Pott's disease MRI
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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 which appears 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.