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• Clinical Article •
The application of magnetic resonance imaging in the diagnosis of brucellosis spondylitis
ZHANG Qin  LU Tong  FAN Rui-na  XU Meng-ling  CUI Yue  HU Jie-ting  XIONG Yao  GUO Yu-lin 

DOI:10.12015/issn.1674-8034.2017.12.005.


[Abstract] Objective: To investigate the MRI findings of brucellosis spondylitis, so as to improve the level of diagnosis and differential diagnosis of brucellosis spondylitis.Materials and methods: The MRI images of 65 patients with brucellosis spondylitis confirmed by clinical were analyzed retrospectively from January 2015 to April 2017. Predilection site of disease, shape and signal characteristics of the vertebral body, characteristics of each sequence signal and the situation of surrounding tissue were analyzed.Results: Brucellosis spondylitis was common on the lumbar spine, and the lesions were located in the anterior and middle part of the vertebral body. The morphological changes of the diseased vertebral body were not obvious in 41 cases, T1WI showed imaging is low signal, T2WI showed high or low signal, the SPAIR sequence showed high signal intensity, and obviously enhanced in the enhanced scan. Intervertebral space narrowed in 53 cases. There were 58 cases of extra vertebral soft tissue were involved, paravertebral abscess in 58 cases, epidural abscess in 18 cases, the signal of abscess was inhomogeneous in long T1 and long T2. SPAIR sequence showed mixed high signals with blurred boundaries, it contains some abscess cavity, which is multiple sizes, uneven thickness wall and obvious enhanced. 28 patients had accompanying signs, including small vertebral joint inflammation, anterior longitudinal ligament and interspinous ligament calcification.Conclusions: MRI manifestations of brucellosis spondylitis are characteristic, MRI has important value in diagnosis and differential diagnosis of brucellosis spondylitis, the SPAIR sequence can remove the interference of fat tissue, can sensitively detect lesions and is of great significance to show the lesion and the surrounding circumstances.
[Keywords] Brucellosis；Spondylitis；Magnetic resonance imaging

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

LU Tong Department of Radiology, General Hospital of Ningxia Medical University, Yinchuan 750004, China

FAN Rui-na School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

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

CUI Yue School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

HU Jie-ting School of Clinical Medicine, Ningxia Medical University, Yinchuan 750004, China

XIONG Yao 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

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

Conflicts of interest   None.

Received  2017-07-13
Accepted  2017-09-06
DOI: 10.12015/issn.1674-8034.2017.12.005
DOI:10.12015/issn.1674-8034.2017.12.005.

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