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Magnetic resonance imaging of bacterial and tuberculous spondylodiscitis with
associated complications and non-infectious spinal pathology mimicking
infections: a pictorial review
#MMPMID28583099
Kumar Y
; Gupta N
; Chhabra A
; Fukuda T
; Soni N
; Hayashi D
BMC Musculoskelet Disord
2017[Jun]; 18
(1
): 244
PMID28583099
show ga
Magnetic resonance (MR) imaging plays an important role in the evaluation of
bacterial and tuberculous spondylodiscitis and associated complications. Owing to
its high sensitivity and specificity, it is a powerful diagnostic tool in the
early diagnosis of ongoing infections, and thus provides help in prompt
initiation of appropriate, therapy which may be medical or surgical, by defining
the extent of involvement and detection of complications such as epidural and
paraspinal abscesses. More specifically, MR imaging helps in differentiating
bacterial from tuberculous infections and enables follow up of progression or
resolution after appropriate treatment. However, other non-infectious pathology
can demonstrate similar MR imaging appearances and one should be aware of these
potential mimickers when interpreting MR images. Radiologists and other
clinicians need to be aware of these potential mimics, which include such
pathologies as Modic type I degenerative changes, trauma, metastatic disease and
amyloidosis. In this pictorial review, we will describe and illustrate imaging
findings of bacterial and tuberculous spondylodiscitis, their complications and
non-infectious pathologies that mimic these spinal infections.
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