Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms
Abstract Objectives The purpose of this study was to correlate lumbosacral spinal ultrasound (LUS) and magnetic resonance imaging (MRI) findings in patients with lumbosacral spinal dysraphisms to evaluate the value of LUS in diagnosis, intraoperative use, and during follow-up of those patients. Meth...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-11-01
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| Series: | Egyptian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41984-019-0061-8 |
| _version_ | 1818587779295084544 |
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| author | Wael Abd Elrahman Ali Elmesallamy |
| author_facet | Wael Abd Elrahman Ali Elmesallamy |
| author_sort | Wael Abd Elrahman Ali Elmesallamy |
| collection | DOAJ |
| description | Abstract Objectives The purpose of this study was to correlate lumbosacral spinal ultrasound (LUS) and magnetic resonance imaging (MRI) findings in patients with lumbosacral spinal dysraphisms to evaluate the value of LUS in diagnosis, intraoperative use, and during follow-up of those patients. Methods A total of 24 patients aged up to 6 years old were operated for lumbosacral spinal dysraphisms at the Neurosurgery Department of Zagazig University hospitals during the period from January 2017 to August 2018. All patients were investigated preoperatively, intraoperatively, and on follow-up by LUS to compare the data with preoperative and follow-up MRI of the spine. Results The median age was 11 months at the time of surgery. The most common anatomical description from the LUS study was thickened filum (18 cases). Using MRI findings as the standard reference, the sensitivity of LUS in detecting a thickened filum was 77.8% preoperatively and 62.5% postoperatively, with a specificity of 100%. The sensitivity and specificity of detecting conus level, solid masses, and cystic masses were 100%. Conclusions Lumbosacral spinal dysraphisms can be evaluated well by ultrasound imaging in age group up to 6 years old with 100% specificity (true negative) in comparison with MRI. |
| first_indexed | 2024-12-16T09:14:17Z |
| format | Article |
| id | doaj.art-1c79f48cf77d4b679189da024668cca3 |
| institution | Directory Open Access Journal |
| issn | 2520-8225 |
| language | English |
| last_indexed | 2024-12-16T09:14:17Z |
| publishDate | 2019-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj.art-1c79f48cf77d4b679189da024668cca32022-12-21T22:36:55ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252019-11-013411610.1186/s41984-019-0061-8Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphismsWael Abd Elrahman Ali Elmesallamy0Neurosurgery Department, Faculty of Medicine, Zagazig UniversityAbstract Objectives The purpose of this study was to correlate lumbosacral spinal ultrasound (LUS) and magnetic resonance imaging (MRI) findings in patients with lumbosacral spinal dysraphisms to evaluate the value of LUS in diagnosis, intraoperative use, and during follow-up of those patients. Methods A total of 24 patients aged up to 6 years old were operated for lumbosacral spinal dysraphisms at the Neurosurgery Department of Zagazig University hospitals during the period from January 2017 to August 2018. All patients were investigated preoperatively, intraoperatively, and on follow-up by LUS to compare the data with preoperative and follow-up MRI of the spine. Results The median age was 11 months at the time of surgery. The most common anatomical description from the LUS study was thickened filum (18 cases). Using MRI findings as the standard reference, the sensitivity of LUS in detecting a thickened filum was 77.8% preoperatively and 62.5% postoperatively, with a specificity of 100%. The sensitivity and specificity of detecting conus level, solid masses, and cystic masses were 100%. Conclusions Lumbosacral spinal dysraphisms can be evaluated well by ultrasound imaging in age group up to 6 years old with 100% specificity (true negative) in comparison with MRI.https://doi.org/10.1186/s41984-019-0061-8Lumbosacral ultrasoundSpinal dysraphismsMyelomeningoceleTethered cord |
| spellingShingle | Wael Abd Elrahman Ali Elmesallamy Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms Egyptian Journal of Neurosurgery Lumbosacral ultrasound Spinal dysraphisms Myelomeningocele Tethered cord |
| title | Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms |
| title_full | Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms |
| title_fullStr | Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms |
| title_full_unstemmed | Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms |
| title_short | Perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms |
| title_sort | perioperative ultrasound imaging versus magnetic resonance imaging in management of lumbosacral spinal dysraphisms |
| topic | Lumbosacral ultrasound Spinal dysraphisms Myelomeningocele Tethered cord |
| url | https://doi.org/10.1186/s41984-019-0061-8 |
| work_keys_str_mv | AT waelabdelrahmanalielmesallamy perioperativeultrasoundimagingversusmagneticresonanceimaginginmanagementoflumbosacralspinaldysraphisms |