Importance of Bone Marrow and Soft Tissue Edema to Improve the Diagnostic Accuracy of Lumbosacral MRI for Transverse Process Fractures and Sacral Fractures
| العنوان: | Importance of Bone Marrow and Soft Tissue Edema to Improve the Diagnostic Accuracy of Lumbosacral MRI for Transverse Process Fractures and Sacral Fractures |
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| المؤلفون: | Min Jeong Kim, Ji Ah Kwon, Hye Young Kwon, Da Hoon Kim, Ji Young Hwang |
| المصدر: | 대한영상의학회지, Vol 78, Iss 2, Pp 107-114 (2018) |
| بيانات النشر: | The Korean Society of Radiology, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | lcsh:Medical physics. Medical radiology. Nuclear medicine, medicine.medical_specialty, bone marrow, lcsh:R895-920, Diagnostic accuracy, spinal fractures, 030218 nuclear medicine & medical imaging, Lumbosacral region, 03 medical and health sciences, 0302 clinical medicine, medicine, magnetic resonance imaging, Radiology, Nuclear Medicine and imaging, Process (anatomy), medicine.diagnostic_test, business.industry, Soft tissue edema, Magnetic resonance imaging, Transverse plane, medicine.anatomical_structure, Bone marrow, Radiology, business, 030217 neurology & neurosurgery, Lumbosacral joint, lumbosacral region |
| الوصف: | Purpose: To evaluate the magnetic resonance imaging (MRI) findings to improve the diagnostic accuracy for transverse process fractures and sacral fractures. Materials and Methods: The lumbosacral MRI scans of 214 patients (mean age, 60 years; male-to-female ratio, 85:129), who had spine trauma between January and November 2015 were included. Two radiologists evaluated the presence, number, level, and anatomic site of the fractures on MRI with computed tomography as reference standard. Imaging findings were described as cortical disruption, marrow edema, or soft tissue edema on T1-, T2-, and fat-suppressed T2-weighted images. A statistical analysis was performed to compare the diagnostic accuracy of the MRI pulse sequences for the transverse process and sacral fractures. Results: Of 168 fractures, 26 (15.5%) and 13 (4.9%) were in the transverse processes and sacra, respectively. A paravertebral soft tissue edema occurred in the transverse process fractures (80.8%) and presacral soft tissue and marrow edemas occurred in the sacral fractures (46.1%). The sensitivity for the transverse process fractures was 88% on the T2-weighted image. It was 92% on fat- suppressed T2- and T1-weighted images for sacral fractures. Conclusion: Bone marrow and soft tissue edemas on the MRI could potentially improve the diagnostic accuracy of an MRI for fractures in the transverse process and sacrum. |
| اللغة: | English |
| تدمد: | 2288-2928 1738-2637 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a1bf684c2fb7c61072082dcc95cb3a9 https://doaj.org/article/daf8f566c5ae4509bb4ac6da5d3f3ee1 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....1a1bf684c2fb7c61072082dcc95cb3a9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22882928 17382637 |
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