Literature DB >> 1535257

High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging.

C Aprill1, N Bogduk.   

Abstract

The prevalence, validity and reliability of high-intensity zones in the annulus fibrosus seen on T2-weighted magnetic resonance images of patients with intractable low-back pain were determined. This sign was readily recognized by two independent observers. It occurred in 28% of 500 patients undergoing magnetic resonance imaging for back pain. The presence of a high-intensity zone correlated significantly with the presence of Grade 4 annular disruption and with reproduction of the patient's pain. Its sensitivity as a sign of either annular disruption or pain was modest but its specificity was high, and its positive predictive value for a severely disrupted, symptomatic disc was 86%. This sign is diagnostic of painful internal disc disruption.

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Year:  1992        PMID： 1535257     DOI： 10.1259/0007-1285-65-773-361

Source DB:  PubMed          Journal:  Br J Radiol        ISSN： 0007-1285            Impact factor:   3.039


  126 in total

1.  Discography: A Review.

Authors: 
Journal:  Curr Rev Pain       Date:  1999

Review 2.  Discography.

Authors:  S R Anderson; B Flanagan
Journal:  Curr Rev Pain       Date:  2000

3.  Prospective Comparison of Changes in Lumbar Spine MRI Findings over Time between Individuals with Acute Low Back Pain and Controls: An Exploratory Study.

Authors:  J Panagopoulos; J S Magnussen; J Hush; C G Maher; M Crites-Battie; J G Jarvik; T S Jensen; M J Hancock
Journal:  AJNR Am J Neuroradiol       Date:  2017-08-03       Impact factor: 3.825

Review 4.  [Feasibilities and bounds of diagnostic radiology in case of back pain].

Authors:  W Pennekamp; G Rduch; V Nicolas
Journal:  Schmerz       Date:  2005-04       Impact factor: 1.107

5.  Predictors of outcome after surgery with disc prosthesis and rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up.

Authors:  Christian Hellum; Lars Gunnar Johnsen; Øyvind Gjertsen; Linda Berg; Gesche Neckelmann; Oliver Grundnes; Ivar Rossvoll; Jan Sture Skouen; Jens Ivar Brox; Kjersti Storheim
Journal:  Eur Spine J       Date:  2012-01-13       Impact factor: 3.134

6.  High-intensity zone (HIZ) of lumbar intervertebral disc on T2-weighted magnetic resonance images: spatial distribution, and correlation of distribution with low back pain (LBP).

Authors:  Zi-Xuan Wang; You-Gu Hu
Journal:  Eur Spine J       Date:  2012-03-04       Impact factor: 3.134

7.  Reliability of change in lumbar MRI findings over time in patients with and without disc prosthesis--comparing two different image evaluation methods.

Authors:  Linda Berg; Oivind Gjertsen; Christian Hellum; Gesche Neckelmann; Lars G Johnsen; Geir E Eide; Ansgar Espeland
Journal:  Skeletal Radiol       Date:  2012-03-20       Impact factor: 2.199

8.  Peripheral disc margin shape and internal disc derangement: imaging correlation in significantly painful discs identified at provocation lumbar discography.

Authors:  W S Bartynski; W E Rothfus
Journal:  Interv Neuroradiol       Date:  2012-06-04       Impact factor: 1.610

9.  Serial MR Imaging of Annular Tears in Lumbar Intervertebral Disks.

Authors:  Fletcher M Munter; Bruce A Wasserman; Hsiu-Mei Wu; David M Yousem
Journal:  AJNR Am J Neuroradiol       Date:  2002-08       Impact factor: 3.825

10.  A statistical model for intervertebral disc degeneration: determination of the optimal T2 cut-off values.

Authors:  S A Nagy; I Juhasz; H Komaromy; K Pozsar; I Zsigmond; G Perlaki; G Orsi; A Schwarcz; N Walter; T Doczi; P Bogner
Journal:  Clin Neuroradiol       Date:  2013-11-12       Impact factor: 3.649
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