Incidental lesions of Lumbar Spinal MR Imaging in Lumbar Discopathy Patients

Yıl 2018, , 309 - 313, 28.09.2018

Ahmet Eroğlu , İlhan Yılmaz

https://doi.org/10.31362/patd.451713

Cited By: 1

Öz

INTRODUCTION: This study was carried out to investigate the prevalence and type of randomized findings in patients who were treated with Lomber spinal Magnetic Resonance Imaging (MRI).
METHODS: We evaluated 613 patients who underwent Lomber MRI in consideration of Lumbar discopathy. Lumbar MRI were reported by musculoskeletal radiologists. Vertebral hemangiomas, tarlov cysts, kidney cysts, schmorl nodules, liver cysts were included in the study.
RESULTS: A total of 613 patients (male to female ratio, 354: 259; age range, 16-79 years). Vertebral hemangiomas were found in 5.7% (n = 35), tarlov cysts in 3.5% (n = 22), renal cyst in 2.2% (n = 14), schmorl nodule in 1.4% 0.3 (n = 2) liver cysts were detected.
DISCUSSION AND CONCLUSION: Incidental findings are very common in MRI examinations of patients with lomber discopathies. Although most of the incidental findings of the Lomber Spinal Cord MRI are benign findings, the awareness of prevalence helps to diagnose lesions not related to the symptoms.

Anahtar Kelimeler

Lomber, MRI, Discopathy, Tarlov Cyst

Lomber Diskopatili Hastalarda Lomber Spinal MR İncelemede Görülen Rastlantısal Lezyonlar.

Öz

GİRİŞ ve AMAÇ: Bu çalışma lomber diskopatisi olan, Lomber spinal Manyetik Rezonans Görüntüleme (MRG) uygulanan hastalarda görülen rastlantısal bulguların prevalansını ve tipini araştırmaya yönelik yapılmıştır.
YÖNTEM ve GEREÇLER: Lomber diskopatisi olduğu düşünülerek Lomber MRG yapılan 613 hasta değerlendirildi. Lomber MRG’ler kas iskelet sistemi radyologları tarafından raporlandı. Vertebral hemanjiyom, tarlov kisti, böbrek kisti, schmorl nodülü, karaciğer kisti çalışmaya dahil edildi.
BULGULAR: Toplam 613 hasta (erkek-kadın oranı, 354: 259; yaş aralığı, 16-79 yıl) değerlendirildi. Hastaların % 5.7’ sinde (n=35) vertebra hemanjiomu, % 3.5’inde (n=22) tarlov kisti, % 2.2’ sinde (n=14) böbrek kisti, % 1.4’ünde (n=9) schmorl nodülü, % 0.3’ünde (n=2) karaciğer kisti saptandı.
TARTIŞMA ve SONUÇ: Tespit edilen bulgular, lomber diskopatili hastaların MRG tetkiklerinde oldukça yaygın görülmektedir. Lomber omurganın MRG’ tespit edilen rastlantısal bulguların çoğu benign bulgular olmasına rağmen, prevalansının farkındalığı, semptomlarla ilgili olmayan lezyonların teşhisinde yardımcı olur. 

