Head and Neck Imaging
Comparison of the Diagnostic Value of Multimodal Image for Brittle Fracture of Vertebral Body
Author：ZHANG Xue-qin, CHENG Xiao-guang, GAN Li-wei,et al.
affiliation：Department of Medical Imaging, the Hospital of Traditional Chinese Medicine, Beibei District, Chongqing 400700, China
PDFAbstract
Objective To compare the diagnostic value of X-ray plain films, CT and MRI images of fragile vertebral fractures (osteoporotic fractures). Methods The imaging findings of X-ray plain film, CT and MRI in 78 cases diagnosed as brittle fracture of vertebral body were analyzed retrospectively, and the diagnostic value of three methods for brittle fracture of vertebral body were contrastive studied. Results There were 118 fresh brittle fractures of the vertebral body in 78 cases, of which 52 cases were single vertebral fracture (66.7%), and 26 cases were multiple vertebral fractures (33.3%). MRI diagnosed 118 cases of fresh vertebral fractures without missed diagnosis. CT diagnosed 90 cases of fresh vertebral fractures with missed diagnosis of 28 cases, missed diagnosis rate 23.7% (28/118); X-ray plain film diagnosis of fresh vertebral fractures or flatting 83, 48 missed diagnosis, missed diagnosis rate 40.7% (48/118). Conclusion In the diagnosis of vertebral fragile fracture, MRI is helpful for differentiating fresh fracture from old fracture and it is the best imaging method. The missed diagnosis rate of CT is high, and the rate of missed diagnosis is the highest.
【Keyword】Brittle Fracture; Vertebral Body; X-ray Plain Film; Computed Tomography; Magnetic Resonance Imaging
【Chart number】R681；R445.2
【Document Identification Number】A
【DOI】 10.3969/j.issn.1672- 5131.2018.05.045
Chinese journal of CT and MRI
th16Volume， th 5 Issue
2018Year05Month
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