Tissue characterization of symptomatic and asymptomatic disc herniations by quantitative magnetic resonance imaging

The purpose of this investigation was to determine differences in tissue composition of symptomatic and asymptomatic disc herniations as reflected in T1 and T2 relaxation times (quantitative magnetic resonance investigation of the lumber spine. The longitudinal and transverse magnetic rlaxation time...

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Veröffentlicht in:Journal of orthopaedic research 1997-01, Vol.15 (1), p.141-149
Hauptverfasser: Boos, Norbert, Dreier, Daniel, Hilfiker, Esther, Schade, Volker, Kreis, Roland, Hora, Josef, Aebi, Max, Boesch, Chris
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container_end_page 149
container_issue 1
container_start_page 141
container_title Journal of orthopaedic research
container_volume 15
creator Boos, Norbert
Dreier, Daniel
Hilfiker, Esther
Schade, Volker
Kreis, Roland
Hora, Josef
Aebi, Max
Boesch, Chris
description The purpose of this investigation was to determine differences in tissue composition of symptomatic and asymptomatic disc herniations as reflected in T1 and T2 relaxation times (quantitative magnetic resonance investigation of the lumber spine. The longitudinal and transverse magnetic rlaxation times (T1 and T2, respectively) were calculated from a set of 20 images obtained with five single‐slice/multi‐echo sequences at different repetition time values on a commercial whole‐body system (1.5 T). Twenty‐two symptomatic and asymptomatic disc herniations could be matched according to age, gender, disc level, and the extent of herniation (protrusion or extrusion) and were compared with regard to T1 and T2 relaxation times. Symptomatic disc herniations exhibited significantly (pT1 < 0.04 and pT2 < 0.003) shorter T1(ΔT1:–182.1 milliseconds, −15%) and T2(ΔT2: −11.0 milliseconds, −21%) relaxation times than matched asymptomatic herniations. Symptomatic disc herniations also exhibited more advanced disc degeneration as graded by Pearce's criteria (p < 0.01). These results suggest that symptomatic and morphologically matched asymptomatic disc herniations differ with regard to disc matrix composition.
doi_str_mv 10.1002/jor.1100150121
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The longitudinal and transverse magnetic rlaxation times (T1 and T2, respectively) were calculated from a set of 20 images obtained with five single‐slice/multi‐echo sequences at different repetition time values on a commercial whole‐body system (1.5 T). Twenty‐two symptomatic and asymptomatic disc herniations could be matched according to age, gender, disc level, and the extent of herniation (protrusion or extrusion) and were compared with regard to T1 and T2 relaxation times. Symptomatic disc herniations exhibited significantly (pT1 &lt; 0.04 and pT2 &lt; 0.003) shorter T1(ΔT1:–182.1 milliseconds, −15%) and T2(ΔT2: −11.0 milliseconds, −21%) relaxation times than matched asymptomatic herniations. Symptomatic disc herniations also exhibited more advanced disc degeneration as graded by Pearce's criteria (p &lt; 0.01). 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Orthop. Res</addtitle><description>The purpose of this investigation was to determine differences in tissue composition of symptomatic and asymptomatic disc herniations as reflected in T1 and T2 relaxation times (quantitative magnetic resonance investigation of the lumber spine. The longitudinal and transverse magnetic rlaxation times (T1 and T2, respectively) were calculated from a set of 20 images obtained with five single‐slice/multi‐echo sequences at different repetition time values on a commercial whole‐body system (1.5 T). Twenty‐two symptomatic and asymptomatic disc herniations could be matched according to age, gender, disc level, and the extent of herniation (protrusion or extrusion) and were compared with regard to T1 and T2 relaxation times. Symptomatic disc herniations exhibited significantly (pT1 &lt; 0.04 and pT2 &lt; 0.003) shorter T1(ΔT1:–182.1 milliseconds, −15%) and T2(ΔT2: −11.0 milliseconds, −21%) relaxation times than matched asymptomatic herniations. Symptomatic disc herniations also exhibited more advanced disc degeneration as graded by Pearce's criteria (p &lt; 0.01). 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subjects Adult
Back Pain - diagnosis
Back Pain - etiology
Back Pain - pathology
Female
Humans
Intervertebral Disc Displacement - complications
Intervertebral Disc Displacement - diagnosis
Intervertebral Disc Displacement - pathology
Magnetic Resonance Imaging - standards
Male
Matched-Pair Analysis
Middle Aged
Quality Control
Sex Distribution
Thoracic Vertebrae
title Tissue characterization of symptomatic and asymptomatic disc herniations by quantitative magnetic resonance imaging
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