Radiologic Diagnosis of Spondylodiscitis, Role of Magnetic Resonance

Study aim is to report the Magnetic Resonance Imaging (MRI) features of acute and chronic spontaneous spondylodiscitis. 57 year old female, complaining of a fever and longstanding cervical pain worsened during physical therapy. MR images were acquired using superconductive magnet 1.5 T, with the fol...

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Bibliographic Details
Published in:Acta informatica medica 2017-03, Vol.25 (1), p.54-57
Main Authors: Ramadani, Naser, Dedushi, Kreshnike, Kabashi, Serbeze, Mucaj, Sefedin
Format: Article
Language:English
Subjects:
Bone marrow
Case Report
Computed tomography
Destruction
Diagnosis
Fever
Gadolinium
Hyperglycemia
Image acquisition
Image enhancement
Magnetic resonance imaging
NMR
Nuclear magnetic resonance
Pain
Spine
Superconductors
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Summary:Study aim is to report the Magnetic Resonance Imaging (MRI) features of acute and chronic spontaneous spondylodiscitis. 57 year old female, complaining of a fever and longstanding cervical pain worsened during physical therapy. MR images were acquired using superconductive magnet 1.5 T, with the following sequences: sagittal PD and T2 TSE, sagittal T1 SE, axial PD and T2 TSE (lumbar spine), axial T2 GRE (cervical spine). Axial and sagittal T1 SE after administration of (gadolinium DTPA). Examination was reviewed by three radiologists and compared to CT findings. Patient reported cervical pain associated with fever and minimal weight loss. Blood tests were normal except hyperglycemia (DM tip II). X Ray: vertebral destruction localized at C-4 and C-5: NECT: destruction of the C-4/C-5 vertebral bodies (ventral part). MRI: Low signal of the bone marrow on T1l images, which enhanced after Gd-DTPA administration and became intermediate or high on T2 images. The steady high signal intensity of the disk on T2 images and enhancement on T1 images is typical for an acute inflammatory process. Bone Scintigrafi results: Bone changes suspicious for metastasis. Whole body CT results: apart from spine, no other significant changes. MRI is the most sensitive technique for the diagnosis of spondylodiscitis in the acute phase and comparable to CT regarding chronial stage of the disease. The present imagining essay os aimed at showing the main magnetic resonance imaging findings of tuberculous discitis.
ISSN:0353-8109
1986-5988
DOI:10.5455/aim.2017.25.54-57