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• Clinical Article •
The significance of MRI enhanced scan in the spinal tuberculosis
LU Tong  HE Hua  ZHANG Qin  XU Meng-ling  YANG Hong  GUO Yu-lin 

DOI:10.12015/issn.1674-8034.2017.06.007.


[Abstract] Objective: To improve the diagnosis of spinal tuberculosis by analyzing the MRI imaging findings of spinal tuberculosis.Materials and Methods: MRI imaging data of 57 patients with spinal tuberculosis confirmed by biopsy and surgery and pathology were analyzed retrospectively. The findings of MRI plain scan and enhanced scan images of spinal tuberculosis were analyzed.Results: Fifty-seven cases of cervical tuberculosis in 5 cases, 12 cases of thoracic tuberculosis, 24 cases of lumbar spine tuberculosis. Cervical vertebrae complicating thoracic vertebrae were 3 cases. Thoracic vertebrae complicating lumbar were 8 cases. Lumbar complicating sacral vertebrae were 5 cases. Only one vertebrae was involved in 2 cases, two vertebraes were involved in 41 cases, more than three vertebraes were involved in 14 cases. There were stenosis or disappearance of intervertebral space in 43 cases and 40 cases had cold abscess. There were obviously enhanced in 41 cases and weak or no enhanced in 16 cases by MR enhanced scan. 57 patients were treated with 1-3 months by the combination of multiple anti-tuberculosis chemotherapy. MR scan was performed more than 2 times in 15 patients before operation. 12 patients' imaging performances were better than that of anti-tuberculosis chemotherapy and 3 cases were not.Conclusion: MRI enhanced scan has important application value in diagnosis and treatment of spinal tuberculosis.
[Keywords] Tuberculosis, spinal；Magnetic resonance imaging；Imaging performance

LU Tong School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

HE Hua Department of Radiology, General Hospital of Ningxia Medical University, Yinchuan 750004, China

ZHANG Qin School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

XU Meng-ling School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

YANG Hong School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

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

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

Conflicts of interest   None.

Received  2016-12-21
Accepted  2017-02-21
DOI: 10.12015/issn.1674-8034.2017.06.007
DOI:10.12015/issn.1674-8034.2017.06.007.

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