Avtor/Urednik | Gardaševič, Ivana; Hari, Petra | |
Naslov | Slikanje z magnetno resonanco v diagnostiki seronegativnih spondiloartritisov | |
Tip | monografija | |
Kraj izdaje | Ljubljana | |
Založnik | Medicinska fakulteta | |
Leto izdaje | 1998 | |
Obseg | str. 28 | |
Jezik | slo | |
Abstrakt | In early diagnosis of sacroiliitis, conventional radiography and coputed tomography are used. The computed tomography was the most sensitive diagnostic method before discovering magnetic resonance imaging. It has been widely accepted that computed tomography is the radiological method of choice for detection of early subchondral cortical bone erosions. The ideal radiological technique should give the diagnosis before the occurrence of final erosions. The purpose in the first part of our study is to find out if the sensitivity of magnetic resonance imaging in detecting sacroiliitis could substantially exceed that of computed tomography. The development of inflammatory changes on disco-vertebral junctions and the vertebral discs has not been satisfactory, yet. Conventional radiography of spine which is being used in clinical praxis, indicates only bone destructive changes. The purpose of the second part of our study was to establish the role of magnetic resonance imaging with Gd-0TPA in early diagnosis of sacroiliitis in patients with suspected ankylosing spondylitis and those with firm diagnosis of ankytosing spondylitis. In 25 patients with clinical diagnosis of suspected seronegative sacroiliitis conventional radiography, computed tomography and magnetic resonance imaging were performed. In 10 patients no abnormalities were demonstrated. In 13 cases computed tomography and magnetic resonance imaging revealed sacroiliitis. In 2 patients with normal plain films and computed tomographical para- and intraarticular changes of signal intensity were compatible with rheumatic sacroiliitis. Magnetic resonance imaging was done in 18 patients with firm diagnosis of ankylosing spondilitis and plain films of the thoracolumbar junction suggesting destructive Romanus and Andersson inflammatory lesionsmagnetic resonance imaging. 2 distinct groups of inflammatory changes were found. (Abstract truncated at 2000 characters). | |
Deskriptorji | SPONDYLITIS, ANKYLOSING MAGNETIC RESONANCE IMAGING SACROILIAC JOINT TOMOGRAPHY, X-RAY COMPUTED GADOLINIUM DTPA |