Incidental Extra-Spinal Findings in Lumbar Spine MRI: Incidence and Clinical Significance

2015 ◽  
Vol 15 (10) ◽  
pp. S197-S198
Author(s):  
Hassan Semaan ◽  
Tawfik Obri ◽  
Jacob Bieszczad ◽  
Paul Aldinger ◽  
Mohammed Al-Natour ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Clinical Significance ◽  
Spine Mri

scholarly journals Extraspinal findings prevalence and clinical significance in 4250 lumbar spine MRI exams

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ruba A. Khasawneh ◽  
Ziyad Mohaidat ◽  
Firas A. Khasawneh ◽  
Ahmad Farah ◽  
Maha Gharaibeh ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Clinical Significance ◽  
Renal Cysts ◽  
Reporting Rate ◽  
Urinary System ◽  
Mri Scans ◽  
Original Report ◽  
Clinically Significant ◽  
Patient’S Outcome ◽  
Spine Mri

AbstractTo assess extraspinal findings (ESFs) prevalence in lumbar spine MRI, including clinically significant findings using a systematic approach, and to determine their reporting rate. Lumbar spine MRI scans were retrospectively reviewed over 18 months by two radiologists. Reading discrepancies were resolved by consensus. ESFs were classified according to the involved system, clinical diagnosis, and clinical significance. The reporting rate was estimated by referring to the original report. There were 1509 ESFs in 1322/4250 patients with a substantial agreement between the two radiologists (kappa = 0.8). Almost half (621/1322) were in the 45–60 age group. Females represented 56.6% (748/1322). 74.2% (1120/1509) of the ESFs involved the urinary system among which 79.6% (892/1120) were renal cysts. Clinically significant findings represented 8.7% (131/1509) among which hydronephrosis represented 23% (30/131). First time detected malignant lesions represented 4.6% (6/131). ESFs reporting rate was 47.3%. 58.8% of the clinically significant ESFs were not reported. ESFs prevalence was 31.1%. The Urinary system was the most commonly involved. Most ESFs were benign warranting no further workup. However, clinically significant ESF were not infrequently detected. More than half of the clinically significant findings were not reported. A systematic review of MRI images is highly recommended to improve patient’s outcome.

Prevalence and Clinical Significance of Incidental Vertebral Marrow Signal Abnormality in Thoracolumbar Spine MRI

Spine ◽  
2020 ◽  
Vol 45 (6) ◽  
pp. 390-396
Author(s):  
Hans L. Carlson ◽  
Austin R. Thompson ◽  
David R. Pettersson ◽  
Brady Goodwin ◽  
Thomas G. Deloughery ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Thoracolumbar Spine ◽  
Signal Abnormality ◽  
Spine Mri ◽  
Marrow Signal

The Effect of Computer-Assisted Reporting on Interreader Variability of Lumbar Spine MRI Degenerative Findings: Five Readers With 30 Disc Levels

2018 ◽  
Vol 15 (11) ◽  
pp. 1613-1619 ◽  
Author(s):  
Benjamin Wang ◽  
Daniel I. Rosenthal ◽  
Chun Xu ◽  
Pari V. Pandharipande ◽  
H. Benjamin Harvey ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Computer Assisted ◽  
Spine Mri

scholarly journals Osteopetrosis - A Case Series Exploring Complications and Multidisciplinary Management

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A209-A209
Author(s):  
Catherine Stewart ◽  
Paul Benjamin Loughrey ◽  
John R Lindsay
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Medical History ◽  
Scaphoid Fracture ◽  
Past Medical History ◽  
Dxa Scan ◽  
X Ray ◽  
Management Of Complications ◽  
History Of ◽  
Spine Mri

Abstract Background: Osteopetrosis is a group of rare inherited skeletal dysplasias, with each variant sharing the hallmark of increased bone mineral density (BMD). Abnormal osteoclast activity produces overly dense bone predisposing to fracture and skeletal deformities. Whilst no cure for these disorders exists, endocrinologists play an important role in surveillance and management of complications. Clinical Cases: A 43-year-old female had findings suggestive of increased BMD on radiographic imaging performed to investigate shoulder and back pain. X-ray of lumbar spine demonstrated a ‘rugger jersey’ spine appearance, while shoulder X-ray revealed mixed lucency and sclerosis of the humeral head. DXA scan showed T-scores of +11 at the hip and +12.5 at the lumbar spine. MRI of head displayed bilateral narrowing and elongation of the internal acoustic meatus and narrowing of the orbital foramina. Genetic assessment confirmed autosomal dominant osteopetrosis with a CLCN7 variant. Oral colecalciferol supplementation was commenced and multi-disciplinary management instigated with referral to ophthalmology and ENT teams. A 25-year-old male presented with a seven-year history of low back pain and prominent bony swelling around the tibial tuberosities and nape of neck. Past medical history included repeated left scaphoid fracture in 2008 and 2018. Recovery from his scaphoid fracture was complicated by non-union requiring bone grafting with open reduction and fixation. Plain X-rays of the spine again demonstrated ‘rugger jersey’ spine. DXA scan was notable for elevated T scores; +2.9 at hip and +5.8 lumbar spine. MRI spine showed vertebral endplate cortical thickening and sclerosis at multiple levels. The patient declined genetic testing and is under clinical review. A 62-year-old male was referred to the bone metabolism service following a DXA scan showing T scores of +11. 7 at the hip and +13 at the lumbar spine. His primary complaint was of neck pain and on MRI there was multi-level nerve root impingement secondary to facet joint hypertrophy. Past medical history was significant for a long history of widespread joint pains; previous X-ray reports described generalized bony sclerosis up to 11 years previously. Clinical and radiological monitoring continues. Conclusion: Individuals with osteopetrosis require a multidisciplinary approach to management. There is no curative treatment and mainstay of therapy is supportive with active surveillance for complications.

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