KMID : 1144720230270010032
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Investigative Magnetic Resonance Imaging 2023 Volume.27 No. 1 p.32 ~ p.41
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Clinical Utility of Limited T2-Weighted-Only Lumbar Spine MRI in Pain Intervention Clinics
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Choi Hyeon-Ui
Lee Eu-Gene Lee Joon-Woo Kim Bo-Ram
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Abstract
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Purpose : This study aimed to determine whether limited T2-weighted-only lumbar spine MRI is clinically available to patients visiting pain intervention clinic for radicular pain.
Materials and Methods : A total of 110 patients (mean age: 63.5 ¡¾ 16.1 years) with low back pain (LBP) or sciatica who underwent limited T2-weighted-only lumbar MRI using T2-weighted sagittal and axial sequences were enrolled. All MRI scans were reviewed by two radiologists for degenerative spinal lesions that most correlated with each patient¡¯s symptoms. All patients received spinal injections. Treatment response was recorded based on patients¡¯ subjective evaluations and an 11-point numerical rating scale. Clinical characteristics and changes in the diagnosis of patients who had undergone previous MRI or additional MRI within six months were also analyzed.
Results : Using limited T2-weighted-only lumbar spine MRI, acquisition time and cost for imaging examinations were effectively reduced. Pathologic lesions corresponding to clinical symptoms were detected in most (95%) patients. Symptoms had improved in 78.1% of patients at the 6-month follow-up. Further imaging work-up was not performed for any subject during the study period because there was clear indication (no doubt) for other diagnoses on the limited T2-weighted-only lumbar spine MRI or during the clinical follow-up.
Conclusion : Limited T2-weighted-only lumbar spine MRI comprising T2-weighted sagittal and axial images may sufficiently detect degenerative changes of the lumbar spine in patients with LBP and sciatica. Treatment responses are satisfactory, effectively reducing scan time and costs.
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KEYWORD
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Low back pain, Radiculopathy, Spine, Magnetic resonance imaging, Spinal injection
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