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Additional merit of coronal STIR imaging for MR imaging of lumbar spine
INTRODUCTION: Back pain is a common clinical problem and is the frequent complaint for referral of lumbar spine magnetic resonance imaging (MRI). Coronal short tau inversion recovery sequence (STIR) can provide diagnostically significant information in small percentage of patients. MATERIALS AND MET...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4361832/ https://www.ncbi.nlm.nih.gov/pubmed/25788815 http://dx.doi.org/10.4103/0974-8237.151582 |
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author | Gupta, Ranjana Mittal, Puneet Mittal, Amit Mittal, Kapish Gupta, Sharad Kaur, Ravleen |
author_facet | Gupta, Ranjana Mittal, Puneet Mittal, Amit Mittal, Kapish Gupta, Sharad Kaur, Ravleen |
author_sort | Gupta, Ranjana |
collection | PubMed |
description | INTRODUCTION: Back pain is a common clinical problem and is the frequent complaint for referral of lumbar spine magnetic resonance imaging (MRI). Coronal short tau inversion recovery sequence (STIR) can provide diagnostically significant information in small percentage of patients. MATERIALS AND METHODS: MRI examinations of a total of 350 patients were retrospectively included in the study. MR sequences were evaluated in two settings. One radiologist evaluated sagittal and axial images only, while another radiologist evaluated all sequences, including coronal STIR sequence. After recording the diagnoses, we compared the MRI findings in two subsets of patients to evaluate additional merit of coronal STIR imaging. RESULTS: With addition of coronal STIR imaging, significant findings were observed in 24 subjects (6.8%). Twenty-one of these subjects were considered to be normal on other sequences and in three subjects diagnosis was changed with the addition of coronal STIR. Additional diagnoses on STIR included sacroiliitis, sacroiliac joint degenerative disease, sacral stress/insufficiency fracture/Looser's zones, muscular sprain and atypical appendicitis. CONCLUSION: Coronal STIR imaging can provide additional diagnoses in a small percentage of patients presenting for lumbar spine MRI for back pain. Therefore, it should be included in the routine protocol for MR imaging of lumbar spine. |
format | Online Article Text |
id | pubmed-4361832 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-43618322015-03-18 Additional merit of coronal STIR imaging for MR imaging of lumbar spine Gupta, Ranjana Mittal, Puneet Mittal, Amit Mittal, Kapish Gupta, Sharad Kaur, Ravleen J Craniovertebr Junction Spine Original Article INTRODUCTION: Back pain is a common clinical problem and is the frequent complaint for referral of lumbar spine magnetic resonance imaging (MRI). Coronal short tau inversion recovery sequence (STIR) can provide diagnostically significant information in small percentage of patients. MATERIALS AND METHODS: MRI examinations of a total of 350 patients were retrospectively included in the study. MR sequences were evaluated in two settings. One radiologist evaluated sagittal and axial images only, while another radiologist evaluated all sequences, including coronal STIR sequence. After recording the diagnoses, we compared the MRI findings in two subsets of patients to evaluate additional merit of coronal STIR imaging. RESULTS: With addition of coronal STIR imaging, significant findings were observed in 24 subjects (6.8%). Twenty-one of these subjects were considered to be normal on other sequences and in three subjects diagnosis was changed with the addition of coronal STIR. Additional diagnoses on STIR included sacroiliitis, sacroiliac joint degenerative disease, sacral stress/insufficiency fracture/Looser's zones, muscular sprain and atypical appendicitis. CONCLUSION: Coronal STIR imaging can provide additional diagnoses in a small percentage of patients presenting for lumbar spine MRI for back pain. Therefore, it should be included in the routine protocol for MR imaging of lumbar spine. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4361832/ /pubmed/25788815 http://dx.doi.org/10.4103/0974-8237.151582 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Gupta, Ranjana Mittal, Puneet Mittal, Amit Mittal, Kapish Gupta, Sharad Kaur, Ravleen Additional merit of coronal STIR imaging for MR imaging of lumbar spine |
title | Additional merit of coronal STIR imaging for MR imaging of lumbar spine |
title_full | Additional merit of coronal STIR imaging for MR imaging of lumbar spine |
title_fullStr | Additional merit of coronal STIR imaging for MR imaging of lumbar spine |
title_full_unstemmed | Additional merit of coronal STIR imaging for MR imaging of lumbar spine |
title_short | Additional merit of coronal STIR imaging for MR imaging of lumbar spine |
title_sort | additional merit of coronal stir imaging for mr imaging of lumbar spine |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4361832/ https://www.ncbi.nlm.nih.gov/pubmed/25788815 http://dx.doi.org/10.4103/0974-8237.151582 |
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