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...

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Main Authors: Rania Zeitoun, Mohammed Saleh Ali Mohieddin
Format: Article
Language:English
Published: SpringerOpen 2019-12-01
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.
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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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AT mohammedsalehalimohieddin coronalstirsequenceasimpleadjustmenttoroutinemriprotocolforextraspinalsciaticaandsciaticalikesymptoms