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《Journal of Practical Radiology》 2005-06
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MRI Characteristics of Spinal Tuberculosis

WEI Long-xiao, WANG Wei , WEI Jing-guo, CUI Guang-bin , HUANG Jin , GUO Wei, ZHANG Ji, SONG Li-jun (Department of Radiology,Tangdu Hospital,the Fourth Military Medical University,Xi’an 710038,China)  
Objective To explore MRI characteristics of spinal tuberculosis.Methods MRI of 38 patiens with spinal tuberculosis proved pathologically was analyzed retrospectively. Results (1) 101 vertebrates were involved in 38 patients . Only one vertebrate was involved in 5 of 38 cases, two vertebrates were involved in 13 of 38 cases; three vertebrates were involved in 12 of 38 cases; more than 4 vertebrates were involved in 8 of 38 cases. On T_1WI, hypointense was showed in 37 vertebrates, mixed hypointense in 61 vertebrates and isointense in 3. On T_2WI and SPIR , 34 vertebrates showed hyperintense and 63 with mixed hyperintense ; (2) 45 spinal discs had the pathological changes in 29 cases, T_1WI showed low signal intensity,T_2WI and SPIR showed mixed high signal intensity ; (3) 27 patients showed "cold abscess", 25 of 27 were around vertebrates, 5 of 25 with the abscess in psoas major muscle and 14 of 25 with abscess in vertebrate cavity. The absecess showed low signal intensity on T_1WI,hyperintense on T_2WI and SPIR. Enhanced scanning showed irregular or circular enhancement ; (4) 12 patients showed abnormal signal in 19 vertebral arches. Spinal cords were pressed in 19 patients . Conclusion Spinal tuberculosis have multiple characteristics on MRI, the lesions have different locations.T_1WI and T_2WI often showe mixed signal,these are helpful to the diagnosis and differential diagnosis of the spinal tuberculosis.
【CateGory Index】: R445.2;R529.2
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