A magnetic resonance imaging study of destructive spondyloarthropathy in long-term hemodialysis patients.

Abstract:

:It is most important to differentiate destructive spondyloarthropathy (DSA) from vertebral osteomyelitis (VOM), both showing similar roentgenographic findings and evaluate the spinal involvement of DSA. Magnetic resonance imaging (MRI) is useful for morphological and biochemical analysis of spinal lesions, but few studies have been conducted on DSA. The authors detected 20 patients with DSA among 237 hemodialysis patients and conducted a study on 4 of them. The involved vertebral regions all showed low signal intensity on T1- and T2-weighted images. VOM can be visualized as areas of high signal intensity on T2-weighted images. In 2 of the patients, impingement was noted on the thecal sac both anteriorly and posteriorly. From the results of this study, MRI of DSA was shown to facilitate the exclusion of infectious processes and evaluation of spinal involvement.

journal_name

Nephron

journal_title

Nephron

authors

Maruyama H,Gejyo F,Arakawa M

doi

10.1159/000186521

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

71-4

issue

1

eissn

1660-8151

issn

2235-3186

journal_volume

59

pub_type

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