Pott's Spine: Retrospective Analysis of MRI in 40 Cases.

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2015

Poster Number:

C-1110

Type:

Educational Exhibit

Keywords:

Musculoskeletal spine, MR, Diagnostic procedure, Infection

Authors:

R. Avantsa, P. Kala, D. V. Bhargavi; Bangalore/IN

DOI:

10.1594/ecr2015/C-1110

DOI-Link:

https://dx.doi.org/10.1594/ecr2015/C-1110

Fig. 1: Various locations of the infection in the spine

Fig. 2: Location of lesions in the vertebral bodies.

Fig. 3: Various patterns of vertebral lesions.

Fig. 4: Associated collections and complications of TB spine.

Learning objectives

Magnetic resonance imaging is a powerful diagnostic tool to evaluate spinal infection and tohelp distinguish between an infection and other clinical conditions. Learning objectives: *To analyze the patterns of Koch’s spine based on the anatomical location. *To describe the key MRI features of the tubercular spine. *To illustrate the different patterns in different practical cases.

Background

Introduction Tuberculosis (TB) was known lethal disease prior to the development of the antibiotics before 1950s, which thereafter showed a steady fall in incidence. However, Tuberculosis is still remained endemic in developing countries wherein poverty, malnutrition and the presence of drug resistant strains aid in spread of the disease. In addition there is resurgence of the disease since mid-1980s in developed countries, mainly in immigrants from countries where the disease is prevalent and in patients with immunodeficiency diseases or chronic diseases like DM, chronic renal...

Findings and procedure details

Materials and methods We retrospectively analyzed MR images of 40 patients of proven spinal tuberculosis who attended our hospital during 2011 to 2014. The pattern, extent, soft tissue involvement and associated MRI features were studied. Magnetic Resonance Imaging MRI spine was taken using a 1.5Tesla Philips Achieva machine. The sequences that were performed in our hospital for all cases of spine imaging are, T1W,T2W ,STIR and contrast enhanced fat suppressed T1W images Gadodiamide at a dose of0.1mmol per kilogram of body weight was used as...

Conclusion

Conclusion: Magnetic resonance imaging (MRI) is the diagnostic modality of choice for Pott's spine and is more sensitive than other modalities and is the best in identifying the different patterns, the soft tissue involvement, associated complications and cord abnormalities.

Personal information

Dr Rohini Avantsa, MD. Department of radiology, Vydehi institute of medical sciences, Bangalore, India. [email protected] Dr Prachi Kala, MD. Neuroradiology Division, Department of radiology, Vydehi institute of medical sciences, Bangalore, India. [email protected] Dr Vidya Bhargavi, Resident,Department of radiology, Vydehi institute of medical sciences, Bangalore, India.

References

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