STUDY OF MRI MORPHOLOGY OF SPINAL TUBERCULOSIS

Author:

Reddy K.Nikhitha1,Venkatarathnam V.2,Kumar R.Ramesh3,Ram Dinesh4

Affiliation:

1. PG,II Year, Department of Radio- Diagnosis,PESIMSR, Kuppam Chittoor, Andhra Pradesh-51742.

2. Professor,Department of Radio- Diagnosis, PESIMSR, Kuppam Chittoor, Andhra Pradesh-51742

3. Professor And HOD,Department of Radio-Diagnosis,PESIMSR, Kuppam Chittoor, Andhra Pradesh-51742

4. Senior Resident, Department of Radio- Diagnosis, PESIMSR, Kuppam Chittoor, Andhra Pradesh-51742

Abstract

OBJECTIVE: To study the morphology of tuberculosis of spine on MRI. METHODS AND MATERIALS: A retrospective study was done in the department of Radiodiagnosis, PESIMSR, Kuppam.This study includes 37 patients with suspected Spinal Tuberculosis, who were referred to the department of Radiodiagnosis between 2019 Jan to 2021 July. Informed consent was taken from all the patients. This study was done on GE Signa Explorer 1.5 Tesla. RESULTS: A total of 37 cases were included in the study. Of these 37 cases, 31 were males and 6 were females. The most common age group involved was between 20-40 years, seen in 15 cases followed by 41-60 yrs seen in 14 cases and 61-90 yrs seen in 8 cases. Lumbar vertebrae were commonly affected accounting for 86% of total cases (32cases) followed by dorsal and cervical vertebrae accounting for 8% and 5 % respectively (3 and 2 cases respectively). Intervertebral disc involvement (Discitis) was most commonly seen in 32 cases followed by vertebral endplate involvement (27 cases) in our study. Prevertebral & paravertebral involvement were found in 20 and 23 cases respectively . In our study,19 cases had shown the involvement of posterior elements .Epidural soft tissue component was seen in 22 cases. Psoas abscess and paraspinal involvement were seen in 9 and 8 cases respectively. CONCLUSION: MRI helps in the early assessment of the extent and severity of disease compared to X-ray and CT scan. It is valuable in detecting early marrow changes, intervertebral disc involvement, extradural abscess and cord compression.

Publisher

World Wide Journals

Subject

Materials Chemistry,Condensed Matter Physics,General Chemistry,Ceramics and Composites,Physical and Theoretical Chemistry,Molecular Medicine,Physical and Theoretical Chemistry,Molecular Biology,Biochemistry,Biophysics,Sociology and Political Science,History,Language and Linguistics,Cultural Studies,Literature and Literary Theory,Sociology and Political Science,History,Cultural Studies,Mechanical Engineering,Mechanics of Materials,Acoustics and Ultrasonics,Condensed Matter Physics,Earth-Surface Processes,Geology,General Economics, Econometrics and Finance,General Social Sciences,History,Development,Business and International Management,Education

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