[Spondylitis: the clinical picture and follow-up assessment by magnetic resonance tomography].
MRI of proven spondylitis was performed in 39 patients. Acute spondylitis appeared hypointense on T1-weighted and hyperintense on T2-weighted images. Following intravenous application of Gd-DTPA, enhancement of the marrow and disk was seen. With progressive healing increasing signal was seen on T1-weighted images. This was caused by the presence of focal fat marrow representing the first sign of therapy response. Corresponding to the clinical healing process T1-signal increased due to fatty marrow, while the T2-signal decreased as well as the enhancement following Gd-DTPA application. Therefore, MR imaging can be recommended as the method of choice for early diagnosis of spondylitis and assessment of therapy response.
Kramer
J
J
Universitätsklinik für Radiodiagnostik, Universität Wien.
Schratter
M
M
Pongracz
N
N
Neuhold
A
A
Stiglbauer
R
R
Imhof
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media / Q000008:administration & dosage; D015299:Discitis / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D005682:Gadolinium; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology; D013166:Spondylitis / Q000175:diagnosis*; D013669:Technetium Tc 99m Medronate / Q000031:analogs & derivatives; D014056:Tomography, X-Ray; D014945:Wound Healing
D003287:Contrast Media; D009942:Organometallic Compounds; C024226:technetium Tc 99m hydroxymethylene diphosphonate; D004369:Pentetic Acid; D005682:Gadolinium; D019786:Gadolinium DTPA; D013669:Technetium Tc 99m Medronate
Spondylitis: Erscheinungsbild und Verlaufsbeurteilung mittels Magnetresonanztomographie.