Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms
Abstract Background The value of adding coronal STIR images to MR imaging of sciatica aiming to detect extra-spinal abnormalities. Results Additional coronal STIR images detected extra-spinal abnormalities in 20% of the patients, thereby downgraded the normal studies from 21 to 13%. The extra-spinal...
Main Authors: | , |
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Format: | Article |
Language: | English |
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SpringerOpen
2019-12-01
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Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
Subjects: | |
Online Access: | https://doi.org/10.1186/s43055-019-0096-6 |
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author | Rania Zeitoun Mohammed Saleh Ali Mohieddin |
author_facet | Rania Zeitoun Mohammed Saleh Ali Mohieddin |
author_sort | Rania Zeitoun |
collection | DOAJ |
description | Abstract Background The value of adding coronal STIR images to MR imaging of sciatica aiming to detect extra-spinal abnormalities. Results Additional coronal STIR images detected extra-spinal abnormalities in 20% of the patients, thereby downgraded the normal studies from 21 to 13%. The extra-spinal abnormalities included bone abnormalities (36.4%), soft tissue abnormalities (4.5%), neurological abnormalities (2.3%), gynecological abnormalities (50%), and miscellaneous (6.8%). In 6.9% of patients, the extra-spinal abnormalities explained the patients’ pain and influenced their management. Extra-spinal causes of pain significantly correlated to positive trauma and neoplasm history, normal routine protocol images, and absent nerve root impingement. Extra-spinal abnormalities were more prevalent in age groups (20–39 years). Conclusion Coronal STIR images (field of view: mid abdomen to the lesser trochanters) identify extra-spinal abnormalities that maybe overlooked on routine MRI protocol. It is of additional value in young adults, trauma, neoplasm, and negative routine images. |
first_indexed | 2024-12-16T16:51:30Z |
format | Article |
id | doaj.art-590502d6aee14d6fa58f6de97d05bf51 |
institution | Directory Open Access Journal |
issn | 2090-4762 |
language | English |
last_indexed | 2024-12-16T16:51:30Z |
publishDate | 2019-12-01 |
publisher | SpringerOpen |
record_format | Article |
series | The Egyptian Journal of Radiology and Nuclear Medicine |
spelling | doaj.art-590502d6aee14d6fa58f6de97d05bf512022-12-21T22:24:01ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622019-12-015011910.1186/s43055-019-0096-6Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptomsRania Zeitoun0Mohammed Saleh Ali Mohieddin1Department of Diagnostic and Interventional Radiology, Kasr Al-Ainy Faculty of Medicine, Cairo UniversityDepartment of Diagnostic and Interventional Radiology, Kasr Al-Ainy Faculty of Medicine, Cairo UniversityAbstract Background The value of adding coronal STIR images to MR imaging of sciatica aiming to detect extra-spinal abnormalities. Results Additional coronal STIR images detected extra-spinal abnormalities in 20% of the patients, thereby downgraded the normal studies from 21 to 13%. The extra-spinal abnormalities included bone abnormalities (36.4%), soft tissue abnormalities (4.5%), neurological abnormalities (2.3%), gynecological abnormalities (50%), and miscellaneous (6.8%). In 6.9% of patients, the extra-spinal abnormalities explained the patients’ pain and influenced their management. Extra-spinal causes of pain significantly correlated to positive trauma and neoplasm history, normal routine protocol images, and absent nerve root impingement. Extra-spinal abnormalities were more prevalent in age groups (20–39 years). Conclusion Coronal STIR images (field of view: mid abdomen to the lesser trochanters) identify extra-spinal abnormalities that maybe overlooked on routine MRI protocol. It is of additional value in young adults, trauma, neoplasm, and negative routine images.https://doi.org/10.1186/s43055-019-0096-6SciaticaExtra-spinal sciaticaCoronalSTIR |
spellingShingle | Rania Zeitoun Mohammed Saleh Ali Mohieddin Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms The Egyptian Journal of Radiology and Nuclear Medicine Sciatica Extra-spinal sciatica Coronal STIR |
title | Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms |
title_full | Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms |
title_fullStr | Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms |
title_full_unstemmed | Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms |
title_short | Coronal STIR sequence, a simple adjustment to routine MRI protocol for extra-spinal sciatica and sciatica-like symptoms |
title_sort | coronal stir sequence a simple adjustment to routine mri protocol for extra spinal sciatica and sciatica like symptoms |
topic | Sciatica Extra-spinal sciatica Coronal STIR |
url | https://doi.org/10.1186/s43055-019-0096-6 |
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