- CT-추간판조영술:요추간판 탈출증에서의 진단적 정확도와 시술 중 유발통증의 의미
- ㆍ 저자명
- 김은호
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1996년|34권 1호|pp.21-26 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose : To evaluate the usefulness and the accuracy of CT-discography in lumbar disc disease by analyzingthe findings of CT-discogram and types of evoked pain during the procedure. Materials and Methods : CT-discogramswere retrospectively evaluated in 47 intervertebral discs of 20 patients with multilevel involvement of lumbardisc diseases. In 28 herniated discs confirmed at surgery, the findings of CT-discogram (28 disc levels/20patients), MRI(23/16) and CT(21/15) were comparatively analysed. The type of pain after infusion of contrast mediaduring CT-discography was compared with that prior to the procedure. Resulsts : The accuracy for determining typesof the herniated lumbar disc when compared with postoperative results was 96.4%(27 discs/28 discs) in theCT-discogram, 82.6%(19 discs/23 discs) in MRI and 71.4%(15 discs/21 discs) in the CT scan. Pains encounteredduring discography were radiating pain in 12 discs and back pain in 24 discs. CT-discography was especiallyhelpful in 10 patients with multilevel involvement of the lumbar disc diseases to evaluate the exact location ofdiseased disc(s) that provoked the pain. Conclusion : CT-discography is a highly accurate method in diagnosis ofthe herniated lumbar intervertebral discs and is very useful in determining the precise location related to thedevelopment of pain in such cases.