ArticleClinical neuroradiology2019
Clinical Utility of Diffusion-Weighted Imaging in Spinal Infections.
Article in Clinical neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 42 citations in OpenAlex.
- Lumbar spinal brucellosis presenting as an atypical epidural abscess.BMJ case reports · 2026Article
- Detecting Bacteria in Their Mammalian Hosts Using Metabolism-Targeted [ACS central science · 2026Article
- Suppurative Spondylitis Misdiagnosed as Endplate Inflammation: A Rare Case Report.Clinical case reports · 2025Article
- Diagnostic imaging confusion in infectious spondylitis.Journal of orthopaedic surgery and research · 2025Review
- The Never Ending Story-What Are the Differentiable Magnetic Resonance Imaging Characteristics Between Pyogenic and Mycobacterial Thoracolumbar Infections?Journal of clinical medicine · 2025Article
- Imaging assessment of spine infection.Skeletal radiology · 2024Review
- Spinal Epidural Abscess Caused by Campylobacter jejuni Without Gastrointestinal Symptoms.Cureus · 2024Article
- It Looks Like a Spinal Cord Tumor but It Is Not.Cancers · 2024Review
- State of the art in the diagnostic evaluation of osteomyelitis: exploring the role of advanced MRI sequences-a narrative review.Quantitative imaging in medicine and surgery · 2024Review
- Evaluating the Performance of Pathogen-Targeted Positron Emission Tomography Radiotracers in a Rat Model of Vertebral Discitis-Osteomyelitis.The Journal of infectious diseases · 2023Article
- Incremental value of diffusion weighted imaging over conventional MRI for the diagnosis of osteomyelitis of extremities.Skeletal radiology · 2023Article
- Chemoenzymatic Syntheses of Fluorine-18-Labeled Disaccharides from [Journal of the American Chemical Society · 2023Article
- Pitfalls of Diffusion-Weighted Imaging: Clinical Utility of T2 Shine-through and T2 Black-out for Musculoskeletal Diseases.Diagnostics (Basel, Switzerland) · 2023Review
- Advances in Bone Marrow Imaging: Strengths and Limitations from a Clinical Perspective.Seminars in musculoskeletal radiology · 2023Article
- Magnetic Resonance Imaging for Spine Emergencies.Magnetic resonance imaging clinics of North America · 2022Review
- Benefits of diffusion-weighted imaging in pediatric acute osteoarticular infections.Pediatric radiology · 2022Article
- Decisive diagnostic clue for infectious abdominal aortic aneurysm caused byFrontiers in cardiovascular medicine · 2022Article
- Bone and Joint Infections: The Role of Imaging in Tailoring Diagnosis to Improve Patients' Care.Journal of personalized medicine · 2021Review
- Review article: the current status of CT-guided needle biopsy of the spine.Skeletal radiology · 2021Review
- Small Molecule Sensors Targeting the Bacterial Cell Wall.ACS infectious diseases · 2020Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
purposeBoth laboratory markers and radiographic findings in the setting of spinal infections can be nonspecific in determining the presence or absence of active infection, and can lag behind both clinical symptoms and antibiotic response. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) has been shown to be helpful in evaluating brain abscesses but has not been commonly used in evaluating spinal infections. We aimed to correlate findings on DWI of the spine to results of microbiological sampling in patients with suspected spinal infections.
methodsPatients who underwent MRI with DWI for suspicion of spinal infections and microbiological sampling from 2002 to 2010 were identified and reviewed retrospectively in this institutional review board approved study. In addition to DWI, scans included sagittal and axial T1, fast-spin echo (FSE) T2, and post-gadolinium T1 with fat saturation. Regions of interest were drawn on apparent diffusion coefficient (ADC) maps in the area of suspected infections, and ADC values were correlated with microbiological sampling.
resultsOf 38 patients with suspected spinal infections, 29 (76%) had positive microbiological sampling, and 9 (24%) had negative results. The median ADC value was 740 × 10
conclusionIn patients with suspected spine infection, ADC values on DWI are significantly reduced in those patients with positive microbiological sampling compared to patients with negative microbiological sampling. The DWI of the spine correlates well with the presence or absence of spinal infection and may complement conventional magnetic resonance imaging (MRI).
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