Francesca B Pizzini1, Mattia Poletti2, Alberto Beltramello3, Mario Muto4, Alessandra Splendiani5, Sara Mehrabi2, Giuseppe Costanzo6, Vincenzo Vitiello7, Antonio Barile5, Stefano Colagrande8, Giancarlo Mansueto2, Stefano Bastianello9,10. 1. Department of Diagnostic and Public Health, University of Verona, Piazzale L.A. Scuro, 10, 37100, Verona, Italy. francescabenedetta.pizzini@univr.it. 2. Department of Diagnostic and Public Health, University of Verona, Piazzale L.A. Scuro, 10, 37100, Verona, Italy. 3. Department of Radiology, IRCCS "Sacro Cuore-Don Calabria", Negrar, Verona, Italy. 4. Diagnostic and Interventional Neuroradiology, Cardarelli Hospital, Naples, Italy. 5. Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy. 6. La Sapienza University of Rome, Rome, Italy. 7. Department of Neurosurgery, San Giovanni Bosco, Naples, Italy. 8. Department of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit N. 2, University of Florence-Azienda Ospedaliero-Universitaria Careggi, Florence, Italy. 9. Neuroradiology Department, IRCCS Mondino Foundation, Pavia, Italy. 10. Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Abstract
OBJECTIVE: To promote a better radiological interpretation of spine degeneration, a consistent standardization of the acquisition, interpretation and description of Magnetic Resonance Imaging (MRI) l findings. MATERIALS AND METHODS: In order to achieve this objective, a consensus among experts in imaging of degenerative spine disease (DSD) from Italian radiological societies (SIRM-Italian Society of Radiology, AINR-Italian Association of Neuroradiology) was achieved. The representatives of the Italian inter-societal working group examined the literature produced by European/American task forces on optimizing the study sequences, classification of degenerative disc changes, spondylo-arthrosis, osteochondrosis, synovial and ligament pathologies of the spinal column, and on canal and foraminal stenosis. The document-resulted from the consensus between experts-was then presented to the scientific societies of Neurosurgery (SINCH) and Orthopedics and Traumatology (SIOT) for their approval. RESULTS: This position paper presents a proposal for an optimized MRI protocol for studying DSD and provides a glossary of terms related to this pathology and indications on their use. The international terminological recommendations have been translated and adapted to the Italian language and clinical practice and clinical cases have been used to illustrate some of the main classifications. CONCLUSIONS: This revision of international DSD guidelines/recommendations and consensus made it possible to (1) update the nomenclature to international standards and (2) harmonize the MRI protocol and description of radiological findings, adapting both (1, 2) to the Italian context. With this position paper we intend to contribute to an improvement of the communication among doctors and between physicians and their patients as well as the quality of the radiological reports.
OBJECTIVE: To promote a better radiological interpretation of spine degeneration, a consistent standardization of the acquisition, interpretation and description of Magnetic Resonance Imaging (MRI) l findings. MATERIALS AND METHODS: In order to achieve this objective, a consensus among experts in imaging of degenerative spine disease (DSD) from Italian radiological societies (SIRM-Italian Society of Radiology, AINR-Italian Association of Neuroradiology) was achieved. The representatives of the Italian inter-societal working group examined the literature produced by European/American task forces on optimizing the study sequences, classification of degenerative disc changes, spondylo-arthrosis, osteochondrosis, synovial and ligament pathologies of the spinal column, and on canal and foraminal stenosis. The document-resulted from the consensus between experts-was then presented to the scientific societies of Neurosurgery (SINCH) and Orthopedics and Traumatology (SIOT) for their approval. RESULTS: This position paper presents a proposal for an optimized MRI protocol for studying DSD and provides a glossary of terms related to this pathology and indications on their use. The international terminological recommendations have been translated and adapted to the Italian language and clinical practice and clinical cases have been used to illustrate some of the main classifications. CONCLUSIONS: This revision of international DSD guidelines/recommendations and consensus made it possible to (1) update the nomenclature to international standards and (2) harmonize the MRI protocol and description of radiological findings, adapting both (1, 2) to the Italian context. With this position paper we intend to contribute to an improvement of the communication among doctors and between physicians and their patients as well as the quality of the radiological reports.
Entities:
Keywords:
Consensus; Degenerative spine; Intervertebral disc herniation; Magnetic Resonance