关键词: image-guided biopsy magnetic resonance imaging multidetector computed tomography positron emission tomography computed tomography spondylodiscitis

来  源:   DOI:10.3390/microorganisms12050893   PDF(Pubmed)

Abstract:
Spondylodiscitis is defined by infectious conditions involving the vertebral column. The incidence of the disease has constantly increased over the last decades. Imaging plays a key role in each phase of the disease. Indeed, radiological tools are fundamental in (i) the initial diagnostic recognition of spondylodiscitis, (ii) the differentiation against inflammatory, degenerative, or calcific etiologies, (iii) the disease staging, as well as (iv) to provide clues to orient towards the microorganisms involved. This latter aim can be achieved with a mini-invasive procedure (e.g., CT-guided biopsy) or can be non-invasively supposed by the analysis of the CT, positron emission tomography (PET) CT, or MRI features displayed. Hence, this comprehensive review aims to summarize all the multimodality imaging features of spondylodiscitis. This, with the goal of serving as a reference for Physicians (infectious disease specialists, spine surgeons, radiologists) involved in the care of these patients. Nonetheless, this review article may offer starting points for future research articles.
摘要:
脊椎盘炎的定义是涉及脊柱的感染性疾病。该疾病的发病率在过去几十年中不断增加。成像在疾病的每个阶段都起着关键作用。的确,放射学工具是(i)脊柱盘炎的初步诊断识别的基础,(ii)对炎症的区分,退化,或钙化病因,(iii)疾病分期,以及(iv)提供线索,以定向所涉及的微生物。后一个目标可以通过微创手术来实现(例如,CT引导活检)或可以通过CT分析进行非侵入性假设,正电子发射断层扫描(PET)CT,或显示MRI特征。因此,本综述旨在总结脊柱椎间盘炎的所有多模态影像学特征。这个,目标是作为医生的参考(传染病专家,脊柱外科医生,放射科医生)参与这些患者的护理。尽管如此,这篇综述文章可能为未来的研究文章提供起点。
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