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Quantifying Bone Marrow Edema Adjacent to the Lumbar Vertebral Endplate on Magnetic Resonance Imaging: A Cross-Sectional Study of Patients with Degenerative Lumbar Disease

Asian Spine Journal, 2022, 16(2), , pp.254-260 [Peer Reviewed Journal]

2022. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright © 2022 by Korean Society of Spine Surgery 2022 ;ISSN: 1976-1902 ;EISSN: 1976-7846 ;DOI: 10.31616/asj.2020.0648 ;PMID: 34000797

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  • Title:
    Quantifying Bone Marrow Edema Adjacent to the Lumbar Vertebral Endplate on Magnetic Resonance Imaging: A Cross-Sectional Study of Patients with Degenerative Lumbar Disease
  • Author: Nakamae, Toshio ; Kamei, Naosuke ; Fujimoto, Yoshinori ; Yamada, Kiyotaka ; Tamura, Takayuki ; Tsuchikawa, Yuji ; Morisako, Taiki ; Harada, Takahiro ; Maruyama, Toshiaki ; Adachi, Nobuo
  • Subjects: Back pain ; Bone density ; Bone imaging ; Bone marrow ; bone marrow edema ; Clinical Study ; Computed tomography ; contrast ratio ; Cross-sectional studies ; Degenerative disc disease ; Edema ; endplate lesion ; Low back pain ; Magnetic resonance imaging ; Patients ; Scoliosis ; Spinal cord ; Spine (lumbar) ; Tomography ; Vertebrae ; 정형외과학
  • Is Part Of: Asian Spine Journal, 2022, 16(2), , pp.254-260
  • Description: Cross-sectional study. We aimed to quantitatively assess bone marrow edema (BME) on magnetic resonance imaging (MRI) for patients with degenerative lumbar diseases. BME adjacent to a sclerotic endplate of the lumbar spine, detected using T2-weighted fat-saturated MRI, is closely associated with low back pain in patients with degenerative lumbar diseases. However, currently, there no quantitative evaluation methods for BME adjacent to the vertebral endplate. Patients with degenerative lumbar diseases, whose MRIs detected BME, were enrolled. On a T2-weighted fat-saturated MRI, BME appeared as a high-intensity region adjacent to the vertebral endplate. We calculated the contrast ratios (CRs) of BME and normal bone marrow using the signal intensities of BME, normal bone marrow, and the spinal cord. On computed tomography, we calculated Hounsfield unit (HU) values in the same area as BME, the sclerotic endplate, and normal bone marrow to assess bone density. There were 16 men and 14 women, with an average age of 73.5 years. The mean CRs of BME and normal bone marrow were -0.015±0.056 and -0.407±0.023, respectively. BME's CR was significantly higher than that of normal bone marrow (p<0.01). The HU values in the same area as BME, the sclerotic endplate, and normal bone marrow were 251.9±24.6, 828.3±35.6, and 98.1±9.3, respectively; these values were significantly different from each other (p<0.01). The CR on MRI is a useful quantitative assessment tool for BME in patients with degenerative lumbar diseases.
  • Publisher: Korea (South): Korean Society of Spine Surgery
  • Language: English
  • Identifier: ISSN: 1976-1902
    EISSN: 1976-7846
    DOI: 10.31616/asj.2020.0648
    PMID: 34000797
  • Source: KoreaMed Synapse
    Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    KoreaMed Open Access
    ProQuest Central
    DOAJ Directory of Open Access Journals
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