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The Added Value of Short Tau Inversion Recovery Magnetic Resonance Imaging Sequence in Evaluation of Endplate Changes of the Lumbar Spine in Patients with Low Back Pain

Article

Last updated: 24 Dec 2024

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Tags

Clinical Research (Medical)

Abstract

Background: Endplate change classification in low back pain patients is broadly utilized and is the most recognized method for categorizing endplate changes. Short tau inversion recovery (STIR) images have a significant role in better characterizing bone marrow endplate changes. Aim:   To assess the added value of short tau inversion recovery magnetic resonance imaging (MRI) sequence in evaluating endplate changes of patients with low back pain.  Subjects and Methods: A descriptive cross-sectional study included 100 Patients with low back pain referred to a routine MRI study of the lumbar spine. Sagittal T1W, sagittal and axial T2W, and sagittal STIR sequences were used. Twelve endplates in each patient from D12-S1 levels were evaluated for abnormal signals. Modic change type was recorded. Results: Fifty-seven female and 43 male patients, aged 19 to 72 years, were included.  Abnormal STIR signal and abnormal T2W/T1W signal were seen in 8.4% and 9.3% of all endplates, respectively. Forty-five (95.7%) and 54 (33.3%) endplates with Modic type 1 and type 2 changes show abnormal STIR signals, respectively. Conclusion: The STIR sequence has added value and is complementary to T1W and T2W images. When incorporated into the standard non-contrast MRI technique for assessing low back pain, it provides additional information in some individuals.
 

DOI

10.21608/scumj.2024.392239

Keywords

STIR, endplate changes, Low back pain

Authors

First Name

Sarah Y.

Last Name

Fathi

MiddleName

-

Affiliation

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

Email

sarahyousri1985@gmail.com

City

Ismailia

Orcid

-

First Name

Reda A.

Last Name

Abdel Razek

MiddleName

-

Affiliation

Department of Neurology, Faculty of Medicine, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

Volume

27

Article Issue

5

Related Issue

50927

Issue Date

2024-05-01

Receive Date

2024-11-17

Publish Date

2024-05-01

Page Start

1

Page End

8

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 27_Issue 5_Pages 1-8.pdf

PDF . 455.6kB

Link

https://scumj.journals.ekb.eg/article_392239.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=392239

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Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

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

MainTitle

The Added Value of Short Tau Inversion Recovery Magnetic Resonance Imaging Sequence in Evaluation of Endplate Changes of the Lumbar Spine in Patients with Low Back Pain

Details

Type

Article

Created At

24 Dec 2024