The lumbar high-intensity zone: 20 years on

被引：16

作者：

Khan, I. ^{[1
]}

Hargunani, R. ^{[1
]}

Saifuddin, A. ^{[1
]}

机构：

[1] Royal Natl Orthopaed Hosp, Dept Radiol, Stanmore HA7 4LP, Middx, England

来源：

CLINICAL RADIOLOGY | 2014年 / 69卷 / 06期

关键词：

LOW-BACK-PAIN; POINT-OF-VIEW; DISCOGENIC PAIN; ASYMPTOMATIC SUBJECTS; INTERVERTEBRAL DISCS; ANULUS FIBROSUS; PROVOCATIVE DISCOGRAPHY; SELECT PATIENTS; MR; SPINE;

D O I：

10.1016/j.crad.2013.12.012

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The high intensity zone (HIZ) was first described by Aprill and Bogduk on lumbar spine magnetic resonance imaging (MRI) studies in 1992. Correlation with lumbar computed tomography (CT) discography showed that the HIZ represents a deep radial tear of the annulus fibrosus, which may be a cause of chronic low back pain. Initial studies comparing the finding of a HIZ on MRI with discography suggested that it may be a highly specific marker of a painful lumbar disc, but later investigators demonstrated that it is also present in asymptomatic individuals. The purpose of this article is to review the literature regarding the lumbar HIZ 20 years after its initial description. (C) 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

引用

页码：551 / 558

页数：8

共 52 条

[41]

Sehgal N, 2000, Pain Physician, V3, P143

[42]

Shah Rinoo V, 2005, Pain Physician, V8, P187

[43] Annular tears and disk herniation: Prevalence and contrast enhancement on MR images in the absence of low each pain or sciatica [J].

Stadnik, TW ;

Lee, RR ;

Coen, HL ;

Neirynck, EC ;

Buisseret, TS ;

Osteaux, MJC .

RADIOLOGY, 1998, 206 (01) :49-55

[44] DISK DETERIORATION IN LOW-BACK SYNDROMES - A PROSPECTIVE, MULTI-CENTER CT DISCOGRAPHY STUDY [J].

VANHARANTA, H ;

GUYER, RD ;

OHNMEISS, DD ;

STITH, WJ ;

SACHS, BL ;

APRILL, C ;

SPIVEY, M ;

RASHBAUM, RF ;

HOCHSCHULER, SH ;

VIDEMAN, T ;

SELBY, DK ;

TERRY, A ;

MOONEY, V .

SPINE, 1988, 13 (12) :1349-1351

[45] LUMBAR DISCOGRAPHY IN NORMAL SUBJECTS - A CONTROLLED, PROSPECTIVE-STUDY [J].

WALSH, TR ;

WEINSTEIN, JN ;

SPRATT, KF ;

LEHMANN, TR ;

APRILL, C ;

SAYRE, H .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (07) :1081-1088

[46] MR imaging of the lumbar spine: Prevalence of intervertebral disk extrusion and sequestration, nerve root compression, end plate abnormalities, and osteoarthritis of the facet joints in asymptomatic volunteers [J].

Weishaupt, D ;

Zanetti, M ;

Hodler, J ;

Boos, N .

RADIOLOGY, 1998, 209 (03) :661-666

[47]

Wetzel FT, 2000, SPINE, V25, P1381

[48]

Wolfer LR, 2008, PAIN PHYSICIAN, V11, P513

[49] CRITERIA FOR CLASSIFYING NORMAL AND DEGENERATED LUMBAR INTERVERTEBRAL DISKS [J].

YU, S ;

HAUGHTON, VM ;

SETHER, LA ;

HO, KC ;

WAGNER, M .

RADIOLOGY, 1989, 170 (02) :523-526

[50]

YU SW, 1988, AM J NEURORADIOL, V9, P367

← 1 2 3 4 5 6 →