A prospective comparison of computed tomography and myelography in the diagnosis of herniated lumbar disks.

Haughton, Victor M.; Eldevik, O P; Magnæs, B.; Amundsen, Per

doi:10.1148/radiology.142.1.7053518

Cited by 83 publications

(19 citation statements)

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“…CT, being non-invasive, is preferred in many institutions as the first examination. In several previous reports, with relatively large numbers of patients, CT was found to be as good as (10,20,23,26) or better (9,25,30) than myelography. In contrast BELL et colI.…”

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confidence: 74%

Comparison of Myelography and Computed Tomography in Establishing Lumbar Disc Herniation

Fagerlund

Thelander²

1989

Acta Radiol

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The results of lumbar myelography and computed tomography (CT) were compared in 51 consecutive patients with clinically suggested lumbar disc herniation. A total of 100 intervertebral levels were examined. At 62 levels, either L4/L5 or L5/S I, myelography was normal. CT showed no pathologic changes at 55 levels. The results concurred between myelography and CT in 89 per cent of the patients with normal findings. Four cases of disc herniation and one bulging disc, which had been missed at myelography because of a large epidural space at L5/S I, were picked up by CT. Two of these were verified by surgery and two were treated conservatively. There was one possible false negative case with CT as well. Abnormalities were shown at 38 intervertebrallevels, 22 in the bulging and 16 in the herniated disc group. The pathologic changes concurred in 84 per cent between the two investigations. For intervertebral disc herniation the true negative rate was, for myelography 88 per cent and for CT 97 per cent. The treatment strategy could have been based on CT alone at 37 out of 38 levels (97%), and on myelography alone at 34 out of 38 levels (89%). Furthermore, at CT the imaging of soft tissues and intervertebral joints was superior to that at myelography. It is concluded that CT should be the primary examination method of imaging for lumbar disc herniation. Myelography is, however, to be preferred where the level of the lesion is clinically unclear or when the entire lumbar region and thoraco-lumbar junction are to be examined.

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confidence: 74%

Comparison of Myelography and Computed Tomography in Establishing Lumbar Disc Herniation

Fagerlund

Thelander²

1989

Acta Radiol

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“…Since that time several articles have been published attesting to the diagnostic accuracy of CT with regard to disc herniations (Williams et al, 1980;Haughton et al, 1982). In a previous paper (Tchang et al, 1982), one of us reported on the first 52 patients of this series with emphasis on the comparative value of CT versus myelography.…”

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confidence: 97%

Correlation of Computed Tomography with Surgical Diagnosis in Lumbar Disc Disease

Griebel

Tchang

Khan

et al. 1983

Can. j. neurol. sci.

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SUMMARY: The lumbar spines of one hundred patients with suspected lumbar disc herniations were analysed with computed tomography. The results are compared with the patients' surgical diagnosis and with myelography. CT scanning is with few exceptions the diagnostic procedure of choice in investigating lumbar disc disease. RESUME: Les rachis lombaires de cent (100) patients chez qui Ton soup?onnait fortement la presence d'une hernie discale ont 6t6 6tudi6s par scannographie (CT). Les resultats ont ete confrontes a ceux de la myelographie et au diagnostic chirurgical final. La scannographie (CT) s'est averee, a peu d'exceptions pres, la modalite diagnostique de choix pour ['investigation de la pathologie discale lombaire.

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“…In many cases, where a mass in the spinal canal is suspected, CT is a reliable diagnostic method (3,6,10,15), but MR is used with increasing frequency (4,8,11,13,16).…”

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Lumbar Disk Herniation Combined with Epidural Hematoma

Mikkelsen¹

1996

Acta Radiol

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A prospective comparison of computed tomography and myelography in the diagnosis of herniated lumbar disks.

Cited by 83 publications

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Comparison of Myelography and Computed Tomography in Establishing Lumbar Disc Herniation

Comparison of Myelography and Computed Tomography in Establishing Lumbar Disc Herniation

Correlation of Computed Tomography with Surgical Diagnosis in Lumbar Disc Disease

Lumbar Disk Herniation Combined with Epidural Hematoma

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