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A controlled comparison of myelography, computed tomography, and magnetic resonance imaging in clinically suspected lumbar disc herniation

Albeck, Michael J; Hilden, Jörgen; Kjaer, Lasse; Holtås, Stig LU ; Praestholm, Johannes; Henriksen, Ole and Gjerris, Flemming (1995) In Spine 20(4). p.443-448
Abstract
STUDY DESIGN. A controlled prospective blinded study. OBJECTIVES. To compare the diagnostic power of myelography, computed tomography and magnetic resonance imaging in the diagnosis of low lumbar disc herniation. METHODS. Eighty patients with monoradicular sciatica were examined by myelography, computed tomography, and magnetic resonance imaging, and all underwent subsequent surgery. The images were evaluated twice in a blinded fashion, and the diagnostic power of the modalities was expressed by a decision-analytic regret function. RESULTS. In 57 patients (71%) a disc herniation at the expected level was disclosed at surgery. The largest amount of diagnostic information was gained from computed tomography, followed by magnetic resonance... (More)
STUDY DESIGN. A controlled prospective blinded study. OBJECTIVES. To compare the diagnostic power of myelography, computed tomography and magnetic resonance imaging in the diagnosis of low lumbar disc herniation. METHODS. Eighty patients with monoradicular sciatica were examined by myelography, computed tomography, and magnetic resonance imaging, and all underwent subsequent surgery. The images were evaluated twice in a blinded fashion, and the diagnostic power of the modalities was expressed by a decision-analytic regret function. RESULTS. In 57 patients (71%) a disc herniation at the expected level was disclosed at surgery. The largest amount of diagnostic information was gained from computed tomography, followed by magnetic resonance imaging and myelography. Both computed tomography and magnetic resonance imaging were significantly informative, whereas this was not the case for myelography. CONCLUSION. The results indicate that computed tomography or magnetic resonance imaging should be the first choice for imaging in patients with suspected lumbar disc herniation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Spine
volume
20
issue
4
pages
443 - 448
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:7747227
  • scopus:0028930212
ISSN
0362-2436
language
English
LU publication?
yes
id
b0f3112a-06de-49cf-90a4-4be78ba05137 (old id 1109301)
date added to LUP
2008-07-28 09:39:14
date last changed
2017-03-19 04:12:28
@article{b0f3112a-06de-49cf-90a4-4be78ba05137,
  abstract     = {STUDY DESIGN. A controlled prospective blinded study. OBJECTIVES. To compare the diagnostic power of myelography, computed tomography and magnetic resonance imaging in the diagnosis of low lumbar disc herniation. METHODS. Eighty patients with monoradicular sciatica were examined by myelography, computed tomography, and magnetic resonance imaging, and all underwent subsequent surgery. The images were evaluated twice in a blinded fashion, and the diagnostic power of the modalities was expressed by a decision-analytic regret function. RESULTS. In 57 patients (71%) a disc herniation at the expected level was disclosed at surgery. The largest amount of diagnostic information was gained from computed tomography, followed by magnetic resonance imaging and myelography. Both computed tomography and magnetic resonance imaging were significantly informative, whereas this was not the case for myelography. CONCLUSION. The results indicate that computed tomography or magnetic resonance imaging should be the first choice for imaging in patients with suspected lumbar disc herniation.},
  author       = {Albeck, Michael J and Hilden, Jörgen and Kjaer, Lasse and Holtås, Stig and Praestholm, Johannes and Henriksen, Ole and Gjerris, Flemming},
  issn         = {0362-2436},
  language     = {eng},
  number       = {4},
  pages        = {443--448},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Spine},
  title        = {A controlled comparison of myelography, computed tomography, and magnetic resonance imaging in clinically suspected lumbar disc herniation},
  volume       = {20},
  year         = {1995},
}