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Date Published: 31/03/2024
Online Published: 31/03/2024
Abstract Views: 1
Views pdf: 4
Issue
No. 54 (2024)
Section
Scientific research
How to Cite
Võ, T. M. N., Phạm, N. H., Nguyễn, V. P., Đỗ, H. T. A., Phạm, V. M. P., Hồ, H. P., Vũ, K. K., & Huỳnh, Q. H. (2024). Bước đầu khảo sát vai trò cộng hưởng từ cột sống thắt lưng tư thế đứng ở bệnh nhân đau thắt lưng. Vietnamese Journal of Radiology and Nuclear Medicine, 54, 4-12. https://vjrnm.edu.vn/index.php/vjrnm/article/view/1043

Bước đầu khảo sát vai trò cộng hưởng từ cột sống thắt lưng tư thế đứng ở bệnh nhân đau thắt lưng

Thị Minh Nguyệt Võ1,, Ngọc Hoa Phạm2, Văn Phát Nguyễn, Hải Thanh Anh Đỗ, Vũ Mỹ Phụng Phạm, Hoàng Phương Hồ, Kế Khôi Vũ, Quang Huy Huỳnh
1 Bệnh viện đa khoa Tâm Anh Hồ Chí Minh
2 Hội Điện quang và Y học hạt nhân Việt Nam

Main Article Content

Abstract

ABSTRACT


Background: Low back pain is a common symptom and degenerative change of the lumbar spine are the leading cause of low back pain, with or without nerve root involvement. In many people, symptoms worsen when standing or walking. Standing Magnetic Resonance Imaging (MRI) of the lumbar spine can help evaluate the changes of lumbar spine in weight-bearing position, thereby avoiding missing injuries.


Objective: The aim of this study was to compare some image features between supine and standing MRI of the lumbar spine.


Method: Retrospective and cross-sectional study of 30 patients presented low back pain and obtained MRI of the lumbar spine in supine and standing position at open MRI 0.25T G-scan.


Result: In comparison with the supine position, the standing position resulted in decreased disc height, increased foraminal and spinal canal stenosis, and increased degree of herniation, as well as decreased anteroposterior diameter at the level of the intervertebral disc space with statistical significant changes. However, there was no significant change in spondylolisthesis.


Conclusion: Some characteristics have significant changes between the standing and supine position MRI of the lumbar spine.


Keyword: low back pain, low magnetic field open MRI, standing MRI of the lumbar spine.

Article Details

Keywords

low back pain, low magnetic field open MRI, upright MRI of the lumbar spine

References

1. Casiano, V., G. Sarwan, and A.J.S.T.I.S.P. Dydyk, Back Pain.[Updated 2022 Sep 4]. 2022.
2. Zhou, Z., et al., Correlation between dural sac size in dynamic magnetic resonance imaging and clinical symptoms in patients with lumbar spinal stenosis. World Neurosurgery, 2020. 134: p. e866-e873.
3. Weishaupt, D. and L. Boxheimer, Magnetic resonance imaging of the weight-bearing spine. Semin Musculoskelet Radiol, 2003. 7(4): p. 277-86.
4. Weishaupt, D. and L. Boxheimer. Magnetic resonance imaging of the weight-bearing spine. in Seminars in musculoskeletal radiology. 2003. Copyright© 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New...
5. Fardon, D.F. and P.C.J.S. Milette, Nomenclature and classification of lumbar disc pathology: recommendations of the combined task forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. 2001. 26(5): p. E93-E113. 6. Pfirrmann, C.W., et al., MR image–based grading of lumbar nerve root compromise due to disk herniation: reliability study with surgical correlation. 2004. 230(2): p. 583-588.
7. Guen, Y.L., et al., A new grading system of lumbar central canal stenosis on MRI: an easy and reliable method. 2011. 40: p. 1033-1039.
8. Hasue, M., et al., Classification by position of dorsal root ganglia in the lumbosacral region. 1989. 14(11): p. 1261-1264.
9. Koslosky, E., D.J.C.o. Gendelberg, and r. research, Classification in brief: the Meyerding classification system of spondylolisthesis. 2020. 478(5): p. 1125.
10. Wessberg, P., B.I. Danielson, and J.J.S. Willén, Comparison of Cobb angles in idiopathic scoliosis on standing radiographs and supine axially loaded MRI. 2006. 31(26): p. 3039-3044.
11. Hansen, B.B., et al., Reliability of standing weight-bearing (0.25 T) MR imaging findings and positional changes in the lumbar spine. 2018. 47: p. 25-35.
12. Karadimas, E.J., et al., Positional MRI changes in supine versus sitting postures in patients with degenerative lumbar spine. 2006. 19(7): p. 495-500.
13. Splendiani, A., et al., Magnetic resonance imaging (MRI) of the lumbar spine with dedicated G-scan machine in the upright position: a retrospective study and our experience in 10 years with 4305 patients. 2016. 121: p. 38-44.
14. Tarantino, U., et al., Lumbar spine MRI in upright position for diagnosing acute and chronic low back pain: statistical analysis of morphological changes. 2013. 14: p. 15-22.
15. Willén, J. and B.J.S. Danielson, The diagnostic effect from axial loading of the lumbar spine during computed tomography and magnetic resonance imaging in patients with degenerative disorders. 2001. 26(23): p. 2607-2614.
16. Lang, G., et al., Preoperative assessment of neural elements in lumbar spinal stenosis by upright magnetic resonance imaging: an implication for routine practice? 2018. 10(4).
17. Lau, Y.Y.O., et al., Changes in dural sac caliber with standing MRI improve correlation with symptoms of lumbar spinal stenosis. 2017. 26: p. 2666-2675.
18. Kim, Y.K., et al., Diagnostic advancement of axial loaded lumbar spine MRI in patients with clinically suspected central spinal canal stenosis. 2013. 38(21): p. E1342-E1347.
19. Sasani, H., et al., Diagnostic importance of axial loaded magnetic resonance imaging in patients with suspected lumbar spinal canal stenosis. 2019. 127: p. e69-e75. 20. Segebarth, B., et al., Routine upright imaging for evaluating degenerative lumbar stenosis. 2015. 28(10): p. 394-397.