单次全脊柱查 磁共振成像:多级脊柱结核病的诊断和治疗作用
Atul Sareen1, Mayukh Guha2, Kuldeep Bansal3
1Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Cureus
|February 23, 2024
概括
整个脊柱查MRI有效诊断多级脊柱结核病 (TB),这种疾病影响超过30%的患者. 这种成像技术还有助于治疗规划,提供诸如可访问的活检地点等好处.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
背景情况:
- 脊柱结核病 (TB) 是最常见的骨结核病.
- Paradiscal连续脊椎干扰是最普遍的模式.
- 在文献中,多级非连续脊柱结核病的发病率各不相同.
研究的目的:
- 为了确定多级脊柱结核病的发病率.
- 为了确定多级脊柱结核病的危险因素.
- 评估整个脊柱查MRI在诊断脊柱结核病中的实用性.
主要方法:
- 脊柱结核病患者的回顾性审查 (2017年8月 - 2021年10月).
- 纳入标准:被诊断为脊柱结核病,并进行全脊柱查MRI.
- 排除标准:脊柱结核病没有整个脊柱查,MRI.
主要成果:
- 242名患者符合纳入标准;76名 (31.4%) 患有多级非连续脊柱结核病.
- 年龄极端 (<20岁和>50岁) 是显著的风险因素 (p=0.0001).
- 耐药性并不显著 (p=0.051),但在多级结核病中更为普遍 (13/76).
结论:
- 单个全脊柱查MRI是有效的,经济的,并节省了诊断多级脊柱结核病的时间.
- 磁力共振成像有助于治疗效益,包括可访问的活检部位.
- 这种成像模式可以提高脊柱结核病的诊断准确度.
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