Anahtar Kelimeler

Lomber, MRI, Diskopati, Tarlov Kisti

Kaynakça

• Kaynaklar 1. Park HJ, Jeon YH, Rho MH, et al. Incidental findings of the lumbar spine at MRI during herniated intervertebral disk disease evaluation. AJR Am J Roentgenol. 2011;196:1151-1155.
• 2. Suri P, Hunter DJ, Joueve C, et al. Inciting events associated with lumbar disc herniation. Spine J 2010;10:388-395.
• 3. Cieszanowski A, Maj E, Kulisiewicz P, et al. Non-contrast-enhanced whole-body magnetic resonance imaging in the general population: the incidence of abnormal findings in patients 50 years old and younger compared to older subjects. PLoS One. 2014;9:e107840.
• 4. Kamath S, Jain N, Goyal N. Mansour R, Mukherjee K. Incidental findings on MRI of the spine. Clin Radiol 2009;64:353-361.
• 5. Wagner SC, Morrison WB, Carrino JA, Schweitzer ME, Nothnagel H. Picture archiving and communication system: effect on reporting of incidental findings. Radiology 2002;225:500-505.
• 6. Quattrocchi CC, Giona A, Di Martino AC, et al. Extra-spinal incidental findings at lumbar spine MRI in the general population: a large cohort study. Insights Imaging. 2013;4:301-308
• 7. Sobhan M, Samiee M, Asgari Y, Ahmadi M. Incidental Findings of the Lumbar Spine at MRI in Patients Diagnosed with Discopathy Int J Med Imaging 2016;4:44-47.
• 8. Green L. PACS: Effect on incidental findings. Radiol Manage 2004;26:26-29.
• 9. Barzin M, Maleki I. Incidence of vertebral hemangioma on spinal magnetic resonance imaging in Northern Iran. Pak J Biol Sci. 2009;12:542-544.
• 10. Kulshrestha M, Byrne P. Multiple primary haemangiomas of bone mimicking vertebral metastases. J R Soc Med 1997;90:632-634.
• 11. Templin CR, Stambough JB, Stambough JL. Acute spinal cord compression caused by vertebral hemangioma. Spine J 2004;4:595-600.
• 12. Hadjipavlou A, Tosounidis T, Gaitanis I, Kakavelakis K, Katonis P. Balloon kyphoplasty as a single or as an adjunct procedure for the management of symptomatic vertebral haemangiomas. J Bone Joint Surg Br 2007;89:495-502.
• 13. Fukuta S, Miyamoto K, Iwata A. et al. Unusual back pain caused by intervertebral disc degeneration associated with schmorl node at Th11/12 in a young athlete, successfully treated by anterior interbody fusion: a case report. Spine (Phila Pa 1976). 2009;34:E195-198.
• 14. Zehra U, Flower L, Robson-Brown K, Adams MA, Dolan P. Defects of the vertebral end plate: implications for disc degeneration depend on size. Spine J. 2017;17:727-737.
• 15. Park HJ, Kim S, Lee SW, Son BC. Two cases of symptomatic perineural cysts (Tarlov Cysts) in one family: A case report. J Korean Neurosurg Soc 2008;44:174-177.
• 16. Mitra R, Kirpalani D, Wedemeyer M. Conservative management of perineural cysts. Spine 2008;33:E565-568.
• 17. Nabors MW, Pait TG, Byrd EB, et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988;68:366-377.
• 18. Paulsen RD, Call GA, Mertagh FR. Prevalence and percutaneous drainage of cysts of the sacral nerve root sheath (Tarlov cysts). AJNR 1994;15:293-297.
• 19. Mortele KJ, Ros PR. Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics 2001;21:895-910.
• 20. Macedo FI. Current management of noninfectious hepatic cystic lesions: A review of the literature. World J Hepatol. 2013;5:462-469.
• 21. Tuncel SA, Cagli B, Tekatas A, et al. Extraspinal incidental findings on MRI routine of lumbar spine: prevalence and reporting rates in 1278 Patients. Korean J Radiol. 2015;16:866-873. reporting rates in 1278 patients. Korean J Radiol. 2015;16:866-873.
• 22. Lee SY, Landis MS, Ross IG, Goela A, Leung AE. Extraspinal findings at lumbar spine CT examinations: prevalence and clinical importance. Radiology 2012;263:502-509.
• 23. Terada N, Arai Y, Kinukawa N, Terai A. The 10-year natural history of simple renal cysts. Urology. 2008;71:7-12.
• 24. McHugh K, Stringer DA, Hebert D, Babiak CA. Simple renal cysts in children: diagnosis and follow-up with US. Radiology 1991;178:383-385.
• 25. Laucks SP Jr, McLachlan MS. Aging and simple renal cysts of the kidney. Br J Radiol 1981;54:12-14.
• 26. Konnak JW, Grossman HB. Renal cell carcinoma as an incidental finding. J Urol. 1985;134:1094-1096.