Utilidad de la mielografía mediante resonancia magnética en el diagnóstico de las enfermedades de la columna vertebral
Value of MR myelography In the diagnosis of the spine disorders
Servicio de Resonancia Magnética. ATQ-Clínica Quirón. Valencia.
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ATQ-Clínica Quirón. Valencia." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. L. Martí-Bonmatí. Servicio de Resonancia Magnética. Clínica Quirón de Valencia. Avda. Blasco Ibáñez, 14. 46010 Valencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Value of MR myelography In the diagnosis of the spine disorders" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-09-14" "fechaAceptado" => "2000-11-02" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec223084" "palabras" => array:3 [ 0 => "Mielografía" 1 => "Enfermedades de la columna vertebral" 2 => "Resonancia magnética" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la utilidad de la mielografía obtenida mediante RM (RM-mielografía) como estudio complementario en los pacientes a los que se les realiza un estudio con RM convencional de la columna vertebral.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyen 275 pacientes a los que se les realizó una RM-mielografía con dos planos, coronal y sagital, con técnica TSE single shot (turbo espín eco) junto con un estudio de RM convencional de columna. Ciento treinta pacientes eran varones y 145 mujeres, con edades comprendidas entre los 20 y 71 años (media, 45 años). Las variables analizadas fueron edad, sexo, segmento vertebral estudiado, afección del saco dural, raíces nerviosas intradura-les, emergencias radiculares y presencia de lesiones intradurales, quistes meníngeos y estenosis del conducto. Se clasificó la información aportada por el estudio de RM-mielografía frente al de RM convencional en nueva o redundante, y relevante o no.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Con la RM-mielografía se obtuvo información nueva en 81 casos (32%), siendo esta información considerada irrelevante en 35 casos y en 46 casos (16,7% del total) relevante (amputaciones de emergencias radiculares y alteraciones de las raíces intradurales). La RM-mielografía no aportó ningún tipo de información adicional a la RM convencional en 187 casos (68% del total).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La RM-mielografía es una técnica de rápida adquisición que complementa al estudio de RM convencional de la columna vertebral al aportar una información relevante en el análisis de las enfermedades de la columna vertebral hasta en un 16,7% de casos.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the utility of myelography obtained with MR imaging (MR-myelography) as a complementary tool in patients studied with a conventional MR examination of the spine.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">275 consecutive patients were included. All of them were studied with MR-myelography in 2 planes, coronal and sagittal, with a turbo spin-echo single-shot technique, as a complement to a conventional MR study of the spine; 130 were males and 145 women, with ages ranging from 20 to 71 years (mean, 45 years). The analyzed variables were age, sex, vertebral segment studied, alteration of the dural sac, intradural nerve roots, emergent roots, and presence of intradural lesions, meningeal cysts, and spinal stenosis. The added value of MR-myelography regarding conventional MR was categorized.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">MR-myelography obtained new information in 88 cases (32%), being considered irrelevant information in 42 cases and relevant in 46 cases (16.7% of all cases) (amputations of the emergent roots and alterations of the intradural roots). MR-myelography did not contribute to any type of additional information to the conventional MR study in 187 cases (68% of all studies).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">MR-myelography is a rapid acquisition technique that supplements the conventional MR study of the spine, contributing with relevant new information in the analysis of the spine diseases 16.7% of cases.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias BibliogrÁFicas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "MR myelography: imaging findings." "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. El Grammal" 1 => "C.E. Crews" 2 => "R.M. Freedy" 3 => "B.S. 