ABSTRACT
PURPOSE: This study was designed to determine the association between LSE, spondylolisthesis, facet arthropathy, lumbar canal stenosis, BMI, radiculopathy and bone marrow edema at conventional lumbar spine MR imaging. METHODS: This is a retrospective radiological study; 441 consecutive patients with low back pain (224 men and 217 women; mean age 57.3 years; mean BMI 26) underwent conventional lumbar MRI using a 1.5-T magnet (Avanto, Siemens). Lumbar MR images were reviewed by consensus for the presence of LSE, spondylolisthesis, facet arthropathy, lumbar canal stenosis, radiculopathy and bone marrow edema. Descriptive statistics and association studies were conducted using STATA software 11.0. Association studies have been performed using linear univariate regression analysis and multivariate regression analysis, considering LSE as response variable. RESULTS: The overall prevalence of LSE was 40%; spondylolisthesis (p = 0.01), facet arthropathy (p < 0.001), BMI (p = 0.008) and lumbar canal stenosis (p < 0.001) were included in the multivariate regression model, whereas bone marrow edema, radiculopathy and age were not. CONCLUSIONS: LSE is highly associated with spondylolisthesis, facet arthropathy and BMI, suggesting underestimation of its clinical impact as an integral component in chronic lumbar back pain. Longitudinal simultaneous X-ray/MRI studies should be conducted to test the relationship of LSE with lumbar spinal instability and low back pain.
Subject(s)
Bone Marrow Diseases/diagnostic imaging , Edema/diagnostic imaging , Low Back Pain/diagnostic imaging , Lumbar Vertebrae/diagnostic imaging , Magnetic Resonance Imaging , Radiculopathy/diagnostic imaging , Spinal Stenosis/diagnostic imaging , Spondylolisthesis/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Bone Marrow Diseases/complications , Edema/complications , Female , Humans , Low Back Pain/complications , Lumbosacral Region/diagnostic imaging , Male , Middle Aged , Radiculopathy/complications , Regression Analysis , Retrospective Studies , Spinal Stenosis/complications , Spondylolisthesis/complicationsABSTRACT
Based on a close analogy with an RLC circuit, a model for interpreting delay times in forbidden regimes (tunneling) is formulated, avoiding the analytical continuation into imaginary time. In this way, a reasonable description of experimental data, which were previously reported for a waveguide propagation below the cutoff frequency at approximately 9.5 GHz, is obtained.
