scholarly journals Profil Magnetic Resonance Imaging Lumbosakral pada Penderita dengan Nyeri Punggung Bawah di Bagian/Instalasi Radiologi FK Unsrat/RSUP Prof. Dr. R. D Kandou Manado Periode April - Oktober 2019

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Ryan D. Wilyo ◽  
Alfa G. E. Y. Rondo ◽  
Vonny N. Tubagus

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Ryan D. Wilyo ◽  
Alfa G. E. Y. Rondo ◽  
Vonny N. Tubagus

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging


This case focuses on using magnetic resonance imaging (MRI) for lower back pain by asking the question: Should patients with low back pain requiring imaging be offered plain radiographs or MRI? Study results showed that there were no significant differences in back pain scores between the radiograph and MRI groups, although patients in the MRI group were more likely to be reassured by their imaging results. Also, there were no significant differences in total health care costs between the groups. Although spinal MRI studies (compared with plain radiographs) are reassuring for patients with low back pain, they do not lead to improved functional outcomes. In addition, spinal MRI detects anatomic abnormalities that would otherwise go undiscovered, possibly leading to spinal surgeries of uncertain value.


Author(s):  
Michael E. Hochman

This chapter, found in the back pain section of the book, provides a succinct synopsis of a key study examining the use of magnetic resonance imaging (MRI) for low back pain. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. Researchers concluded that although spinal MRIs (compared with plain radiographs) are reassuring for patients with low back pain, they do not lead to improved functional outcomes; also, spinal MRIs detect anatomical abnormalities that would otherwise go undiscovered, possibly leading to spinal surgeries of uncertain value. In addition to outlining the most salient features of the study, a clinical vignette and imaging example are included in order to provide relevant clinical context.


2021 ◽  
pp. 088307382110162
Author(s):  
Xu Li ◽  
Qing Wang

Objectives: We analyzed the magnetic resonance imaging (MRI) manifestations of fetal corpus callosum abnormalities and discussed their prognosis based on the results of postnatal follow up. Methods: One hundred fifty-five fetuses were diagnosed with corpus callosum abnormalities by MRI at our hospital from 2004 to 2019. Gesell Development Scales were used to evaluate the prognosis of corpus callosum abnormalities after birth. Results: Corpus callosum abnormalities were diagnosed in 149 fetuses from singleton pregnancies, and 6 pairs of twins, 1 in each pair is a corpus callosum abnormality. Twenty-seven cases (27/155) were lost to follow up, whereas 128 cases (128/155) were followed up. Of these, 101 cases were induced for labor, whereas 27 cases were born naturally. Among the 27 cases of corpus callosum abnormality after birth, 22 cases were from singleton pregnancies (22/27). Moreover, 1 twin from each of 5 pairs of twins (5/27) demonstrated corpus callosum abnormalities. The average Gesell Development Scale score was 87.1 in 19 cases of agenesis of the corpus callosum and 74.9 in 3 cases of hypoplasia of the corpus callosum. Among the 5 affected twins, 2 had severe neurodevelopmental delay, 2 had mild neurodevelopmental delay, and 1 was premature and died. Conclusion: The overall prognosis of agenesis of the corpus callosum is good in singleton pregnancies. Hypoplasia of the corpus callosum is often observed with other abnormalities, and the development quotient of hypoplasia of the corpus callosum is lower compared with agenesis of the corpus callosum. Corpus callosum abnormalities may occur in one twin, in whom the risk may be increased.


2013 ◽  
Vol 18 (6) ◽  
pp. 755-765 ◽  
Author(s):  
D. Steffens ◽  
M.J. Hancock ◽  
C.G. Maher ◽  
C. Williams ◽  
T.S. Jensen ◽  
...  

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712199546
Author(s):  
Takuji Yokoe ◽  
Takuya Tajima ◽  
Hiroshi Sugimura ◽  
Shinichirou Kubo ◽  
Shotarou Nozaki ◽  
...  

