Diagnostic Accuracy of Limited Protocol MRI for Diagnosis of Lumbar Disc Degeneration

Authors

  • Rabail Gul Shaikh
  • Munawar Hussain
  • Sohail Ahmed Khan
  • Amjad Sattar

Abstract

Objective: To determine the accuracy of limited protocol Magnetic resonance imaging of lumbar spine in determination of lumbar disc herniation, nerve root compression and annular tear taking findings of routine MRI as a reference standard.
Methodology: A descriptive cross-sectional study was conducted from August 2016 to February 2017 at Dow Institute of Radiology (DIR), Dow University of Health Sciences (DUHS). All patients of either gender aged 20 years or more presenting for MRI with low back pain were included. Routine complete protocol included T1W spin echo (SE) images on the sagittal plane, fat suppression sequence on the sagittal plane and T2W fast spin echo (FSE) images on the sagittal and axial planes, while limited protocol included T2W fast spin echo images on the sagittal and axial planes. Statistical analysis for social sciences (SPSS version 24), Inc, USA was used for the purpose of statistical analysis.
Results: The sensitivity and specificity of limited protocol of disc herniation, nerve root compression, and AT were found to be 100% taking full protocol for disc herniation, nerve root compression, and AT as a gold standard. A significant difference of disc herniation was observed with age (p-value: <0.001), gender (p-value: 0.011), NRC (p-value: <0.001), and AT (p-value: <0.001).
Conclusion: Limited protocol MRI of lumbar spine can lead to a definite diagnosis of LDH, NRC and AT without causing any loss of information.

Keywords: Low back pain, diagnostic accuracy, limited protocol MRI, disc herniation, nerve root compression

Downloads

Published

08-04-2021

How to Cite

1.
Shaikh RG, Hussain M, Khan SA, Sattar A. Diagnostic Accuracy of Limited Protocol MRI for Diagnosis of Lumbar Disc Degeneration. J Liaq Uni Med Health Sci [Internet]. 2021 Apr. 8 [cited 2024 Dec. 22];20(01):42-7. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/607

Issue

Vol. 20 No. 01 (2021): Journal of Liaquat University of Medical & Health Sciences

Section

Original Articles

License

Submission of a manuscript to the journal implies that all authors have read and agreed to the content of the undertaking form or the Terms and Conditions.

When an article is accepted for publication, the author(s) retain the copyright and are required to grant the publisher the right of first publication and other non-exclusive publishing rights to JLUMHS.

Articles published in the Journal of Liaquat University of Medical & health sciences are open access articles under a Creative Commons Attribution-Noncommercial - Share Alike 4.0 License. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal. This is in accordance with the BOAI definition of open access. In addition to that users are allowed to remix, tweak and build upon the work non-commercially as long as appropriate credit is given and the new creations are licensed under the identical terms. Or, in certain cases it can be stated that all articles and content there in are published under creative commons license unless stated otherwise.