Share：
Share this content in WeChat
X
[Chinese][PDF]83194
• Clinical Article •
The diagnostic value of CT and MRI in spinal tuberculosis
YANG Hong  LI Xue-shuang  LU Tong  GUO Yu-lin 

DOI:10.12015/issn.1674-8034.2016.08.007.


[Abstract] Objective: To explore the diagnostic value of CT and MRI in spinal tuberculosis.Materials and Methods: One hundred and ten cases with spinal tuberculosis confirmed by the surgical operation pathology, needle biopsy and follow-up received Computed Tomography and MRI plain scan, at the same time, some cases received enhance scan.Results: One hundred and ten cases of spinal tuberculosis (TB), including 9 cases of cervical vertebra, 25 cases of thoracic vertebra, 42 cases of lumbar vertebra, 31 cases of thoracic lumbar vertebra and 3 cases of the sacral vertebra. The CT features of spinal tuberculosis are the bone destruction of vertebral body and accessories, the formation of vertebral abscess, sequestrum, calcification and spinal canal stenosis, etc. The MRI features of spinal tuberculosis are MRI of spinal tuberculosis are the bone destruction of vertebral body and accessories, the destruction of intervertebral disc, the formation of vertebral abscess, the invasion of dural and myeloid, the diffusion of sub-ligament, etc. The CT in diagnosing sequestrum and calcification was significantly higher than MRI(P=0.00), but the MRI in diagnosing the bone marrow edema, the invasion of dural and myeloid, the diffusion of sub-ligament was significantly higher than CT(P=0.00).Conclusion: The features of Spinal tuberculosis are diversified, CT and MRI has high value in diagnosis of spinal tuberculosis, CT has the advantage in showing sequestrum and calcification and MRI has the advantage in showing the early stages of dieases, the invasion of dural and myeloid, the diffusion of sub-ligament, such as a combination is helpful to diagnosing and differential diagnosing of spinal tuberculosis.
[Keywords] Tuberculosis, spinal；Computed tomography；Magnetic resonance imaging

YANG Hong Ningxia Medical University, Yinchuan 750004, China

LI Xue-shuang Ningxia Medical University, Yinchuan 750004, China

LU Tong Ningxia Medical University, Yinchuan 750004, China

GUO Yu-lin* Department of Radiology, General Hospital of Ningxia Medical University, Yinchuan 750004, China

*Correspondence to: Guo YL, E-mail: guoyulin66@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of program of 2015 Ningxia graduate education innovation No. NXYC201511
Received  2016-04-14
Accepted  2016-07-25
DOI: 10.12015/issn.1674-8034.2016.08.007
DOI:10.12015/issn.1674-8034.2016.08.007.

[1]
Page LL, Feydy A, Rillardon L, et al. Spinal tuberculosis: a longitudinal study with clinical, laboratory, and imaging outcomes. Semin Arthritis Rheum, 2006, 36(3): 124-129.
[2]
周璇，王云玲，王红，等．多b值DWI序列对脊柱结核早期评价的动物实验研究．中国医学计算机成像杂志, 2014, 20(6): 551-554.
[3]
Cormican L, Hammal R, Messenger J, et al. Current difficulties in the diagnosis and management of spinal tuberculosis. Postgraduate Med, 2006, 82(2): 46-51.
[4]
邬颖华，岳炫彤，王晓玲，等. 45例脊柱结核的CT、MRI对比研究.中国CT和MRI杂志, 2015, 13(1): 86-89.
[5]
黄仲奎. LCH临床分型与影像学诊断分析．放射学实践, 2010, 25(12): 1323-1326.
[6]
郭顺林，王莉莉，雷军强，等. CT、MRI在脊柱结核中诊断价值的对比研究．中国CT和MRI杂志, 2015, 13(2): 71-76.
[7]
Currie S, Galea-Soler S, Barron D, et al. MRI characteristics of tuberculous spondylitis. Clin Radiol, 2011, 66(8): 778-87.
[8]
巴图尔•吐尔地，刘荣，王辉，等．数字化断层融合技术在脊柱结核诊断中的临床价值．临床放射学杂志, 2015, 34(9): 1491-1494.
[9]
Aggarwal A, Salunke P, Shekhar BR, et al. The role of magnetic resonance imaging and positron emission tomography-computed tomography combined in differentiating benign from malignant lesions contributing to vertebral compression fractures. Surg Neurol Int, 2013, 4(Suppl 5): 323-326.
[10]
刘彦平，蒋政焱，顾军，等．脊柱结核的低场强MRI早期诊断．中国CT和MRI杂志, 2009, 7(6): 6-7.
[11]
刘莹，王云玲，王红，等. MR弥散加权成像在兔脊柱结核早期诊断中的应用价值．磁共振成像, 2011, 2(6): 435-438.
[12]
王克善，李奉霞，徐建伟，等．脊柱结核CT、MRI检查的临床应用价值．社区医学杂志, 2011, 9(10): 5-7.
[13]
杨虹，郭玉林，李雪霜，等．磁共振成像对脊柱结核的诊断价值．磁共振成像, 2016, 7(3): 209-213.
[14]
刘晓晨，贾文霄，王红，等．磁共振扩散加权成像在兔脊柱结核模型中的应用．中国医学计算机成像杂志, 2014, 20(2): 182-186.
[15]
程春，曾勇，杨超，等．脊柱结核的MRI表现特点及诊断价值分析.磁共振成像, 2016, 7(5): 371-375.

PREV The study of correlation between diffusion kurtosis imaging on cervical spinal cord and age in healthy
NEXT Evaluate measurement value of liver volume before pediatric living donor liver transplantation by MRI Argus
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn