Routine sagittal whole-spine magnetic resonance imaging in finding incidental spine lesions.
Cervical
Incidental findings
Tandem stenosis
Thoracic
Whole spine sagittal magnetic resonance imaging
Journal
Magma (New York, N.Y.)
ISSN: 1352-8661
Titre abrégé: MAGMA
Pays: Germany
ID NLM: 9310752
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
08
04
2020
accepted:
04
08
2020
revised:
22
07
2020
pubmed:
14
8
2020
medline:
18
9
2021
entrez:
14
8
2020
Statut:
ppublish
Résumé
To examine the efficacy and feasibility of T2-weighted whole-spine sagittal magnetic resonance imaging (MRI) screening for all patients who undergo MRI of the lumbar spine for any indication. A review of 1145 consecutive T2-weighted whole-spine sagittal MRI screening sequences performed for lumbar spine imaging was undertaken for the purposes of documenting the incidence and clinical significance of thoracic and cervical spine incidental findings, as well as to establish correlation between these pathologies and those found in the lumbar spine. Out of the 1145 patients included in the study, 103 (9%) patients had incidental findings thought to be significant. These findings included cervical spinal stenosis (n = 85), thoracic disc herniation (n = 9), syrinx (n = 5), intradural tumor (n = 2), and signal changes within the spinal cord (n = 2). In follow-up exams, 35 patients had clinically significant findings which included cervical myelopathy (n = 25), thoracic myelopathy (n = 3), syrinx (n = 5) and intradural tumor (n = 2). Among the 172 patients presenting with lumbar spinal stenosis, 42 (24.4%) had such incidental findings, and of those 41 (23.8%) had cervical stenosis with spinal cord compression (p < 0.0001). T2-weighted whole-spine sagittal screening is useful in demonstrating clinically relevant incidental findings in any patients undergoing MRI of the lumbar spine. There is a statistically significant correlation between lumbar spinal stenosis and cervical spinal stenosis with spinal cord compression.
Identifiants
pubmed: 32785806
doi: 10.1007/s10334-020-00882-0
pii: 10.1007/s10334-020-00882-0
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
421-426Références
Schaefer DM, Flanders A, Northrup BE, Doan HT, Osterholm JL (1989) Magnetic resonance imaging of acute cervical spine trauma. Correlation with severity of neurologic injury. Spine (Phila Pa 1976) 14:1090–1095
doi: 10.1097/00007632-198910000-00011
Flanders AE, Spettell CM, Friedman DP, Marino RJ, Herbison GJ (1999) The relationship between the functional abilities of patients with cervical spinal cord injury and the severity of damage revealed by MR imaging. AJNR Am J Neuroradiol 20:926–934
pubmed: 10369368
pmcid: 7056157
Yamashita Y, Takahashi M, Matsuno Y et al (1990) Chronic injuries of the spinal cord: assessment with MR imaging. Radiology 175:849–854
doi: 10.1148/radiology.175.3.2343135
Kanna RM, Kamal Y, Mahesh A, Venugopal P, Shetty AP, Rajasekaran S (2017) The impact of routine whole spine MRI screening in the evaluation of spinal degenerative diseases. Eur Spine J 26:1993–1998
doi: 10.1007/s00586-017-4944-7
Lian J, Levine N, Cho W (2018) A review of lumbosacral transitional vertebrae and associated vertebral numeration. Eur Spine J 27:995–1004
doi: 10.1007/s00586-018-5554-8
Althoff CE, Appel H, Rudwaleit M, Sieper J, Eshed I, Hermann KG (2007) Whole-body MRI as a new screening tool for detecting axial and peripheral manifestations of spondyloarthritis. Ann Rheum Dis 66:983–985
