Defining the use of gadolinium enhanced MRI in the assessment of the postoperative lumbar spine
A retrospective study of case notes and magnetic resonance imaging (MRI) examinations was performed to assess the value of gadolinium enhanced MRI in the investigation of persistent back pain following lumbar spine surgery in patients who have not had a discectomy for disc herniation. Gadolinium enh...
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| Veröffentlicht in: | Clinical radiology 1997-07, Vol.52 (7), p.530-534 |
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| creator | Wilkinson, L.S. Elson, E. Saifuddin, A. Ransford, A.O. |
| description | A retrospective study of case notes and magnetic resonance imaging (MRI) examinations was performed to assess the value of gadolinium enhanced MRI in the investigation of persistent back pain following lumbar spine surgery in patients who have not had a discectomy for disc herniation. Gadolinium enhancement is commonly used during MRI of patients with persistent back pain following surgery and epidural scar is frequently identified in patients who have had a previous discectomy. However the value of gadolinium enhancement in patients without previous discectomy had not been addressed. One hundred sets of case notes were examined and 24 patients with an accurate history of previous lumbar spine surgery without discectomy were identified. The nature of surgery and the MRI findings were correlated in these patients. Epidural enhancement was identified at seven sites in six patients (engorged epidural venous plexus, three; enhancement adjacent to degenerate discs, two; enhancement adjacent to facets, two). In no case was epidural scarring involving nerve roots identified. We conclude that routine gadolinium enhancement is unnecessary in patients without a history of discectomy for disc herniation. |
| doi_str_mv | 10.1016/S0009-9260(97)80330-3 |
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Gadolinium enhancement is commonly used during MRI of patients with persistent back pain following surgery and epidural scar is frequently identified in patients who have had a previous discectomy. However the value of gadolinium enhancement in patients without previous discectomy had not been addressed. One hundred sets of case notes were examined and 24 patients with an accurate history of previous lumbar spine surgery without discectomy were identified. The nature of surgery and the MRI findings were correlated in these patients. Epidural enhancement was identified at seven sites in six patients (engorged epidural venous plexus, three; enhancement adjacent to degenerate discs, two; enhancement adjacent to facets, two). In no case was epidural scarring involving nerve roots identified. We conclude that routine gadolinium enhancement is unnecessary in patients without a history of discectomy for disc herniation.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/S0009-9260(97)80330-3</identifier><identifier>PMID: 9240706</identifier><identifier>CODEN: CLRAAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Aged ; Biological and medical sciences ; Contrast Media ; Diskectomy - adverse effects ; Epidural Space - pathology ; Female ; Fibrosis ; Gadolinium DTPA ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laminectomy ; Low Back Pain - etiology ; Lumbar Vertebrae - surgery ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; Organometallic Compounds ; Osteoarticular system. Muscles ; Pentetic Acid - analogs & derivatives ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Recurrence ; Retrospective Studies</subject><ispartof>Clinical radiology, 1997-07, Vol.52 (7), p.530-534</ispartof><rights>1997 The Royal College of Radiologists</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-7eac73f00d520a7b91779c7b69b9860a5175cec5e9b1426624a73fe0f03ff3243</citedby><cites>FETCH-LOGICAL-c459t-7eac73f00d520a7b91779c7b69b9860a5175cec5e9b1426624a73fe0f03ff3243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0009-9260(97)80330-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2738839$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9240706$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilkinson, L.S.</creatorcontrib><creatorcontrib>Elson, E.</creatorcontrib><creatorcontrib>Saifuddin, A.</creatorcontrib><creatorcontrib>Ransford, A.O.</creatorcontrib><title>Defining the use of gadolinium enhanced MRI in the assessment of the postoperative lumbar spine</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>A retrospective study of case notes and magnetic resonance imaging (MRI) examinations was performed to assess the value of gadolinium enhanced MRI in the investigation of persistent back pain following lumbar spine surgery in patients who have not had a discectomy for disc herniation. Gadolinium enhancement is commonly used during MRI of patients with persistent back pain following surgery and epidural scar is frequently identified in patients who have had a previous discectomy. However the value of gadolinium enhancement in patients without previous discectomy had not been addressed. One hundred sets of case notes were examined and 24 patients with an accurate history of previous lumbar spine surgery without discectomy were identified. The nature of surgery and the MRI findings were correlated in these patients. Epidural enhancement was identified at seven sites in six patients (engorged epidural venous plexus, three; enhancement adjacent to degenerate discs, two; enhancement adjacent to facets, two). In no case was epidural scarring involving nerve roots identified. We conclude that routine gadolinium enhancement is unnecessary in patients without a history of discectomy for disc herniation.