Pott's disease MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S [2]

Overview

MRI is useful to confirm the extent of disease spread and involvement of the surrounding soft tissue. Complete spine MRI must be obtained to rule out non-contiguous lesions. MRI is the diagnostic investigation of choice for spinal tuberculosis.

MRI

Findings on MRI to determine the extent of the disease include the following:^[1]^[2]^[3]^[4]

Presence of abscesses and involvement of the vertebral body appearing as a change in the bone marrow signal intensity
Disc destruction
Cold abscess
Enhancement of the bone marrow
Vertebral collapse
Presence of intramedullary or extramedullary tuberculoma, spinal cord cavitation
Spinal canal narrowing

MRI scan showing a large destructive complex cystic and solid left paraspinal soft tissue lesion at T1 level.

References

↑ Pallewatte A S, Wickramasinghe NA (2016). “Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka”. Ceylon Med J. 61 (4): 185–188. doi:10.4038/cmj.v61i4.8387. PMID 28078834.
↑ Sivalingam J, Kumar A (2015). “Spinal Tuberculosis Resembling Neoplastic Lesions on MRI”. J Clin Diagn Res. 9 (11): TC01–3. doi:10.7860/JCDR/2015/14030.6719. PMC 4668502. PMID 26675162.
↑ Deng R (2015). “[Difference of CT and MRI in Diagnosis of Spinal Tuberculosis]”. Zhongguo Yi Liao Qi Xie Za Zhi. 39 (4): 302–3. PMID 26665957.
↑ Andronikou S, Jadwat S, Douis H (2002). “Patterns of disease on MRI in 53 children with tuberculous spondylitis and the role of gadolinium”. Pediatr Radiol. 32 (11): 798–805. doi:10.1007/s00247-002-0766-8. PMID 12389108.

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[pmid28078834-1] Pallewatte A S, Wickramasinghe NA (2016). “Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka”. Ceylon Med J. 61 (4): 185–188. doi:10.4038/cmj.v61i4.8387. PMID 28078834.

[pmid26675162-2] Sivalingam J, Kumar A (2015). “Spinal Tuberculosis Resembling Neoplastic Lesions on MRI”. J Clin Diagn Res. 9 (11): TC01–3. doi:10.7860/JCDR/2015/14030.6719. PMC 4668502. PMID 26675162.

[pmid26665957-3] Deng R (2015). “[Difference of CT and MRI in Diagnosis of Spinal Tuberculosis]”. Zhongguo Yi Liao Qi Xie Za Zhi. 39 (4): 302–3. PMID 26665957.

[pmid12389108-4] Andronikou S, Jadwat S, Douis H (2002). “Patterns of disease on MRI in 53 children with tuberculous spondylitis and the role of gadolinium”. Pediatr Radiol. 32 (11): 798–805. doi:10.1007/s00247-002-0766-8. PMID 12389108.

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Pott's disease MRI

Overview

MRI

References

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