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Measurement of spinal root angle at spinal canal and foraminal levels in cases of facet arthropathy: T2-weighted turbo spin echo magnetic resonance myelography with SPACE technique.
Bulut, Safiye Sanem Dereli; Nurili, Fuad; Aras, Omer; Bukte, Yasar; Naderi, Sait.
Afiliação
  • Bulut SSD; Department of Radiology, Health Sciences University, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
  • Nurili F; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Aras O; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Bukte Y; Department of Radiology, Health Sciences University, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
  • Naderi S; Department of Neurosurgery, Health Sciences University, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
Acta Radiol ; 61(6): 821-829, 2020 Jun.
Article em En | MEDLINE | ID: mdl-31653187
ABSTRACT

BACKGROUND:

Magnetic resonance myelography (MRM) with three-dimensional (3D) T2-weighted (T2W) turbo spin echo (TSE) sampling perfection with application-optimized contrasts using different flip angle evolution (SPACE) may be a guide to the etiology of low back pain.

PURPOSE:

To research the efficiency of a 3D T2W TSE SPACE MRM sequence for visualization of anatomic details of spinal nerve root at the spinal canal and lateral recess levels in the patients with low back pain. MATERIAL AND

METHODS:

Lumbar spinal MRM 3D T2W TSE SPACE was performed in a total of 70 patients (median age 46 years). Patients were imaged while lying in a supine position with straightened legs. According to the degree of facet arthropathy findings, patients were divided into four separate subgroups in our retrospective cross-sectional study. Spinal nerve root angle was measured within the spinal canal and at lateral recess level, and facet joint angle and lumbar lordosis measurements were measured by two radiologists, independently.

RESULTS:

Lumbar level was strongly negatively correlated with facet joint angle (r = -0.95) as well as nerve root angle within the spinal canal (NRASC) (r = -0.857) and at the lateral recess level (NRALR) (r = -0.947). Intracanal decline of the spinal root angle caused by spinal stenosis findings was also observed (P < 0.05). For the measurements of NRASC and NRALR, inter-observer correlation was 0.85 and 0.82 for the spinal canal and at lateral recess level, respectively.

CONCLUSION:

3D T2W SPACE in NRASC and NRALR provided high resolution images for evaluation. Therefore, this method may be a qualitative guide for the clinician and the surgeon in terms of root anatomy before any intervention.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Canal Medular / Raízes Nervosas Espinhais / Estenose Espinal / Imageamento por Ressonância Magnética / Interpretação de Imagem Assistida por Computador / Mielografia Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Radiol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Turquia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Canal Medular / Raízes Nervosas Espinhais / Estenose Espinal / Imageamento por Ressonância Magnética / Interpretação de Imagem Assistida por Computador / Mielografia Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Radiol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Turquia