Diagnostic accuracy of 3-T magnetic resonance imaging with 3D T1 VIBE versus computer tomography in pars stress fracture of the lumbar spine

Ang, E. C.; Robertson, A. F.; Malara, Frank; O'Shea, Tomas; Roebert, Justin; Schneider, Michal; Rotstein, Andrew

doi:10.1007/s00256-016-2475-7

Cited by 49 publications

(62 citation statements)

References 18 publications

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“…Furthermore, specific MRI sequences, such as the volumetric interpolated breath-hold examination (VIBE) have proven to be particularly sensitive in the detection of bone marrow oedema, stress fractures and other sports-related osseous pathology. VIBE images permit high-quality imaging of bone tissue with superior spatial resolution 23 24. In our case, the use of MRI facilitated prompt diagnosis and enabled appropriate intervention, without which it is plausible that she would have progressed to develop a stress fracture.…”

Section: Discussionmentioning

confidence: 70%

Symptomatic stress reaction of the humerus in a professional cricketer

Beech¹,

Nagra

Wedatilake

et al. 2019

BMJ Case Rep

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A symptomatic bone stress reaction is an early pathological feature, which can lead to stress fractures. It typically affects bones of the lower limbs in response to unaccustomed disproportional compressive loading. Professional sportspeople are susceptible to both bone stress reaction and stress fractures, where training regimes and competition predispose to overuse injuries. We discuss a unique case of a professional cricketer developing pain in the throwing arm due to bone stress reaction in the distal humerus, as confirmed on MRI. Modification of the patient’s training regime, presented in this case, facilitated complete recovery within 6 weeks. The positive response to modified training suggests a biomechanical origin of the pain. This case illustrates that tensile stress associated with throwing activities can result in a symptomatic bone stress reaction of the humerus in elite cricketers.

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Section: Discussionmentioning

confidence: 70%

Symptomatic stress reaction of the humerus in a professional cricketer

Beech¹,

Nagra

Wedatilake

et al. 2019

BMJ Case Rep

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“…15 More recently, however, a study by Ang et al in 2016 utilizing 3D T1 volumetric interpolated breath-hold examination (VIBE) reported an excellent 100% accuracy in detecting complete pars fractures, with a very respectable 97.7% sensitivity and 92.3% specificity in detecting partial pars fractures. 31 The improved accuracy by Ang et al can be partly attributed to the higher strength 3-T MRI (versus 1-T MRI by Campbell et al). A VIBE sequence relies on marrow discontinuity and sclerosis as a sign of a pars defect.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 98%

Stress Injuries of the Spine in Sports

Wong

Lalam

Cassar‐Pullicino

et al. 2020

Semin Musculoskelet Radiol

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Spine sports stress injuries account for a significant amount of time loss at play in athletes, particularly if left unrecognized and allowed to progress. Spondylolysis makes up most of these stress injuries. This article focuses on spondylolysis, bringing together discussion from the literature on its pathomechanics and the different imaging modalities used in its diagnosis. Radiologists should be aware of the limitations and more importantly the roles of different imaging modalities in guiding and dictating the management of spondylolysis. Other stress-related injuries in the spine are also discussed including but not limited to pedicle fracture and apophyseal ring injury.

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“…Although CT is excellent for confirming the presence and determining the extent of a pars defect (after a positive bone scan or MRI for instance), as well as assessing bony healing, it is less useful than both bone scintigraphy and MRI for distinguishing early stress reaction, as well as active healing fractures from inactive chronic nonunion. Furthermore, even when optimized to image only the level of interest, CT exposes the patient to ionizing radiation, which is of particular concern in this young patient population [3].…”

Section: Imagingmentioning

confidence: 99%

“…Ang et al [3] recently compared 3T MRI using a thin‐slice 3D T1 VIBE sequence versus CT in the detection and grading of pars injuries. The authors found that with use of a 3T magnet and a 3D T1 VIBE sequence, MRI can provide accurate assessment of pars bone morphology and pathology with findings comparable to CT.…”

Section: Imagingmentioning

confidence: 99%