Abstract:
AIM:To describe the magnetic resonance imaging (MRI) appearances in patients with a clinical history suggestive of vertebral osteomyelitis and discitis who underwent MRI very early in their clinical course. MATERIALS AND METHODS:A retrospective review of the database of spinal infections from a spinal microbiological liaison team was performed over a 2 year period to identify cases with clinical features suggestive of spinal infection and an MRI that did not show features typical of vertebral osteomyelitis and discitis. All patients had positive microbiology and a follow up MRI showing typical features of spinal infection. RESULTS:In four cases the features typical of spinal infection were not evident at the initial MRI. In three cases there was very subtle endplate oedema associated with disc degeneration, which was interpreted as Modic type I degenerative endplate change. Intravenous antibiotic therapy was continued prior to repeat MRI examinations. The mean time to the repeat examination was 17 days with a range of 8-22 days. The second examinations clearly demonstrated vertebral osteomyelitis and discitis. CONCLUSION:Although MRI is the imaging method of choice for vertebral osteomyelitis and discitis in the early stages, it may show subtle, non-specific endplate subchondral changes; a repeat examination may be required to show the typical features.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Dunbar JA,Sandoe JA,Rao AS,Crimmins DW,Baig W,Rankine JJdoi
10.1016/j.crad.2010.03.015subject
Has Abstractpub_date
2010-12-01 00:00:00pages
974-81issue
12eissn
0009-9260issn
1365-229Xpii
S0009-9260(10)00218-7journal_volume
65pub_type
杂志文章abstract::The incidence of bone metastases secondary to adenocarcinoma of the exocrine pancreas is unknown since radiological studies of the bones during life, routine bone scintigrams or extensive examination of the skeleton at autopsy is rarely undertaken in the absence of specific clinical indications. Symptom-producing bone...
journal_title:Clinical radiology
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doi:10.1016/s0009-9260(78)80162-7
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abstract::Radiologists now commonly insert long-term indwelling right atrial catheters. The insertion of these catheters in patients with limited venous access is a challenging clinical problem. Our experience in dealing with patients with limited venous access from a series of 500 Hickman catheter insertions is presented, as a...
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80327-4
更新日期:1983-05-01 00:00:00
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更新日期:2014-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80047-6
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doi:10.1016/j.crad.2011.10.006
更新日期:2012-05-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2015.05.002
更新日期:2015-09-01 00:00:00
abstract::There have been significant advances in the diversity and effectiveness of hearing technologies in recent years. Implanted auditory devices may be divided into those that stimulate the cochlear hair cells (bone conduction devices and middle ear implants), and those that stimulate the neural structures (cochlear implan...
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更新日期:2018-01-01 00:00:00
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doi:10.1016/s0009-9260(82)80358-9
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(87)80231-3
更新日期:1987-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2004.07.013
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.02.016
更新日期:2019-06-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80056-2
更新日期:1979-01-01 00:00:00
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journal_title:Clinical radiology
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.08.002
更新日期:2014-12-01 00:00:00
abstract::This is the fifth in the series of short reviews of internet-based radiological learning resources and will focus on gastrointestinal (GI) and hepatobiliary radiology. Below are details of a few of the higher quality resources currently available. Most of the sites cater for medical students and trainee or non-special...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
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更新日期:2006-05-01 00:00:00