Pott's disease CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pott's disease}} | {{Pott's disease}} | ||
{{CMG}} | {{CMG}} {{AE}} {{AKI}} | ||
==Overview== | ==Overview== | ||
[[CT]] scan of spine provides much precise bony details of [[vertebral body|vertebral bodies]], [[intervertebral disk]]s, [[sclerosis]], and osteoporotic vertebral end plates. It is helpful to detect early lesions and is more effective for defining the shape and [[calcification]] of soft-tissue [[abscess]]es. | [[CT]] scan of spine provides much precise bony details of [[vertebral body|vertebral bodies]], [[intervertebral disk]]s, [[sclerosis]], and osteoporotic vertebral end plates. It is helpful to detect early lesions and is more effective for defining the shape and [[calcification]] of soft-tissue [[abscess]]es. | ||
==CT== | ==CT== | ||
CT is helpful to pick up the changes of [[Pott's disease|spinal tuberculosis]] early in the disease. [[CT]] can demonstrate the extent of disease including the presence of [[calcification]] in the abscesses. [[CT guided biopsy]] is done to confirm the [[etiology]].<ref name="pmid26727377">{{cite journal| author=Spira D, Germann T, Lehner B, Hemmer S, Akbar M, Jesser J et al.| title=CT-Guided Biopsy in Suspected Spondylodiscitis--The Association of Paravertebral Inflammation with Microbial Pathogen Detection. | journal=PLoS One | year= 2016 | volume= 11 | issue= 1 | pages= e0146399 | pmid=26727377 | doi=10.1371/journal.pone.0146399 | pmc=4699662 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26727377 }} </ref> | [[CT]] is helpful to pick up the changes of [[Pott's disease|spinal tuberculosis]] early in the disease. [[CT]] can demonstrate the extent of disease including the presence of [[calcification]] in the abscesses. [[CT guided biopsy]] is done to confirm the [[etiology]].<ref name="pmid26727377">{{cite journal| author=Spira D, Germann T, Lehner B, Hemmer S, Akbar M, Jesser J et al.| title=CT-Guided Biopsy in Suspected Spondylodiscitis--The Association of Paravertebral Inflammation with Microbial Pathogen Detection. | journal=PLoS One | year= 2016 | volume= 11 | issue= 1 | pages= e0146399 | pmid=26727377 | doi=10.1371/journal.pone.0146399 | pmc=4699662 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26727377 }} </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="pmid26338020">{{cite journal| author=Gupta P, Prakash M, Sharma N, Kanojia R, Khandelwal N| title=Computed tomography detection of clinically unsuspected skeletal tuberculosis. | journal=Clin Imaging | year= 2015 | volume= 39 | issue= 6 | pages= 1056-60 | pmid=26338020 | doi=10.1016/j.clinimag.2015.07.033 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26338020 }} </ref><br> | ||
The findings suggestive of [[Pott's disease|spinal tuberculosis]] include : | The findings suggestive of [[Pott's disease|spinal tuberculosis]] include : | ||
*[[Osteolytic]] lesions or bone fragmentation | *[[Osteolytic]] lesions or bone fragmentation | ||
*[[Calcifications]] in the [[abscesses]] | *[[Calcifications]] in the [[abscesses]] | ||
*[[Spinal canal]] narrowing | *[[Spinal canal]] narrowing | ||
[[Image: Potts CT.gif.gif|500px|frame|center|Sagital CT showing destructive processes involving T11 due to Potts associated with kyphosis of the spine]] | |||
==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 18:46, 18 September 2017
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Pott's disease Microchapters |
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Pott's disease CT On the Web |
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American Roentgen Ray Society Images of Pott's disease CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
CT scan of spine provides much precise bony details of vertebral bodies, intervertebral disks, sclerosis, and osteoporotic vertebral end plates. It is helpful to detect early lesions and is more effective for defining the shape and calcification of soft-tissue abscesses.
CT
CT is helpful to pick up the changes of spinal tuberculosis early in the disease. CT can demonstrate the extent of disease including the presence of calcification in the abscesses. CT guided biopsy is done to confirm the etiology.[1][2][3]
The findings suggestive of spinal tuberculosis include :
- Osteolytic lesions or bone fragmentation
- Calcifications in the abscesses
- Spinal canal narrowing
References
- ↑ Spira D, Germann T, Lehner B, Hemmer S, Akbar M, Jesser J; et al. (2016). "CT-Guided Biopsy in Suspected Spondylodiscitis--The Association of Paravertebral Inflammation with Microbial Pathogen Detection". PLoS One. 11 (1): e0146399. doi:10.1371/journal.pone.0146399. PMC 4699662. PMID 26727377.
- ↑ 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.
- ↑ Gupta P, Prakash M, Sharma N, Kanojia R, Khandelwal N (2015). "Computed tomography detection of clinically unsuspected skeletal tuberculosis". Clin Imaging. 39 (6): 1056–60. doi:10.1016/j.clinimag.2015.07.033. PMID 26338020.