Pott's disease MRI: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pott's disease}} | {{Pott's disease}} | ||
{{CMG}} | {{CMG}} {{AE}} {{AKI}} | ||
==Overview== | ==Overview== | ||
MRI is useful to confirm the extent of disease spread and involvement of the surrounding soft tissue. Complete spine MRI must be obtained to rule out non-contiguous lesions. | [[MRI]] is useful to confirm the extent of disease spread and involvement of the surrounding [[soft tissue]]. Complete [[spine]] [[MRI]] must be obtained to rule out non-contiguous lesions. [[MRI]] is the diagnostic investigation of choice for [[Pott's disease|spinal tuberculosis]]. | ||
==MRI== | ==MRI== | ||
Findings on MRI to determine the extent of the disease include the following: | Findings on [[MRI]] to determine the extent of the disease include the following:<ref name="pmid28078834">{{cite journal| author=Pallewatte A S, Wickramasinghe NA| title=Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka | journal=Ceylon Med J | year= 2016 | volume= 61 | issue= 4 | pages= 185-188 | pmid=28078834 | doi=10.4038/cmj.v61i4.8387 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28078834 }} </ref><ref name="pmid26675162">{{cite journal| author=Sivalingam J, Kumar A| title=Spinal Tuberculosis Resembling Neoplastic Lesions on MRI. | journal=J Clin Diagn Res | year= 2015 | volume= 9 | issue= 11 | pages= TC01-3 | pmid=26675162 | doi=10.7860/JCDR/2015/14030.6719 | pmc=4668502 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26675162 }} </ref><ref name="pmid26665957">{{cite journal| author=Deng R| title=[Difference of CT and MRI in Diagnosis of Spinal Tuberculosis]. | journal=Zhongguo Yi Liao Qi Xie Za Zhi | year= 2015 | volume= 39 | issue= 4 | pages= 302-3 | pmid=26665957 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26665957 }} </ref><ref name="pmid12389108">{{cite journal| author=Andronikou S, Jadwat S, Douis H| title=Patterns of disease on MRI in 53 children with tuberculous spondylitis and the role of gadolinium. | journal=Pediatr Radiol | year= 2002 | volume= 32 | issue= 11 | pages= 798-805 | pmid=12389108 | doi=10.1007/s00247-002-0766-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12389108 }} </ref> | ||
*Presence of [[abscesses]] and involvement of the [[vertebral body]] appearing as a change in the [[bone marrow]] signal intensity | |||
*[[Disc]] destruction | |||
*Cold abscess | |||
*[[Enhancement]] of the [[bone marrow]] | |||
*[[Vertebral]] [[collapse]] | |||
*Presence of intramedullary or extramedullary [[tuberculoma]], [[spinal cord]] [[cavitation]] | |||
*[[Spinal canal]] narrowing | |||
[[Image: Potts_MRI.gif.gif|center|frame|MRI scan showing a large destructive complex cystic and solid left paraspinal soft tissue lesion at T1 level.]] | |||
==References== | ==References== | ||
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[[Category:Vertebral column disorders]] | [[Category:Vertebral column disorders]] | ||
[[Category:Tuberculosis]] | [[Category:Tuberculosis]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:47, 18 September 2017
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Pott's disease MRI On the Web |
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American Roentgen Ray Society Images of Pott's disease MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
MRI is useful to confirm the extent of disease spread and involvement of the surrounding soft tissue. Complete spine MRI must be obtained to rule out non-contiguous lesions. MRI is the diagnostic investigation of choice for spinal tuberculosis.
MRI
Findings on MRI to determine the extent of the disease include the following:[1][2][3][4]
- Presence of abscesses and involvement of the vertebral body appearing as a change in the bone marrow signal intensity
- Disc destruction
- Cold abscess
- Enhancement of the bone marrow
- Vertebral collapse
- Presence of intramedullary or extramedullary tuberculoma, spinal cord cavitation
- Spinal canal narrowing
References
- ↑ Pallewatte A S, Wickramasinghe NA (2016). "Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka". Ceylon Med J. 61 (4): 185–188. doi:10.4038/cmj.v61i4.8387. PMID 28078834.
- ↑ Sivalingam J, Kumar A (2015). "Spinal Tuberculosis Resembling Neoplastic Lesions on MRI". J Clin Diagn Res. 9 (11): TC01–3. doi:10.7860/JCDR/2015/14030.6719. PMC 4668502. PMID 26675162.
- ↑ Deng R (2015). "[Difference of CT and MRI in Diagnosis of Spinal Tuberculosis]". Zhongguo Yi Liao Qi Xie Za Zhi. 39 (4): 302–3. PMID 26665957.
- ↑ Andronikou S, Jadwat S, Douis H (2002). "Patterns of disease on MRI in 53 children with tuberculous spondylitis and the role of gadolinium". Pediatr Radiol. 32 (11): 798–805. doi:10.1007/s00247-002-0766-8. PMID 12389108.