Can magnetic resonance imaging accurately predict concordant pain provocation during provocative disc injection?
| Autor: | Chang Ho Kang, Richard Derby, Yun Hwan Kim, Sang Heon Lee, Jung Hyuk Kim, Kyoo Byung Chung, Deuk Jae Sung |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Provocation test Contrast Media Discography Disc protrusion Sensitivity and Specificity Injections Young Adult medicine Humans Radiology Nuclear Medicine and imaging Aged medicine.diagnostic_test business.industry Reproducibility of Results Magnetic resonance imaging Middle Aged medicine.disease Low back pain Magnetic Resonance Imaging Endplate abnormalities Intervertebral disk Orthopedic surgery Female Radiology medicine.symptom business Nuclear medicine Low Back Pain Intervertebral Disc Displacement |
| Zdroj: | Skeletal radiology. 38(9) |
| ISSN: | 1432-2161 |
| Popis: | To correlate magnetic resonance (MR) image findings with pain response by provocation discography in patients with discogenic low back pain, with an emphasis on the combination analysis of a high intensity zone (HIZ) and disc contour abnormalities. Sixty-two patients (aged 17–68 years) with axial low back pain that was likely to be disc related underwent lumbar discography (178 discs tested). The MR images were evaluated for disc degeneration, disc contour abnormalities, HIZ, and endplate abnormalities. Based on the combination of an HIZ and disc contour abnormalities, four classes were determined: (1) normal or bulging disc without HIZ; (2) normal or bulging disc with HIZ; (3) disc protrusion without HIZ; (4) disc protrusion with HIZ. These MR image findings and a new combined MR classification were analyzed in the base of concordant pain determined by discography. Disc protrusion with HIZ [sensitivity 45.5%; specificity 97.8%; positive predictive value (PPV), 87.0%] correlated significantly with concordant pain provocation (P |
| Databáze: | OpenAIRE |
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