Evaluation of Magnetic Resonance Diffusion Tensor Imaging in Early Detection of Cervical Spondylotic Myelopathy | ||
| Suez Canal University Medical Journal | ||
| Article 2, Volume 26, Issue 9, September 2023, Pages 13-20 PDF (376.89 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2023.323876 | ||
| Authors | ||
| Shaimaa Ibrahim* ; Tarek H. Khalil; Tarek H. El Kammash; Marwa A. Mohamed | ||
| Department of Diagnostic Radiology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. | ||
| Abstract | ||
| Background: Cervical spondylosis is a very common disorder of the spine. Its prevalence is more than 75% in patients aged above 65 years. Cervical spinal cord myelopathy is a long-term complication of cord compression by degenerative cervical spine changes (discs/osteophytes). The presence of abnormal spinal cord signals on conventional MRI indicates either reversible or irreversible parenchymal changes in the spinal cord. Aim: to evaluate the efficacy of MR diffusion tensor imaging technique in the early detection of cervical spinal cord myelopathic changes in symptomatic patients with cervical spondylosis. Subjects and Methods: A cross-sectional study was conducted at the Radiology Department of Suez Canal University Hospital 2019- 2022, including 50 participants. Results: FA value was significantly lower at disc protrusion (0.45 ±0.083) with p < 0.001, and ADC value was significantly higher at disc protrusion (1.23 ±0.14) with p < 0.001. Fractional anisotropy was found to be significantly abnormal in 29 (64.5 %) of patients with normal T2WI. Conclusion: DTI of the cervical spine can detect early myelopathic changes in the spinal cord caused by degenerative spondylosis. | ||
| Keywords | ||
| DTI; fractional anisotropy; cervical spine | ||
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