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Significance of the High-intensity Zone(HIZ) on Magnetic Resonance Imaging for Diagnosis of the Internal Disc Disruption / 대한척추외과학회지
Journal of Korean Society of Spine Surgery ; : 451-457, 1999.
Artigo em Coreano | WPRIM | ID: wpr-93777
ABSTRACT
STUDY

DESIGN:

Analysis of correlation of high-intensity zone in magnetic resonance image and pain provocation in discography.

OBJECTIVES:

The purpose of this investigation was to evaluate the relationship of the high-intensity zone to the results of discography in identifying the painful intervertebral disc. SUMMARY OF LITERATURE REVIEW There is some disagreement in validity of high-intensity zone on MRI for diagnosis of discogenic pain. MATERIALS AND

METHODS:

Magnetic resonance images were obtained in 52 patients who were considered for surgical intervention after failing to respond to conservative treatment. The presence of a high-intensity zone was specially looked for within anulus fibrosus. Each patient subsequently underwent discography; and types of provocative pain and image were recorded. Statistical analysis was used to evaluate the correlation of high-intensity zone and concordant pain response and disc disruption.

RESULTS:

The interobserver reliability for detecting a high-intensity zone in a given disc was substantial(kappa=0.646). The sensitivity of high-intensity zone for concordant pain was 47% but its specificity was relatively high(81%). Posttest odds was not so high(68%).

CONCLUSION:

These results suggest that the usefulness of high-intensity zone is limited by low sensitivity and a high-intensity zone is not indicative of exactly painful disc disruption.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Imageamento por Ressonância Magnética / Sensibilidade e Especificidade / Diagnóstico / Disco Intervertebral Tipo de estudo: Estudo diagnóstico Limite: Humanos Idioma: Coreano Revista: Journal of Korean Society of Spine Surgery Ano de publicação: 1999 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Imageamento por Ressonância Magnética / Sensibilidade e Especificidade / Diagnóstico / Disco Intervertebral Tipo de estudo: Estudo diagnóstico Limite: Humanos Idioma: Coreano Revista: Journal of Korean Society of Spine Surgery Ano de publicação: 1999 Tipo de documento: Artigo