Spinal Inflammation

J. Randy Jinkins1, David D. Stark1

1 Downstate Medical Center, State University of New York, Brooklyn, New York
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A8.4
DOI:  10.1002/0471142719.mia0804s01
Online Posting Date:  August, 2001
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Abstract

This unit presents a basic protocol for conventional and fast spin echo imaging of spine for evaluation of infections involving the CNS. The epidemic of acquired immunodeficiency syndrome (AIDS) and the frequency of CNS infections has been on the rise. An alternate protocol is presented for coronal acquisition that may be helpful to analyze the perispinal tissues for abscess formation.

     
 
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Table of Contents

  • Basic Protocol 1: Conventional and Fast Spin Echo
  • Alternate Protocol 1: Coronal Conventional Spin Echo‐Enhanced
  • Commentary
  • Literature Cited
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: Conventional and Fast Spin Echo

  Materials
  • Normal saline (0.9% NaCl), sterile
  • Gadolinium‐based MR contrast agent (e.g., Magnevist, Omniscan, or Prohance)
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Figures

Videos

Literature Cited

Literature Cited
   Chang, K.H., Han, M.H., Choi, Y.W, et al. 1989. Tuberculous arachnoiditis of the spine: Findings on myelography, CT, and MR imaging. Am. J. Neuroradiol. 10:1255‐1262.
   Jinkins, J.R., Gupta, R., Chang, K.H., and Rodriguez‐Carbajal, J. 1995. MR imaging of central nervous system tuberculosis. Radiol. Clin. North Am. 33:771‐786.
   Modic, M.T., Feiglin, D.H., Piraino, D.W., et al. 1985. Vertebral osteomyelitis: Assessment using MR. Radiology 157:157‐166.
   Post, M.J.D., Sheldon, J.J., Hensley, G.T., et al. 1986. Central nervous system disease in acquired immunodeficiency syndrome: Prospective correlation using CT, MR imaging, and pathologic studies. Radiology 158:141‐148.
   Post, M.J.D., Sze, G., Quencer, R.M., et al. 1990. Gadolinium enhanced MR in spinal infection. J. Comput. Assist. Tomogr. 15:721‐729.
   Provenzale, J.M. and Jinkins, J.R. 1997. Brain and spine imaging findings in AIDS patients. Radiol. Clin. North Am. 35:1127‐1166.
   Reddy, S., Leite, C.C., and Jinkins, J.R. 1995. Imaging of infectious disease of the spine. In Spine: State of the Art Reviews,Vol. 9 (R.R. Lee, ed.) pp. 119‐140. Hanley & Belfus, Philadelphia.
   Sharif, H.S., Clark, D.C., Aabed, M.Y., et al. 1990. Granulomatous spinal infections: MR imaging. Radiology 177:101‐107.
   Shellock, F.G. 1996. Pocket Guide to MR Procedures and Metallic Objects. Lippincott‐Raven, Philadelphia.
   Sklar, E.M., Post, M.J.D., and Lebwohl, N.H. 1993. Imaging of infection of the lumbosacral spine. Neuroimag. Clin. North Am. 3:577‐590.
   Thurnher, M.M., Jinkins, J.R., and Post, M.J.D. 1997. Diagnostic imaging of infections and neoplasms affecting the spine in patients with AIDS. Neuroimag. Clin. North Am. 7:341‐357.
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