[Neuroradiographic diagnosis of degenerative intervertebral disk diseases--the Dusseldorf Diagnostic Disk Program. I. Computerized diskography].
The treatment of disc diseases, in particular the broad spectrum of surgical procedures for pathology with radicular and transmitted symptoms, calls for a differentiated appraisal of disc pathology. The information content of different imaging methods (CT, Disco-CT, NMI) in the various types of degenerative disc diseases was compared in a prospective study (92 patients) and verified at surgery. In accordance with experimental studies a Discus CT classification (Types I-V) was taken as a basis. Categories IV (general degeneration) and V (annulus rupture) were divided into three levels of severity (a-c). The sensitivity and specificity of Disco-CT for disc herniation, i.e. 97% and 93%, respectively, are markedly higher than those of CT or NMI. Similar results were obtained in distinguishing different types of disc morphology. The choice of imaging procedures for diagnosing causes of sacral/leg pain with radicular symptoms is illustrated with reference to the results.
Schulitz
K P
KP
Klinik Heinrich-Heine-Universität Düsseldorf Orthopädische Klinik.
Schöppe
K
K
D003937:Diagnosis, Differential; D006801:Humans; D007403:Intervertebral Disc / Q000000981:diagnostic imaging* / Q000473:pathology; D007405:Intervertebral Disc Displacement / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D009192:Myelography; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D013122:Spinal Diseases / Q000145:classification / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
Die neuroradiographische Diagnostik degenerativer Bandscheibenerkrankungen--Das Düsseldorfer diagnostische Discusprogramm (DdD). I. Das Computer-Discogramm.