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323876

Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy

Article

Last updated: 24 Dec 2024

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-

Tags

Clinical Research (Medical)

Abstract

Background: Cervical spondylosis is a very common disorder of the spine. Its prevalence is more than 75% in patients aged above 65 years. Cervical spinal cord myelopathy is a long-term complication of cord compression by degenerative cervical spine changes (discs/osteophytes). The presence of abnormal spinal cord signals on conventional MRI indicates either reversible or irreversible parenchymal changes in the spinal cord. Aim: to evaluate the efficacy of MR diffusion tensor imaging technique in the early detection of cervical spinal cord myelopathic changes in symptomatic patients with cervical spondylosis. Subjects and Methods: A cross-sectional study was conducted at the Radiology Department of Suez Canal University Hospital 2019- 2022, including 50 participants. Results: FA value was significantly lower at disc protrusion (0.45 ±0.083) with p < 0.001, and ADC value was significantly higher at disc protrusion (1.23 ±0.14) with p < 0.001. Fractional anisotropy was found to be significantly abnormal in 29 (64.5 %) of patients with normal T2WI. Conclusion: DTI of the cervical spine can detect early myelopathic changes in the spinal cord caused by degenerative spondylosis.
 

DOI

10.21608/scumj.2023.323876

Keywords

DTI, Fractional anisotropy, cervical spine

Authors

First Name

Shaimaa

Last Name

Ibrahim

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

sh_activity2@yahoo.com

City

Ismailia

Orcid

-

First Name

Tarek H.

Last Name

Khalil

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

-

City

-

Orcid

-

First Name

Tarek H.

Last Name

El Kammash

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

-

City

-

Orcid

-

First Name

Marwa A.

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

-

City

-

Orcid

-

Volume

26

Article Issue

9

Related Issue

44148

Issue Date

2023-09-01

Receive Date

2023-10-30

Publish Date

2023-09-01

Page Start

13

Page End

20

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 26_Issue 9_Pages 13-20.pdf

PDF . 385.9kB

Link

https://scumj.journals.ekb.eg/article_323876.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=323876

Order

2

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy

Details

Type

Article

Created At

24 Dec 2024