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Research Paper | Radiology and Medical Imaging Sciences | India | Volume 12 Issue 6, June 2023
Correlation of Plain Radiography and MRI Spine Evaluation in Spinal Tuberculosis
Dr. Kartikey Tyagi | Dr. Suresh A.
Abstract: Objective: To evaluate the sensitivity, specificity and correlational efficiency of plain radiography with MRI findings in clinically suspected/proven cases of spinal tuberculosis. Methods: This was a descriptive study conducted at Department of Radiodiagnosis & Imaging, Vydehi Institute of Medical Sciences & Research Centre, Bangalore, from January 2018 to June 2019. This study was carried out on 30 clinically suspected patients of Spinal tuberculosis. Plain radiograph of the spine and chest was done followed by MRI of spine were done in all the patients. Various MRI features were observed on non-contrast STIR, T1W and T2W-sagittal and axial, T1W and T2W-sagittal and axial post gadolinium contrast, ADC and diffusion weighted sequences. MRI examination and radiographic features of the patients were compared. Result: With the cross-sectional study, we evaluated the changes of Pott?s spine in 30 patients on plain radiography and MRI. Plain radiography was useful in detecting bony changes, vertebra involved, deformities of the bone and Para spinal densities if any. MRI helped in evaluating the bony changes, soft tissue involvement and abscess formation if present. With the additional sequences we used to evaluate Pott?s spine we used ADC and DWI. ADC and DWI were taken from the involved vertebra and also if there was surrounding collection, normal vertebra values were taken for normal reference values. DWC showed restriction in most of the cases and the ADC values were in the in the range of be 1.47 ? 0.42 x 10-3 mm2/sec. Conclusion: MRI is the much more valuable, far more superior, accurate and more sensitive radiological diagnostic modality from x-ray, for the patients having suspected spine tuberculosis or Pott?s disease. MRI findings provide the benefits of earlier detection and treatment.
Keywords: Spinal tuberculosis (Pott?s spine), Magnetic resonance imaging, Plain radiograph, Spinal cord compression
Edition: Volume 12 Issue 6, June 2023,
Pages: 2170 - 2175