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Article: An appraisal of timely magnetic resonance imaging in diagnosing spinal cord compression

TitleAn appraisal of timely magnetic resonance imaging in diagnosing spinal cord compression
Authors
KeywordsReferences (6) View In Table Layout
Issue Date2009
PublisherSingapore Medical Association. The Journal's web site is located at http://www.sma.org.sg/smj/smjcurrent.html
Citation
Singapore Medical Journal, 2009, v. 50 n. 9, p. 894-896 How to Cite?
AbstractIntroduction: Spinal cord compression is a very debilitating condition and could be secondary to many causes. Urgent magnetic resonance (MR) imaging of the spine is crucial in making the diagnosis and guiding further management. Our objectives were to assess the nature of MR imaging requests, the diagnostic yield, and the subsequent management according to relevant MR imaging findings. Methods : We focused on all the urgent MR imagings of the spine conducted from July 1, 2007 to December 31, 2007. Clinical data, including the demographical information, presenting symptoms, radiological diagnosis, waiting time for MR imaging and treatment, was reviewed. Results : A total of 33 cases of urgent MR imaging of the spine were performed. Patients were aged 29-85 years, with 18 males and 15 females. Most of them (84.8 percent) presented with neurological symptoms. 84 percent of the MR imaging was performed within 24 hours. 76 percent of the examinations yielded significant cord compression, of which 56 percent were due to vertebral metastasis, while others were due to epidural haematoma (12 percent), infective spondylodiscitis (8 percent), vertebral fracture (8 percent) and disc herniation (16 percent). Of the vertebral metastasis patients, 43 percent had one region imaged. 64 percent of the cord compression patients received surgical treatment or radiotherapy, with a mean waiting time of 1.7 days. Conclusion: The urgent MR imaging spine service was able to react promptly with a high diagnostic yield. One-third of the patients with vertebral metastasis had multiple levels involved, and imaging of the whole spine would be useful.
Persistent Identifierhttp://hdl.handle.net/10722/91297
ISSN
2015 Impact Factor: 0.573
2015 SCImago Journal Rankings: 0.311
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, CSen_HK
dc.contributor.authorChu, YCTen_HK
dc.contributor.authorMa, KFJen_HK
dc.contributor.authorCheng, LFen_HK
dc.date.accessioned2010-09-17T10:16:28Z-
dc.date.available2010-09-17T10:16:28Z-
dc.date.issued2009en_HK
dc.identifier.citationSingapore Medical Journal, 2009, v. 50 n. 9, p. 894-896en_HK
dc.identifier.issn0037-5675en_HK
dc.identifier.urihttp://hdl.handle.net/10722/91297-
dc.description.abstractIntroduction: Spinal cord compression is a very debilitating condition and could be secondary to many causes. Urgent magnetic resonance (MR) imaging of the spine is crucial in making the diagnosis and guiding further management. Our objectives were to assess the nature of MR imaging requests, the diagnostic yield, and the subsequent management according to relevant MR imaging findings. Methods : We focused on all the urgent MR imagings of the spine conducted from July 1, 2007 to December 31, 2007. Clinical data, including the demographical information, presenting symptoms, radiological diagnosis, waiting time for MR imaging and treatment, was reviewed. Results : A total of 33 cases of urgent MR imaging of the spine were performed. Patients were aged 29-85 years, with 18 males and 15 females. Most of them (84.8 percent) presented with neurological symptoms. 84 percent of the MR imaging was performed within 24 hours. 76 percent of the examinations yielded significant cord compression, of which 56 percent were due to vertebral metastasis, while others were due to epidural haematoma (12 percent), infective spondylodiscitis (8 percent), vertebral fracture (8 percent) and disc herniation (16 percent). Of the vertebral metastasis patients, 43 percent had one region imaged. 64 percent of the cord compression patients received surgical treatment or radiotherapy, with a mean waiting time of 1.7 days. Conclusion: The urgent MR imaging spine service was able to react promptly with a high diagnostic yield. One-third of the patients with vertebral metastasis had multiple levels involved, and imaging of the whole spine would be useful.en_HK
dc.languageengen_HK
dc.publisherSingapore Medical Association. The Journal's web site is located at http://www.sma.org.sg/smj/smjcurrent.htmlen_HK
dc.relation.ispartofSingapore Medical Journalen_HK
dc.subjectReferences (6) View In Table Layouten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshDiagnostic Imaging - methodsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMagnetic Resonance Imaging - methodsen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshSpinal Cord - pathology - radiographyen_HK
dc.subject.meshSpinal Cord Compression - diagnosis - pathology - radiographyen_HK
dc.subject.meshTime Factorsen_HK
dc.titleAn appraisal of timely magnetic resonance imaging in diagnosing spinal cord compressionen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, CS:drcswong@hku.hken_HK
dc.identifier.emailChu, YC: tiffchu@hotmail.com-
dc.identifier.emailCheng, LF: rickieclf@yahoo.com.hk-
dc.identifier.authorityWong, CS=rp01391en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid19787179-
dc.identifier.scopuseid_2-s2.0-70350499469en_HK
dc.identifier.hkuros174650-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70350499469&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume50en_HK
dc.identifier.issue9en_HK
dc.identifier.spage894en_HK
dc.identifier.epage896en_HK
dc.identifier.isiWOS:000271745700013-
dc.publisher.placeSingaporeen_HK
dc.identifier.scopusauthoridWong, CS=24605454100en_HK
dc.identifier.scopusauthoridChu, YCT=7403050830en_HK
dc.identifier.scopusauthoridMa, KFJ=23025417700en_HK
dc.identifier.scopusauthoridCheng, LF=9246781300en_HK

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