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Contrast Media</subject><subject>Diskectomy - adverse effects</subject><subject>Epidural Space - pathology</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laminectomy</subject><subject>Low Back Pain - etiology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Organometallic Compounds</subject><subject>Osteoarticular system. Muscles</subject><subject>Pentetic Acid - analogs & derivatives</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkFtrFTEQgIMo9bT6Ewp5EKkPWyfJbnLyJNJaLVQEL-BbyGYnbWRvZnYL_nt3zzmc1z4NM_PNhY-xcwGXAoR-_wMAbGGlhgtr3m1BKSjUM7YRSleFlPb3c7Y5Ii_ZKdGfNS1lecJOrCzBgN4wd40x9am_59MD8pmQD5Hf-2Zol-rccewffB-w4V-_3_LU7yhPhEQd9tMKr5VxoGkYMfspPSJv5672mdOYenzFXkTfEr4-xDP26-bTz6svxd23z7dXH--KUFZ2Kgz6YFQEaCoJ3tRWGGODqbWt7VaDr4SpAoYKbS1KqbUs_YIjRFAxKlmqM_Z2v3fMw98ZaXJdooBt63scZnLGigqUVgtY7cGQB6KM0Y05dT7_cwLcKtbtxLrVmrPG7cS6de78cGCuO2yOUweTS__Noe8p-DbmRVuiIyaN2m6VXbAPewwXGY8Js6OQcDWcMobJNUN64pH_UOGUmg</recordid><startdate>19970701</startdate><enddate>19970701</enddate><creator>Wilkinson, L.S.</creator><creator>Elson, E.</creator><creator>Saifuddin, A.</creator><creator>Ransford, A.O.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970701</creationdate><title>Defining the use of gadolinium enhanced MRI in the assessment of the postoperative lumbar spine</title><author>Wilkinson, L.S. ; Elson, E. ; Saifuddin, A. ; Ransford, A.O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-7eac73f00d520a7b91779c7b69b9860a5175cec5e9b1426624a73fe0f03ff3243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Contrast Media</topic><topic>Diskectomy - adverse effects</topic><topic>Epidural Space - pathology</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Gadolinium DTPA</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laminectomy</topic><topic>Low Back Pain - etiology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Organometallic Compounds</topic><topic>Osteoarticular system. Muscles</topic><topic>Pentetic Acid - analogs & derivatives</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilkinson, L.S.</creatorcontrib><creatorcontrib>Elson, E.</creatorcontrib><creatorcontrib>Saifuddin, A.</creatorcontrib><creatorcontrib>Ransford, A.O.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilkinson, L.S.</au><au>Elson, E.</au><au>Saifuddin, A.</au><au>Ransford, A.O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Defining the use of gadolinium enhanced MRI in the assessment of the postoperative lumbar spine</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>52</volume><issue>7</issue><spage>530</spage><epage>534</epage><pages>530-534</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><coden>CLRAAG</coden><abstract>A retrospective study of case notes and magnetic resonance imaging (MRI) examinations was performed to assess the value of gadolinium enhanced MRI in the investigation of persistent back pain following lumbar spine surgery in patients who have not had a discectomy for disc herniation. Gadolinium enhancement is commonly used during MRI of patients with persistent back pain following surgery and epidural scar is frequently identified in patients who have had a previous discectomy. However the value of gadolinium enhancement in patients without previous discectomy had not been addressed. One hundred sets of case notes were examined and 24 patients with an accurate history of previous lumbar spine surgery without discectomy were identified. The nature of surgery and the MRI findings were correlated in these patients. Epidural enhancement was identified at seven sites in six patients (engorged epidural venous plexus, three; enhancement adjacent to degenerate discs, two; enhancement adjacent to facets, two). In no case was epidural scarring involving nerve roots identified. We conclude that routine gadolinium enhancement is unnecessary in patients without a history of discectomy for disc herniation.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>9240706</pmid><doi>10.1016/S0009-9260(97)80330-3</doi><tpages>5</tpages></addata></record> |
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| ispartof | Clinical radiology, 1997-07, Vol.52 (7), p.530-534 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Biological and medical sciences Contrast Media Diskectomy - adverse effects Epidural Space - pathology Female Fibrosis Gadolinium DTPA Humans Investigative techniques, diagnostic techniques (general aspects) Laminectomy Low Back Pain - etiology Lumbar Vertebrae - surgery Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged Organometallic Compounds Osteoarticular system. Muscles Pentetic Acid - analogs & derivatives Radiodiagnosis. Nmr imagery. Nmr spectrometry Recurrence Retrospective Studies |
| title | Defining the use of gadolinium enhanced MRI in the assessment of the postoperative lumbar spine |
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