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Hollenbach" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/BF02742936" "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "1997" "volumen" => "7" "paginaInicial" => "737" "paginaFinal" => "742" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9166575" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rapid nontomographic approach to MR myelography without contrast agents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Hennig" 1 => "H. Friedburg" 2 => "B. Stroebel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "1986" "volumen" => "10" "paginaInicial" => "375" "paginaFinal" => "437" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3700736" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000011500000010/v1_201307291743/S0025775300715624/v1_201307291743/es/main.assets" "Apartado" => array:4 [ "identificador" => "24087" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original breve" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000011500000010/v1_201307291743/S0025775300715624/v1_201307291743/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300715624?idApp=UINPBA00004N" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 44 | 44 |
| 2024 Septiembre | 0 | 69 | 69 |
| 2024 Agosto | 0 | 37 | 37 |
| 2024 Julio | 1 | 38 | 39 |
| 2024 Junio | 0 | 46 | 46 |
| 2024 Mayo | 1 | 45 | 46 |
| 2024 Abril | 0 | 43 | 43 |
| 2024 Marzo | 0 | 51 | 51 |
| 2024 Febrero | 0 | 41 | 41 |
| 2024 Enero | 0 | 73 | 73 |
| 2023 Diciembre | 1 | 49 | 50 |
| 2023 Noviembre | 0 | 49 | 49 |
| 2023 Octubre | 0 | 53 | 53 |
| 2023 Septiembre | 0 | 32 | 32 |
| 2023 Agosto | 1 | 25 | 26 |
| 2023 Julio | 0 | 24 | 24 |
| 2023 Junio | 0 | 10 | 10 |
| 2023 Mayo | 1 | 11 | 12 |
| 2023 Abril | 0 | 7 | 7 |
| 2023 Marzo | 13 | 11 | 24 |
| 2023 Febrero | 0 | 4 | 4 |
| 2023 Enero | 0 | 5 | 5 |
| 2022 Diciembre | 0 | 1 | 1 |
| 2022 Noviembre | 0 | 2 | 2 |
| 2022 Octubre | 0 | 1 | 1 |
| 2022 Septiembre | 0 | 2 | 2 |
| 2022 Agosto | 0 | 1 | 1 |
| 2022 Julio | 0 | 2 | 2 |
| 2022 Mayo | 0 | 2 | 2 |
| 2022 Abril | 1 | 11 | 12 |
| 2021 Diciembre | 0 | 1 | 1 |
| 2021 Octubre | 0 | 1 | 1 |
| 2021 Septiembre | 0 | 4 | 4 |
| 2021 Agosto | 1 | 1 | 2 |
| 2021 Julio | 0 | 3 | 3 |
| 2021 Mayo | 0 | 1 | 1 |
| 2021 Abril | 0 | 3 | 3 |
| 2021 Marzo | 0 | 1 | 1 |
| 2021 Febrero | 0 | 4 | 4 |
| 2021 Enero | 0 | 4 | 4 |
| 2020 Diciembre | 0 | 3 | 3 |
| 2020 Octubre | 0 | 2 | 2 |
| 2020 Agosto | 0 | 4 | 4 |
| 2020 Julio | 0 | 2 | 2 |
| 2020 Junio | 0 | 1 | 1 |
| 2020 Mayo | 0 | 4 | 4 |
| 2020 Abril | 1 | 0 | 1 |
| 2020 Marzo | 0 | 4 | 4 |
| 2020 Febrero | 0 | 5 | 5 |
| 2020 Enero | 0 | 20 | 20 |
| 2019 Diciembre | 0 | 30 | 30 |
| 2019 Noviembre | 0 | 9 | 9 |
| 2019 Octubre | 0 | 23 | 23 |
| 2019 Septiembre | 0 | 23 | 23 |
| 2019 Agosto | 0 | 14 | 14 |
| 2019 Julio | 0 | 14 | 14 |
| 2019 Junio | 0 | 8 | 8 |
| 2019 Mayo | 0 | 25 | 25 |
| 2019 Febrero | 1 | 2 | 3 |
| 2018 Diciembre | 1 | 0 | 1 |
| 2018 Marzo | 1 | 1 | 2 |
| 2017 Octubre | 12 | 15 | 27 |
| 2017 Septiembre | 34 | 26 | 60 |
| 2017 Agosto | 33 | 23 | 56 |
| 2017 Julio | 48 | 47 | 95 |
| 2017 Junio | 21 | 61 | 82 |
| 2017 Mayo | 28 | 35 | 63 |
| 2017 Abril | 22 | 35 | 57 |
| 2017 Marzo | 35 | 59 | 94 |
| 2017 Febrero | 29 | 63 | 92 |
| 2017 Enero | 45 | 6 | 51 |
| 2016 Diciembre | 81 | 13 | 94 |
| 2016 Noviembre | 136 | 18 | 154 |
| 2016 Octubre | 156 | 24 | 180 |
| 2016 Septiembre | 35 | 18 | 53 |
| 2016 Agosto | 37 | 7 | 44 |
| 2016 Julio | 84 | 5 | 89 |
| 2016 Junio | 160 | 2 | 162 |
| 2016 Mayo | 163 | 1 | 164 |
| 2016 Abril | 129 | 1 | 130 |
| 2016 Marzo | 133 | 0 | 133 |
| 2016 Febrero | 92 | 1 | 93 |
| 2016 Enero | 97 | 0 | 97 |
| 2015 Diciembre | 97 | 0 | 97 |
| 2015 Noviembre | 115 | 0 | 115 |
| 2015 Octubre | 134 | 0 | 134 |
| 2015 Septiembre | 151 | 0 | 151 |
| 2015 Agosto | 120 | 0 | 120 |
| 2015 Julio | 200 | 0 | 200 |
| 2015 Junio | 70 | 0 | 70 |
| 2015 Mayo | 74 | 0 | 74 |
| 2015 Abril | 57 | 0 | 57 |
| 2015 Marzo | 45 | 0 | 45 |
| 2015 Febrero | 25 | 0 | 25 |
| 2015 Enero | 20 | 0 | 20 |
| 2014 Diciembre | 16 | 0 | 16 |
| 2014 Noviembre | 6 | 0 | 6 |
| 2014 Octubre | 4 | 0 | 4 |
| 2014 Septiembre | 13 | 0 | 13 |
| 2014 Agosto | 8 | 0 | 8 |
| 2014 Julio | 26 | 0 | 26 |
| 2014 Junio | 17 | 0 | 17 |
| 2014 Mayo | 11 | 0 | 11 |
| 2014 Abril | 10 | 0 | 10 |
| 2014 Marzo | 6 | 0 | 6 |
| 2014 Febrero | 6 | 0 | 6 |
| 2014 Enero | 8 | 0 | 8 |
| 2013 Diciembre | 7 | 0 | 7 |
| 2013 Noviembre | 23 | 0 | 23 |
| 2013 Octubre | 22 | 0 | 22 |
| 2013 Septiembre | 35 | 0 | 35 |
| 2013 Agosto | 4 | 0 | 4 |
| 2000 Septiembre | 830 | 0 | 830 |
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