MR sequences.
Methods:
Under fluoroscopic control, lumbar discs of 12 New Zealand White adult rabbits were injected with bacterial suspension. Five, 10 and 15 days after bacterial inoculation, T1 and T2 signal abnormalities and contrast enhancement of discs, vertebrae and epidural spaces were evaluated. Bacteriological and pathological analyses were realized after completion of imaging series.
Results:
Disc space infections were present in all animals. MRI detected vertebral and discal abnormalities as soon as, respectively, 5 and 10 days after inoculation. Gadolinium-enhanced sequences allowed an earlier diagnosis, a more precise evaluation of the extent of the infection and the identification of epidural involvement. The signal of vertebrae was a more reliable criterion for infection evaluation that discal one.
Conclusions:
MRI is a reliable tool for non-invasive diagnosis of vertebral infection in a rabbit model and can be useful to compare the efficiency of different antimicrobial therapy in animal series before human administration. Gadolinium-enhanced MR sequences allow an earlier and more precise determination of the presence and extent of infection. Modifications of vertebral signal are the more reliable criterion for the evaluation of disc spaces infection.
Insights
Magnetic resonance imaging (MRI) reliably diagnoses vertebral infections in rabbits. Gadolinium-enhanced MRI provides earlier and more precise detection of infection extent and epidural involvement.
Area of Science:
- Veterinary Radiology
- Infectious Disease Imaging
- Animal Models of Disease
Background:
- Spondylodiscitis diagnosis in animal models requires reliable imaging techniques.
- Percutaneous inoculation is a common method for creating experimental spondylodiscitis.
- Evaluating the utility of MRI and contrast enhancement is crucial for accurate diagnosis.
Purpose of the Study:
- To characterize MRI findings in a rabbit model of spondylodiscitis.
- To assess MRI's efficacy for non-invasive diagnosis of vertebral infections.
- To determine the added value of gadolinium-enhanced MRI sequences.
Main Methods:
- 12 New Zealand White rabbits underwent percutaneous lumbar disc inoculation with bacterial suspension.
- MRI (T1, T2, and contrast-enhanced) was performed at 5, 10, and 15 days post-inoculation.
- Bacteriological and pathological analyses confirmed infection.
Main Results:
- All animals developed disc space infections.
- MRI detected vertebral abnormalities by day 5 and discal abnormalities by day 10.
- Gadolinium enhancement improved diagnostic timing, assessed infection extent, and identified epidural involvement.
- Vertebral signal changes were more reliable indicators of infection than discal changes.
Conclusions:
- MRI is a dependable tool for diagnosing vertebral infections in rabbit models.
- Gadolinium-enhanced MRI enables earlier and more precise infection detection and staging.
- Vertebral signal modifications are key indicators for evaluating disc space infections.
- This model can aid in comparing antimicrobial therapies before human trials.
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