doi: 10.1136/ard.2007.069948
Green RA, Saifuddin A (2004) A Whole spine MRI in the assessment of acute vertebral body trauma. Skeletal Radiol 33:129–135
doi: 10.1007/s00256-004-0818-2
Kaila R, Malhi AM, Mahmood B, Saifuddin A (2007) The incidence of multiple level noncontiguous vertebral tuberculosis detected using whole spine MRI. J Spinal Disord Tech 20:78–81
doi: 10.1097/01.bsd.0000211250.82823.0f
Schmitz A, Kandyba J, Koenig R, Jaeger UE, Gieseke J, Schmitt O (2001) A new method of MR total spine imaging for showing the brace effect in scoliosis. J Orthop Sci 6:316–319
doi: 10.1007/s007760100025
Nakanishi K, Kobayashi M, Nakaguchi K, Kyakuno M, Hashimoto N, Onishi H et al (2007) Whole-body MRI for detecting metastatic bone tumor: diagnostic value of diffusion-weighted images. Magn Reson Med Sci 6:147–155
doi: 10.2463/mrms.6.147
Steinborn MM, Heuck AF, Tiling R, Bruegel M, Gauger L, Reiser MF (1999) Whole-body bone marrow MRI in patients with metastatic disease to the skeletal system. J Comput Assist Tomogr 23:123–129
doi: 10.1097/00004728-199901000-00026
Han IH, Suh SH, Kuh SU, Chin DK, Kim KS (2010) Types and prevalence of coexisting spine lesions on whole spine sagittal MR images in surgical degenerative spinal diseases. Yonsei Med J 51(3):414–420
doi: 10.3349/ymj.2010.51.3.414
Nagata K, Yoshimura N, Muraki S, Hashizume H, Ishimoto Y, Yamada H, Takiguchi N, Nakagawa Y, Oka H, Kawaguchi H, Nakamura K, Akune T, Yoshida M (2012) Prevalence of cervical cord compression and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. Spine 37:1892–1898
doi: 10.1097/BRS.0b013e31825a2619
Wagner SC, Morrison WB, Carrino JA, Schweitzer ME, Nothnagel H (2002) Picture archiving and communication system: effect on reporting of incidental findings. Radiology 225:500–505
doi: 10.1148/radiol.2252011731
Park HJ, Jeon YH, Rho MH, Lee EJ, Park NH, Park SI, Jo JH (2011) Incidental findings of the lumbar spine at MRI during herniated intervertebral disk disease evaluation. AJR Am J Roentgenol 196:1151–1155
doi: 10.2214/AJR.10.5457
Hilton B, Tempest-Mitchell J, Davies B, Kotter M (2018) Assessment of degenerative cervical myelopathy differs between specialists and may influence time to diagnosis and clinical outcomes. PLoS ONE 17:13
Milligan J, Ryan K, Fehlings M, Bauman C (2019) Degenerative cervical myelopathy: diagnosis and management in primary care. Can Fam Physician 65:619–624
pubmed: 31515310
pmcid: 6741789
Adamova B, Bednarik J, Andrasinova T, Kovalova I, Kopacik R, Jabornik M, Kerkovsky M, Jakubcova B, Jarkovsky J (2015) Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression? Eur Spine J 24:2946–2953
doi: 10.1007/s00586-015-4049-0
Lee SH, Kim KT, Suk KS, Lee JH, Shin JH, So DH, Kwack YH (2010) Asymptomatic cervical cord compression in lumbar spinal stenosis patients: a whole spine magnetic resonance imaging study. Spine (Phila Pa 1976) 35:2057–2063
doi: 10.1097/BRS.0b013e3181f4588a
Bhandutia A, Brown L, Nash A, Bussey I, Shasti M, Koh E, Banagan K, Ludwig S, Gelb D (2019) Delayed diagnosis of tandem spinal stenosis: a retrospective institutional review. Int J Spine Surg 13:283–288
doi: 10.14444/6038
Boden SD, McCowin PR, Davis DO, Dina TS, Mark AS, Wiesel S (1990) Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am 72:1178–1184
doi: 10.2106/00004623-199072080-00008