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COMPARISON OF THE CHARACTERISTICS OF ROUTINE RADIOGRAPHIC IMAGES, COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE OF SPINAL TUBERCULOSIS PATIENTS WAS OPERATED AT THE NATIONAL LUNG HOSPITAL
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Abstract
The objective of the study was to describe and compare the characteristics of routine radiographic images, computed tomography and magnetic resonance of the spine tuberculosis was operated at the National Lung Hospital. Sample size 60 patients. Retrospective, descriptive, cross-sectional method. Mean age: 58 ± 15.6; male/female: 1.3/1; Time to diagnose spinal tuberculosis from symptom onset < 2 months: 43.3%; Pathology of typical tuberculosis (91.7%). BACTEC/MGIT cultures were positive for 95% MTB; LPA specimens have an MTB of 80%. Injury to the lumbar spine 51.7%; Thoracic spine 33.3%; Cervical spine 8.3%; Damage to 2 adjacent vertebrae 75%; Lesions > 2 vertebrae 15.6%. Routine radiograph: loss of physiological curve 80%; Cancellation of burning body 76.7%; Intervertebral stenosis 58.3%; Wedge-shaped body 43.3%; Abscess in the vertebral ligament 18.3%. Computed tomography: loss of physiological curve 80%; Destroy the body and burn 85%; Intervertebral stenosis 58.3%; Wedge-shaped body 41.7%; Pelvic muscle abscess 45.0%; Spinal cord compression 30.0%. Magnetic resonance: physiological curve loss 76.7%; Cancellation of burning body 81.7%; Intervertebral stenosis 53.3%; Wedge-shaped vertebral body 43.3%; Abscess in the vertebral ligament 20%; Pelvic muscle abscess 50%; Spinal cord compression 21.0%; Burning body inflammation 58.3%; Disc destruction 41.7%. Comparing the percentage of ability to detect some typical signs of spinal tuberculosis by X-ray, CT, and MRI techniques showed some statistically significant differences. Conclusion MRI has a prominent role in diagnosing spinal tuberculosis.
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Keywords
Tuberculosis of the spine; X-ray of the spine; Spinal tuberculosis magnetic resonance; Spinal tuberculosis computed tomography.
References
2. Trần Văn Việt. Kỹ thuật chụp cộng hưởng từ. Nhà XBYH. 2015. p: 253-326.
3. Phạm Minh Thông và CS. Chẩn đoán hình ảnh cộng hưởng từ toàn thân. Nhà XB Đại học Huế. 2019. p: 3-36; 227-278.
4. Naselli N, Facchini G, Lima GM, et al. MRI in differential diagnosis between tuberculous and pyogenic spondylodiscitis. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2022;31(2):431-441. doi:10.1007/s00586-021-06952-8
5. Lee CM, Lee Y, Kang SJ, et al. Positivity rates of mycobacterial culture in patients with tuberculous spondylitis according to methods and sites of biopsies: An analysis of 206 cases. Int J Infect Dis. 2022;121:161-165. doi:10.1016/j.ijid.2022.05.02
6. Karthek V, Bhilare P, Hadgaonkar S, et al. Gene Xpert/MTB RIF assay for spinal tuberculosis- sensitivity, specificity and clinical utility. J Clin Orthop Trauma. 2021;16:233-238. doi:10.1016/ j.jcot.2021.02.006
7. Role of percutaneous transpedicular biopsy in diagnosis of spinal tuberculosis and its correlation with the clinico-radiological features - PubMed. Accessed October 23, 2022. https://pubmed.ncbi. nlm.nih. gov/31439185
8. Kanna RM, Babu N, Kannan M, Shetty AP, Rajasekaran S. Diagnostic accuracy of whole spine magnetic resonance imaging in spinal tuberculosis validated through tissue studies. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2019; 28(12): 3003-3010. doi:10.1007/s00586-019-06031-z
9. Deng R. Difference of CT and MRI in Diagnosis of Spinal Tuberculosis. Zhongguo Yi Liao Qi Xie Za Zhi. 2015;39(4):302-303.