Aims and objectives
Radiography of the spine in two projections for a long time remained the basic method of diagnosis of spondylitis because it's easy to perform and has a low-cost profile.
However,because ofthe low sensitivity and some physical limitations of the method,
it was replaced by the cross-sectional imaging methods of diagnosis: CT and MRI,
with highsensitivity andspecificity.
CT is preferably used fordetection bone destruction and sequestrum formations.
But the disadvantage of CT remains a large radiation dose level,
whichequals 5-10 mSv per one anatomical part of...
Methods and materials
Patient population: Spine exams for 16 patients were analyzed,
10 (62,5%) of them with tuberculous spondylitis on the basis of bacteriological and clinical-radiological comparison and 6 (38,5%) with normal or degenerative changes of the spine.
In equal proportions,
men and women are 1: 1,
44 ± 19 years old on average.
Data acquisition:All of the patients with suggested pathological spine changes were examined with digital radiography (DR),
and MRI.DT was performed at the domestic digital roentgen-diagnostic complex with the mode of digital tomosynthesis...
The ratio of thoracic and lumbar spine lesions was equal (The site of lesionTable 1).
Bone destruction was the most frequent feature oftuberculous spondylitis.The results of detectionof bone destruction on the DT appeared to be higher thanDR and were similar to CT: DR 70%,
Small sequestrum formation was detected in 30% casesby DT and CT,
butwas not observed on radiography.
Digital tomosynthesis allowedto accurately detecta paravertebral abscess and its length (67%),
as compared to just 33% with DR.
Also,it enabled detecting...
DT of the spine is a new diagnostic tool that allows obtaining high-quality spinе images in direct or lateral projections,
in the form of numeral thin sections without tissue superposition effect.
DT complements the radiography data in spondylitis: it allows assessing small vertebral destructions (inter-disk and subligamentous spread),
and paravertebral abscesses.
The results of bone destruction detection on the DT appeared to be higher than DR results,
yet similar to CT.
DT is a potential low-dose technique and needs to use for follow-up control of...
Department of Radiology, Diagnostic Centre «Omega», Kyiv
10, Куiv 03022,
Department of Radiology
Children's Clinical Hospital № 3 of Solomyansky District,
Center of X-ray technologies of the Association of Radiologists of Ukraine,
Department of Radiology
Kharkiv Medical AcademyofPost-graduate Education
Kharkiv 61176, Ukraine
General principles of diagnosis of tuberculous spondylitis.
Chang-Hua Chen a,b,c,
Yu-Min Chen d ,
Chih-Wei Lee e ,
Yu-Jun Chang f ,
Chun-Yuan Cheng g ,
Jui-Kuo Hung (2016).
Early diagnosis of spinal tuberculosis.
Journal of the Formosan Medical Association.
Haruhiko Machida,Toshiyuki Yuhara,Mieko Tamura,Takuya Ishikawa,Etsuko Tate,Eiko Ueno,Katelyn Nye,John M.
Whole-Body Clinical Applications of Digital Tomosynthesis/RadioGraphicsVol.