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Does postcontrast MR enhancement in lumbar disk herniation have prognostic value?
M Gallucci1, A Bozzao, B Orlandi
1Department of Radiology, University of L'Aquila, Italy.
Journal of Computer Assisted Tomography
|January 1, 1995
Summary
Gadolinium-enhanced MRI can predict outcomes for lumbar disc herniation. Enhancement around the herniated disc indicates a good prognosis and reduction in size.
Area of Science:
- Radiology
- Neurosurgery
- Orthopedics
Background:
- Lumbar disk herniation is a common condition.
- Prognostic indicators for lumbar disk herniation are crucial for treatment planning.
Purpose of the Study:
- To evaluate the prognostic value of Gadolinium-enhanced Magnetic Resonance Imaging (Gd-enhanced MR) in patients with lumbar disk herniation.
Main Methods:
- A prospective study included 15 patients with acute lumbar disk herniation undergoing conservative treatment.
- Gd-DTPA enhanced follow-up MR imaging was performed.
- Patients were categorized based on pathological changes and clinical outcomes.
Main Results:
- 11 out of 15 patients showed Gd-DTPA enhancement around the herniated disc in the acute phase, with marked reduction in size at follow-up and good clinical outcomes.
- The remaining 4 patients had no enhancement, with minimal or no change in herniation size and less favorable clinical outcomes.
Conclusions:
- Epidural enhancement on Gd-enhanced MR imaging, likely due to inflammation, appears to correlate with favorable modification in the size of lumbar disk herniation.