DIAGNOSTIC CAPABILITIES OF MAGNETIC-RESONANCE-IMAGING AND COMPUTED-TOMOGRAPHY IN ACUTE CERVICAL SPINAL COLUMN INJURY

被引：32

作者：

LEVITT, MA

FLANDERS, AE

机构：

[1] Division of Emergency Medicine, University of California, San Francisco

[2] Department of Emergency Medicine, Highland General Hospital, Oakland, CA

[3] Division of Neuroradiology, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1991年 / 9卷 / 02期

关键词：

ACUTE SPINAL COLUMN INJURY; MAGNETIC RESONANCE IMAGING; COMPUTED TOMOGRAPHY;

D O I：

10.1016/0735-6757(91)90173-H

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The present study was conducted to evaluate the imaging capabilities of magnetic resonance imaging (MRI) in evaluating acute cervical spinal column injury and compare these results to that of computed tomographic (CT) imaging. Forty-nine patients undergoing MRI at a Level I and regional spinal cord trauma center to evaluate cervical spinal column injury were studied. Seventy-one injuries were identified by MRI. These injuries were classified as osseous (fracture/dislocation) (n = 21), disc herniation (n = 29), and spinal cord injury (edema/contusion/transection) (n = 21). Diagnostic imaging results in 33 of the 49 patients undergoing both MRI and CT were compared. CT demonstrated 22 fracture/dislocations compared to 10 on MRI. MRI demonstrated 19 disc protrusions compared to 7 on CT. Additionally, MR imaged 13 cord injuries as compared to 0 by CT. MR imaging proved superior in demonstrating spinal cord pathology and intervariabral disc herniation. CT was superior to MRI in demonstrating osseous injury. CT and MRI may be useful together in determining presence and extent of spinal coiumn injury. © 1991.

引用

页码：131 / 135

页数：5

共 19 条

[1]

Chakens, Flickinger, Bresnahan, Et al., MR imaging of acute spinal cord trauma, Am J Neuroradiol, 8, pp. 5-10, (1987)

[2]

Hockberger, Doris, Spinal injury, Emergency Medicine: Concepts and Clinical Practice, pp. 289-330, (1983)

[3]

Mace, Emergency evaluation of cervical spine injuries: CT versus plain radiographs, Ann Emerg Med, 14, pp. 973-975, (1985)

[4]

Atlas, Regewbogen, Rogers, Et al., The radiographic characterization of burst fractures of the spine, American Journal of Roentgenology, 147, pp. 572-582, (1986)

[5]

Dachling, Pollack, Spinal cord injury without radiographic abnormality in children—The SCIWORA syndrome, The Journal of Trauma: Injury, Infection, and Critical Care, 29, pp. 654-663, (1989)

[6]

Gentry, Godersky, Thompson, Et al., Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma, Am J Neuroradiol, 9, pp. 91-100, (1988)

[7]

Kelly, Zimmerman, Snow, Et al., Head trauma: comparison of MR and CT—Experience in 100 patients, Am J Neuroradiol, 9, pp. 639-708, (1988)

[8]

Hesselink, MR imaging of brain contusions: A comparative study with CT, AJR, 150, (1988)

[9]

Hadley, Magnetic resonance imaging in acute head injury, Clin Radiol, 39, (1988)

[10]

Kulkarni, McArdle, Kopanicky, Et al., Acute spinal cord injury: MR imaging at 1.5 T, Radiology, 164, pp. 837-843, (1987)

← 1 2 →