MR imaging characteristics of tuberculous spondylitis vs vertebral osteomyelitis

Smith, Alison S.; Weinstein, Mark D.; Mizushima, Akira; Coughlin, Bret F.; Hayden, Sargent; Lakin, Milton M.; Lanzieri, Charles F.

doi:10.2214/ajr.153.2.399

Cited by 164 publications

(98 citation statements)

References 2 publications

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“…The radiological pattern is frequently difficult to differentiate from metastasis, specially when disk space is preserved [12]. This occurs in only 5 % of cases [2] (Fig.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

“…Therefore, T2 images revert to normal [7]. This can be due the stimulation of the fat conversion in the yellow bone marrow [12]. But sometimes on MRI performed in the course of a good response to treatment, the imaging findings may worsen showing more extensive disease and bone destruction during many months [2,8].…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

“…It is most prevalent in adults with no sex predominance [10][11][12]. The thoracic segments are the preferred sites in which infection spreads, followed by the lumbar levels [2-5, 7, 11, 13-18].…”

Section: Introductionmentioning

confidence: 99%

“…The disease often involves two contiguous vertebral bodies with the intervening disk, but multilevel extension (three or more vertebrae) is not uncommon and characterizes the disease. In addition, single or multiple vertebral involvement preserved disk has been recognized [3,4,[10][11][12][13]19]. It remains unclear whether the multivertebral disease is a consequence of hematogenous dissemination or it is a direct subligamentous, paraspinal or subarachnoid spread disease [20], although subligamentous spread seems most likely [12].…”

Section: Introductionmentioning

confidence: 99%

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Imaging findings of Pott’s disease

Rivas-Garcia¹,

et al. 2012

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Tuberculosis (TB) continues to be an important public health problem in developed countries especially in deprived socioeconomic groups, older people, immunocompromised patients, drug-therapy resistant cases and the immigrant population. The spine is the most frequent location of musculoskeletal TB. The wide range of clinical presentations results in difficulties and delays in diagnosis. Advanced disease mimics other infections and malignancy. The diagnosis of spinal infections relies on three main factors: clinical symptoms, imaging and bacteriological culture. Advanced imaging such as Magnetic Resonance Imaging (MRI), Multidetector Computed Tomography (MDCT) and Fluor18-Deoxiglucose Positron Emission Tomography combined with CT (F-18 FDG PET-CT) demonstrate lesion extent, serve as guide for biopsy with aspiration for culture, assist surgery planning and contribute to follow-up. Diagnosis of TB cannot be established solely on the basis of clinical tests or imaging findings and biopsy may be required. Differential diagnosis between tuberculous and pyogenic spondylitis is of clinical importance, but may be difficult on the basis of radiological findings alone. Findings not pathognomonic but favoring tuberculous etiology include: slow progression of lesions with late preservation of disk space, involvement of several contiguous segments, large intraosseous and paraspinal abscesses containing calcifications, and body collapse with kyphotic deformity. In this essay the highlights of TB imaging are reviewed through published literature. In addition, we review retrospectively the radiological findings of 48 patients with tuberculous spondylitis treated from 1993 to 2010. There were 23 male and 25 female patients with a mean age of 53 years.

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“…The radiological pattern is frequently difficult to differentiate from metastasis, specially when disk space is preserved [12]. This occurs in only 5 % of cases [2] (Fig.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Imaging findings of Pott’s disease

Rivas-Garcia¹,

et al. 2012

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“…Though TB can have a varied presentation, generally there are irregular hyperintense lesions on T2-weighted images with erosion of the vertebral body and abscess collection around the body either anteriorly or posteriorly or both. 8,9 T1-weighted images of the spine typically show decreased signal within the affected vertebral bodies, loss of disk height, and paraspinal soft-tissue. The presence of a thick rim of enhancement around paraspinal and intraosseous abscesses is reported to be diagnostic of TB spondylitis.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis spinal epidural abscess without osseous involvement: a report of two cases

Prasad

Hospitals

et al. 2017

jcsr

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Spinal epidural abscess (SEA) is a rare but potentially devastating condition. Tuberculosis (TB) as the aetiology of epidural abscess especially without bony the involvement of vertebrae is uncommon. We present here, our experience with two cases where patient had TB SEA without bony involvement. Magnetic resonance imaging (MRI) provided imaging localization. Diagnosis was confirmed by mycobacterial culture and line probe assay. Both patients were managed by decompression and anti-TB treatment.

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Diagnosis of Hematogenous Pyogenic Vertebral Osteomyelitis by Magnetic Resonance Imaging

Meyers

Wiener²

1991

Arch Intern Med

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MR imaging characteristics of tuberculous spondylitis vs vertebral osteomyelitis

Cited by 164 publications

References 2 publications

Imaging findings of Pott’s disease

Imaging findings of Pott’s disease

Tuberculosis spinal epidural abscess without osseous involvement: a report of two cases

Diagnosis of Hematogenous Pyogenic Vertebral Osteomyelitis by Magnetic Resonance Imaging

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