Type:
Educational Exhibit
Keywords:
Musculoskeletal spine, Neuroradiology spine, CT, MR, Contrast agent-intravenous, Imaging sequences, Infection, Inflammation, Pelvic floor dysfunction
Authors:
A. Vinokurov, O. Belenkaya, I. Krinina, S. Parshin; Moscow/RU
DOI:
10.1594/ecr2018/C-1099
Conclusion
By our experience,
MRI most effective diagnostic method of diagnostic of SD and satisfies the basic diagnostic tasks.
The basic MRI protocol should include T2 (AX,
SG,
COR),
STIR and T1 (SG,
AX) through all interest zone by 3-4mm scans.
Interest zone should include all affected spine structures with contacting VB or IVD.
DWI doesn't give additional information.
Usage of CE can give some additional information,
but it isn’t affecting the decision on treatment plan.
CT can be useful as an indicative method for the admission of a patient to the clinic,
especially after CE and like a method to plan before and control after surgery.
The most useful CE CT phases are venous and delayed (120 sec).
Appropriate frequency of MRI in patients with conservative treatment should be no often than once a month (on hospital stage).
Its well to repeat study in case of increasing complaints,
neurological deficiency appearance,
in 5-7days after surgical treatment.