Die radiologische Befundung des lumbalen Bandscheibenvorfalls nach quantitativen und morphologischen Kriterien

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Oliver Linhardt - , Universität Regensburg (Autor:in)
  • A. K. Bergmann - , Martin-Luther-Universität Halle-Wittenberg (Autor:in)
  • U. Bolm-Audorff - , Regierungspräsidium Darmstadt (Autor:in)
  • D. Ditchen - , Berufsgenossenschaftliches Institut für Arbeitssicherheit (Autor:in)
  • R. P. Ellegast - , Berufsgenossenschaftliches Institut für Arbeitssicherheit (Autor:in)
  • V. Hering-von Diepenbroik - , Praxis (Autor:in)
  • F. Hofmann - , Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Autor:in)
  • M. Jäger - , Technische Universität (TU) Dortmund (Autor:in)
  • A. Luttmann - , Technische Universität (TU) Dortmund (Autor:in)
  • M. Michaelis - , Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Autor:in)
  • B. Schumann - , Martin-Luther-Universität Halle-Wittenberg (Autor:in)
  • A. Seidler - , Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA) (Autor:in)
  • J. Grifka - , Universität Regensburg (Autor:in)

Abstract

Purpose: The present study examines the differences of radiological diagnosis of lumbar prolaps with quantitative and morphological criteria. Advantages and disadvantages of both methods were analysed. Method: Concerning the "Deutsche Wirbelsäulenstudie" (DWS) 286 male and 278 female patients between 25 and 70 years of age undergoing clinical or ambulant therapy for radicular symptoms and the diagnosis of a lumbar prolaps in CT and/or MRT were integrated into our study. Actual MRT and CT pictures of the patients' lumbar spine were analysed by an independent radiologist (primary radiologist). Radiological diagnosis was concerned with quantitative and morphological criteria. Radiological images of 100 selected patients were reexamined by another radiologist (secondary radiologist). On the basis of these results, the interobserver reliability (kappa) was calculated. Results: In 95.2% of all segments a prolaps was seen with quantitative and morphological criteria, in 4.5% a prolaps was analysed with quantitative and in 0.3 % a prolaps was seen with morphological criteria. The radiological diagnosis of prolaps by quantitative criteria was confirmed by the operative findings. Many prolapses with lateral localisation were seen in these cases. Therefore radiological diagnosis on the basis of morphological criteria could be difficult. For both radiological methods similar interobserver reliabilities were calculated. To sum up both radiological methods are even equivalent. It is also possible to graduate the diagnosis with quantitative criteria. Detrimental effects of quantitative criteria could be difficulties in measurement with non-digital images. Conclusion: Besides several recommendations in the international literature on the radiological analysis of prolaps with morphological criteria, diagnosis with quantitative criteria is also an effective method.

Details

OriginalspracheDeutsch
Seiten (von - bis)643-648
Seitenumfang6
FachzeitschriftZeitschrift fur Orthopadie und Unfallchirurgie
Jahrgang145
Ausgabenummer5
PublikationsstatusVeröffentlicht - 2007
Peer-Review-StatusJa
Extern publiziertJa

Schlagworte

Schlagwörter

  • Morphological criteria, MRI, Prolaps, Quantitative criterias, Radiological diagnosis, Radiological methods