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논문 기본 정보

자료유형
학술저널
저자정보
김은호 (연세대학교 의과대학 진단방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제34권 제1호
발행연도
1996.1
수록면
21 - 26 (6page)

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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.

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