|
KMID : 0378019880310060047
|
|
New Medical Journal
1988 Volume.31 No. 6 p.47 ~ p.55
|
|
|
Computerized Tomographic Assessment of Spine and Spinal Cord Lesions
|
|
|
|
|
Abstract
|
|
|
A retrospective study was devised to determine the radiological assessment or correlation btween myelography, conventional computed tomography (CT) and computer-assisted myelography (CAM) in the recognition of abnormalities of the spine and spinal cord lesion. Of 922 computed tomographi s i and 624 myelographies were evaluated. Among hose cases, 131 patients were studied who had take both myelography and´ CT scan within two weeks interval.
Each examination was interpreted separately by a neuroradiologist who´had no access to the. pa ´ent´s clinical findings or the results of any other radiologic studies. The CT scans disclosed many lesio s not shown by metrizamide myelographies at the cervical or lumbosacral level. A few lesions were re ealed by myelographies that not seen by CT scans.
Most discrepancies were due to suspicious findings of both kinds. The recognition of a spinal lesion by myelography, even with water soluble contrast agents, may be defficult when the anterior epidural space is large.
This present study indicates that rather than replacing conventional CT and myelography, CAM should be used as a primary study what has shown to be superior and complementary study when other neurodiagnostic examinations are equivocal and nondiagnostic.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|