Three-dimensional turbo spin-echo sequence versus conventional two-dimensional turbo spin-echo sequences in the evaluation of lumbar intervertebral discs
Journal Title: The European Research Journal - Year 2018, Vol 4, Issue 4
Abstract
Objective: The aim of this study was to evaluate the efficacy of a three-dimensional (3D) turbo spin-echo (TSE) sequence for determining lumbar disc protrusions, and to compare the findings with those of conventional two-dimensional (2D) TSE sequences and reveal the interobserver and intermethod agreements of both sequences. Methods: A total of 127 discs from 84 patients were evaluated by three radiologists. Conventional 2D TSE images and 3D TSE images were independently interpreted with regard to disc pathology and herniation zones and were scored for the degree of spinal stenosis and lumbar neural foraminal stenosis by the three reviewers. To evaluate the lumbar discs, areas of protrusion or extrusion were classified. Interobserver and intermethod reliabilities were calculated using Krippendorff’s alpha (Kα) test. Results: Lumbar disc pathology identification was similar between the 2D TSE and 3D TSE sequences. Interobserver agreements were better for 3D TSE than 2D TSE in the evaluation of disc hernias (Kα ratio; 0.965 vs. 0.944), herniation zones (Kα ratio; 0.894 vs. 0.847), and foraminal narrowing (Kα ratio; 0.965 vs. 0.924). Both 2D and 3D TSE had 100% sensitivity for disc pathologies and spinal stenosis, 81% sensitivity for herniation zones, and 92.5% sensitivity for foraminal stenosis in only operated patients. Conclusions: The 3D TSE sequence was comparable to conventional magnetic resonance imaging (MRI) sequences in the evaluation of lumbar disc herniation. This approach can be used in radiology departments either alone or combined with routine MRI for lumbar disc hernias as a diagnostic sequence and an approach to overcome problems.
Authors and Affiliations
Volkan Kızılgöz, Ali Kemal Sivrioğlu, Hasan Aydın, Sunay Sibel Karayol, Can Hakan Yıldırım, Utku Menderes
Keywords
Related Articles
- EP ID EP410707
- DOI 10.18621/eurj.354357
- Views 86
- Downloads 0
Coenzyme Q10 deficiency in elderly: Can nutritional supplementation play a role? Mini review
Coenzyme Q10 (CoQ10), an important mitochondrial redox component, plays a pivotal role in cellular energy production; moreover, it is the only lipid-soluble antioxidant endogenously synthesized in humans. Given its funct...
The impact of cigarette dependence severity on disease outcomes and depression in ankylosing spondylitis
Introduction: Ankylosing spondylitis (AS) is a chronic systemic inflammatory disease. Smoking plays a role in AS pathogenesis and causes difficulties in its treatment. The aim of this study is to investigate the associat...
Clinical value of neutrophil to lymphocyte ratio in the region of lower extremity deep venous thrombosis
Objectives. Many studies have demonstrated a significant association between cardiovascular disease and neutrophil to lymphocyte ratio (NLR). To our knowledge, no study has been reported in patients with deep venous thro...
The relation between serum anti-Mullerian hormone levels and follicle count in polycystic ovary syndrome
Objective. Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders, affecting up to 10% of reproductive-age women. Anti-Mullerian hormone (AMH) is a member of the transforming growth factor β famil...
Relationship between students’ performance on weekly task assessments and final practical exam at the preclinical restorative dentistry course
Objectives: The purpose of this study was to examine the relationships between dental students’ performance on weekly practical task assessments, midterm practical exam and final practical exam in the preclinical restora...