The value of magnetic resonance imaging and computed tomography in the study of spinal disorders

Quantitative Imaging in Medicine and Surgery

article

Fernando Ruiz Santiago¹  Antonio Jesús Láinez Ramos-Bossini²  Yì Xiáng J. Wáng³  José Pablo Martínez Barbero²  Jade García Espinosa²  Alberto Martínez Martínez² 

[1] Department of Radiology and Physical Medicine , University of Granada;Department of Radiology and Physical Medicine, Hospital Virgen de las Nieves , University of Granada;Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong

关键词: Spine;    computed tomography (CT);    magnetic resonance imaging (MRI);    back pain;    spinal disorder;    spinal diseases;    osteoporotic fracture;   

DOI  :  10.21037/qims-2022-04

学科分类：外科医学

来源: AME Publications

【 摘 要 】

Computed tomography (CT) and magnetic resonance imaging (MRI) have replaced conventional radiography in the study of many spinal conditions, it is essential to know when these techniques are indicated instead of or as complementary tests to radiography, which findings can be expected in different clinical settings, and their significance in the diagnosis of different spinal conditions. Proper use of CT and MRI in spinal disorders may facilitate diagnosis and management of spinal conditions. An adequate clinical approach, a good understanding of the pathological manifestations demonstrated by these imaging techniques and a comprehensive report based on a universally accepted nomenclature represent the indispensable tools to improve the diagnostic approach and the decision-making process in patients with spinal pain. Several guidelines are available to assist clinicians in ordering appropriate imaging techniques to achieve an accurate diagnosis and to ensure appropriate medical care that meets the efficacy and safety needs of patients. This article reviews the clinical indications of CT and MRI in different pathologic conditions affecting the spine, including congenital, traumatic, degenerative, inflammatory, infectious and tumor disorders, as well as their main imaging features. It is intended to be a pictorial guide to clinicians involved in the diagnosis and treatment of spinal disorders.

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