Background: Spondylolysis and undiagnosed mechanical low back pain (UMLBP) are the main causes of low back pain (LBP) in adolescent athletes. No studies have evaluated the difference in clinical and radiographic factors between these 2 conditions. Furthermore, it remains unclear which adolescent athletes with LBP should undergo advanced imaging examination for spondylolysis. Purpose: To compare the clinical and radiographic factors of adolescent athletes with spondylolysis and UMLBP who did not have neurological symptoms or findings before magnetic resonance imaging (MRI) evaluation and to determine the predictors of spondylolysis findings on MRI. Study Design: Cohort study, Level of evidence, 3. Methods: The study population included 122 adolescent athletes aged 11 to 18 years who had LBP without neurological symptoms or findings and who underwent MRI. Of these participants, 75 were ultimately diagnosed with spondylolysis, and 47 were diagnosed with UMLBP. Clinical factors and the following radiographic parameters were compared between the 2 groups: spina bifida occulta, lumbar lordosis (LL) angle, and the ratio of the interfacet distance of L1 to that of L5 (L1:L5 ratio, %). A logistic regression analysis was performed to evaluate independent predictors of spondylolysis on MRI scans. Results: Significantly more athletes with spondylolysis were male (82.7% vs 48.9%; P < .001), had a greater LL angle (22.8° ± 8.1° vs 19.3° ± 8.5°; P = .02), and had a higher L1:L5 ratio (67.4% ± 6.3% vs 63.4% ± 6.6%; P = .001) versus athletes with UMLBP. A multivariate analysis revealed that male sex (odds ratio [OR], 4.66; P < .001) and an L1:L5 ratio of >65% (OR, 3.48; P = .003) were independent predictors of positive findings of spondylolysis on MRI scans. Conclusion: The study findings indicated that sex and the L1:L5 ratio are important indicators for whether to perform MRI as an advanced imaging examination for adolescent athletes with LBP who have no neurological symptoms and findings.


2018 ◽  
Vol 12 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Amarnath Chelladurai ◽  
Suhasini Balasubramaniam ◽  
Sarenya Preyah Anbazhagan ◽  
Sathyan Gnanasihamani ◽  
Sukumar Ramaswami

<sec><title>Study Design</title><p>A retrospective radiological study of the ligamentum flavum (LF).</p></sec><sec><title>Purpose</title><p>We determined the relationship of dorsal spinal LF thickening with age and sex using magnetic resonance imaging (MRI). We also determined whether LF thickening has a predominant tendency to occur at a specific dorsal level and on a specific side.</p></sec><sec><title>Overview of Literature</title><p>Many researchers have studied LF thickness at dorsal levels in patients with compressive myelopathy. However, there is a dearth of literature pertaining to the study of dorsal LF thickness in patients without myelopathy.</p></sec><sec><title>Methods</title><p>LF thickness was measured at dorsal levels from T1 to T12 on both sides using MRI in 100 individuals. The patients were divided into three groups based on age: 20 to 40, 41 to 60, and &gt;60 years. On axial T2-weighted imaging at the mid-disc level, LF thickness was measured perpendicular to the lamina border, either at half the length of LF or at maximum thickness, whichever was greater.</p></sec><sec><title>Results</title><p>We found that LF thickness does not increase significantly with increasing age and there was no significant disparity in LF thickness between the sides and sexes. We also found that there was a significant increase in LF thickness at the T10–T11 level (mean value, 3.27±0.94 mm).</p></sec><sec><title>Conclusions</title><p>LF thickness does not appear to have any side/sex dominance. LF thickening has a predominant tendency to occur specifically at the T10–T11 level. This may be due to maximum tensile strength and mobility at this level. Because there is an increased tendency for LF thickening at the T10–T11 level, this may be used as a reference point for counting the vertebral levels.</p></sec>


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