Routine sagittal whole-spine magnetic resonance imaging in finding incidental spine lesions.,Magnetic Resonance Materials in Physics Biology and Medicine

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Routine sagittal whole-spine magnetic resonance imaging in finding incidental spine lesions.
Magnetic Resonance Materials in Physics Biology and Medicine ( IF 2.3 ) Pub Date : 2020-08-12 , DOI: 10.1007/s10334-020-00882-0
Yossi Smorgick _{1,

2} , Tal Granek _{2,

3} , Yigal Mirovsky _{1,

2} , Oded Rabau _{2,

3} , Yoram Anekstein _{1,

2} , Sigal Tal _{2,

3}

Affiliation

Purpose

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.

Methods

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.

Results

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).

Conclusion

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.

中文翻译：

常规矢状全脊柱磁共振成像发现偶然的脊柱病变。

目的

旨在检查 T2 加权全脊柱矢状磁共振成像 (MRI) 筛查对所有接受腰椎 MRI 以适应任何适应症的患者的有效性和可行性。

方法

为记录胸椎和颈椎偶然发现的发生率和临床意义，以及建立这些病理和在腰椎中发现的那些。

结果

在研究中包括的 1145 名患者中，103 名 (9%) 患者的偶然发现被认为是重要的。这些发现包括颈椎管狭窄 ( n = 85)、胸椎间盘突出 ( n = 9)、空洞 ( n = 5)、硬膜内肿瘤 ( n = 2) 和脊髓内的信号变化 ( n = 2)。在后续检查中，35 名患者出现了具有临床意义的发现，包括脊髓型颈椎病 ( n = 25)、胸椎病 ( n = 3)、空洞 ( n = 5) 和硬膜内肿瘤 ( n = 2)。在出现腰椎管狭窄症的 172 名患者中，42 名 (24.4%) 有此类偶然发现，其中 41 名 (23.8%) 有颈椎管狭窄伴脊髓压迫 ( p < 0.0001)。