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MRI manifestations and diagnosis of spinal tuberculosis
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MRI manifestations and diagnosis of spinal tuberculosis
Author: Bin Liu Yan Li Qiuli Qiaoju Yi I
[Abstract] MRI can clearly show the bone marrow edema of spinal tuberculosis, bone destruction, disc abnormalities, and paraspinal soft tissue abnormalities and spinal changes in the clinical diagnosis and guide treatment is important.
[Keywords] Magnetic resonance imaging of spinal tuberculosis Bone and joint tuberculosis, spinal tuberculosis is the most common form, accounting for all TB reported in the literature of 3% to 5%, accounting for 50% of bone and joint tuberculosis, and its lack of specific clinical manifestation, early diagnosis, early treatment can not only prevent disease progression , also avoid or reduce the incidence of deformities order to improve the understanding of spinal tuberculosis, we have January 2008 - September 2009, admitted to our hospital during the surgery, pathology and treatment of tuberculosis confirmed 36 patients with spinal tuberculosis analyzed and discussed, designed to improve the diagnosis of spinal tuberculosis.
1 Clinical data 1.1 General Information The group of 20 male and 16 female, aged 9 to 63 years, mean age 36 years, duration of 1 month to 2 years for clinical manifestations: All patients had varying degrees of neck, waist, back pain , and more pain for the pain or hardship, limited local spinal cases with unilateral or bilateral .16 lower extremity numbness symptoms, 14 patients with early onset of fever, night sweats, fatigue and other symptoms typical of tuberculosis, three cases of spinal kyphosis, paraplegia in 2 cases. 36 cases of spinal tuberculosis, 22 cases of surgical pathology, 14 cases of anti-TB drug treatment follow-up.
1.2 Materials and methods in our hospital using the U.S. GE Signa profile 0.2T permanent magnet open MRI, serial sagittal T1WI (TR380 TE12/Fr), T2WI (TR3200 TE108/Ef), FSEIR/FL07 (TR2700 TE31.5/Ef ) axial T2WI, if necessary, ad
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