Keywords:
Inflammation, Infection, Diagnostic procedure, Image manipulation / Reconstruction, Digital radiography, CT, Musculoskeletal system, Musculoskeletal spine, Bones
Authors:
N. Deresh1, L. Urina2, Y. Kovalenko2, O. Sharmazanova3; 1Kyiv/UA, 2Kiev/UA, 3Kharkiv/UA
DOI:
10.26044/ecr2019/C-2414
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),
DT,
CT,
and MRI. DT was performed at the domestic digital roentgen-diagnostic complex with the mode of digital tomosynthesis after performing DR of the spine.
For each DT examination,
256 images were taken in 1 mm step,
viewed as a video loop with the possibility of postprocessing on DICOM viewers.
СT examination was performed using 64-slices scanner,
MRI 1,5T (Philips).
Data analysis:
Selected criteria of diagnostics:
1.
Detection of bone destruction.
2.
Detection of sequestrum formation.
3.
Detection of paravertebral abscesses.
Images were interpreted by two radiologists. Radiation doses of DR,
DT,
CT were compared.