EVALUATION FOR CT CRITERIA OF GRANULOMATOUS INFECTION AND TUMOUR OF SPINE

Authors

  • Napaporn CHOTIKA Department of Radiology, Faculty of Medicine at Ramathibodi Hospital, Mahidol University
  • Pimjai SIRIWONGPAIRAJ Department of Radiology, Faculty of Medicine at Ramathibodi Hospital, Mahidol University
  • Suphaneewan JAOVISIDHA Department of Radiology, Faculty of Medicine at Ramathibodi Hospital, Mahidol University
  • Suvipaporn SIRIPORNPITAK Department of Radiology, Faculty of Medicine at Ramathibodi Hospital, Mahidol University
  • Manee AIMACHARIYACHAI Department of Radiology, Faculty of Medicine at Ramathibodi Hospital, Mahidol University

Abstract

To develop criteria to distinguish between granulomatous infection and neoplastic process in the spine by mean of the computed tomography scan (CT scan), the authors retrospectively analyzed 31 cases of granulomatous infection and 13 cases of neoplastic dis- case. The result was that the reliable criteria for granulomatous infection were diffuse bony destruction, contiguous levels of spinal involvement, absence of posterior element involve- ment, presence of "complete" pattern of prevertebral soft tissue, and presence of disc involvemant. Neoplastic diseases were characterized by focal bony destruction, seperated levels of spinal involvement, presence of posterior element involvement, "partial" pattern of prevertebral soft tissue, and absence of disc involvement. Blinded testing of these criteria is potential for improving diagnostic accuracy in clinical practice.

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References

Van Lom KJ, Kellerhouse LE, Pathria MN, et al. Infection versus Tumor in the Spine: Criteria for Distinction with CT. Radiology 1988; 166 : 851-855

Smith AS, Blaser SI. Infection and Inflamma- tory Process of the spine. Radiol Clin North Am

July 1991; 29 (4): 809-827

Latchaw RE. MR and CT Imaging of The Head, Neck and Spine 2nd Ed. St.Louis; Mosby 1991

: 1183-1221

La Berge JM, Brant-Zawadzki M. Evaluation of Pott's disease with computerized tomography. Neuroradiology 1984; 26: 429-434

Rothman RH, Simeone FA. The Spine, 3rdEd. Philadelphia; WB Saunder 1992: 1279-1303, 1352-1364

Masaryk TJ. Neoplastic disease of the Spine. Radiol Clin North Am July 1991; 29 (4): 829-845

Redmond J, Spring DB, Munderloh SH, et al. Spinal Computed Tomography Scanning in the Evaluation of Metastatic Disease. Cancer 1984 ; 54: 253-258

Chongchitnant P. Computed Tomography of Spinal Tuberculosis. J Med Asso Thai Oct 1992; 75(10) : 560-564

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Published

2023-03-30

How to Cite

1.
CHOTIKA N, SIRIWONGPAIRAJ P, JAOVISIDHA S, SIRIPORNPITAK S, AIMACHARIYACHAI M. EVALUATION FOR CT CRITERIA OF GRANULOMATOUS INFECTION AND TUMOUR OF SPINE. ASEAN J Radiol [Internet]. 2023 Mar. 30 [cited 2024 Oct. 5];1(2):41-9. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/239

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