Cargando…
Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study
This study was conducted to analyze the findings and benefits of computed tomography (CT) epidurography in patients with low back and leg pain and compare these findings with those of magnetic resonance imaging (MRI) images. In total, 495 intervertebral discs from 99 patients with low back and leg p...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141985/ https://www.ncbi.nlm.nih.gov/pubmed/35626422 http://dx.doi.org/10.3390/diagnostics12051267 |
_version_ | 1784715476658552832 |
---|---|
author | Yokosuka, Kimiaki Sato, Kimiaki Yamada, Kei Yoshida, Tatsuhiro Shimazaki, Takahiro Morito, Shinji Nishida, Kouta Matsuo, Atsushi Fudo, Takuma Shiba, Naoto |
author_facet | Yokosuka, Kimiaki Sato, Kimiaki Yamada, Kei Yoshida, Tatsuhiro Shimazaki, Takahiro Morito, Shinji Nishida, Kouta Matsuo, Atsushi Fudo, Takuma Shiba, Naoto |
author_sort | Yokosuka, Kimiaki |
collection | PubMed |
description | This study was conducted to analyze the findings and benefits of computed tomography (CT) epidurography in patients with low back and leg pain and compare these findings with those of magnetic resonance imaging (MRI) images. In total, 495 intervertebral discs from 99 patients with low back and leg pain who underwent percutaneous epidural adhesiolysis (epidural neuroplasty or percutaneous adhesiolysis) were examined. The axial views of CT epidurography were classified into six types to examine each intervertebral disc: round type, ellipse type, spike type, Benz mark, incomplete block, complete block, and non-contrast. MRI images were graded from A to D using the Schizas classification. Notably, 176 images were round-type and ellipse-type axial views, and 138 were spike-type and Benz-mark views; Schizas classification Grades A and B were observed in 272 and 47 MRI images, respectively. The incomplete block and complete block axial images did not significantly differ in CT epidurography and Schizas classification Grades C and D. The images showing Benz marks existed only at the L4/5 and L5/S intervertebral levels and only in 14.7% of patients. The ratio of normal shadows differed between MRI images and CT epidurography. Therefore, CT epidurography may enable a detailed evaluation of the epidural space. |
format | Online Article Text |
id | pubmed-9141985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91419852022-05-28 Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study Yokosuka, Kimiaki Sato, Kimiaki Yamada, Kei Yoshida, Tatsuhiro Shimazaki, Takahiro Morito, Shinji Nishida, Kouta Matsuo, Atsushi Fudo, Takuma Shiba, Naoto Diagnostics (Basel) Article This study was conducted to analyze the findings and benefits of computed tomography (CT) epidurography in patients with low back and leg pain and compare these findings with those of magnetic resonance imaging (MRI) images. In total, 495 intervertebral discs from 99 patients with low back and leg pain who underwent percutaneous epidural adhesiolysis (epidural neuroplasty or percutaneous adhesiolysis) were examined. The axial views of CT epidurography were classified into six types to examine each intervertebral disc: round type, ellipse type, spike type, Benz mark, incomplete block, complete block, and non-contrast. MRI images were graded from A to D using the Schizas classification. Notably, 176 images were round-type and ellipse-type axial views, and 138 were spike-type and Benz-mark views; Schizas classification Grades A and B were observed in 272 and 47 MRI images, respectively. The incomplete block and complete block axial images did not significantly differ in CT epidurography and Schizas classification Grades C and D. The images showing Benz marks existed only at the L4/5 and L5/S intervertebral levels and only in 14.7% of patients. The ratio of normal shadows differed between MRI images and CT epidurography. Therefore, CT epidurography may enable a detailed evaluation of the epidural space. MDPI 2022-05-19 /pmc/articles/PMC9141985/ /pubmed/35626422 http://dx.doi.org/10.3390/diagnostics12051267 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Yokosuka, Kimiaki Sato, Kimiaki Yamada, Kei Yoshida, Tatsuhiro Shimazaki, Takahiro Morito, Shinji Nishida, Kouta Matsuo, Atsushi Fudo, Takuma Shiba, Naoto Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study |
title | Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study |
title_full | Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study |
title_fullStr | Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study |
title_full_unstemmed | Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study |
title_short | Computed Tomographic Epidurography in Patients with Low Back Pain and Leg Pain: A Single-Center Observational Study |
title_sort | computed tomographic epidurography in patients with low back pain and leg pain: a single-center observational study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9141985/ https://www.ncbi.nlm.nih.gov/pubmed/35626422 http://dx.doi.org/10.3390/diagnostics12051267 |
work_keys_str_mv | AT yokosukakimiaki computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT satokimiaki computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT yamadakei computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT yoshidatatsuhiro computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT shimazakitakahiro computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT moritoshinji computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT nishidakouta computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT matsuoatsushi computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT fudotakuma computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy AT shibanaoto computedtomographicepidurographyinpatientswithlowbackpainandlegpainasinglecenterobservationalstudy |