Document Detail


Transabdominal ultrasonography in the diagnosis of lumbar disc herniation
MedLine Citation:
PMID:  14658080     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of our study was to assess the value of transabdominal ultrasonography in the diagnosis of a lumbar herniated disc and to investigate the influence of the quality of the ultrasonography investigation on detection of pathological changes in lumbar intervertebral disc. METHOD: 119 patients (55 female, 64 male, mean age 41 years) were included in our study. Patients were suffering from lower back pain and were investigated by transabdominal ultrasonography, using a 3.5 MHz scanner. The results of the ultrasonography investigation were compared with MRI and intraoperative findings RESULTS: The quality of the ultrasonography documentation shows distinct differences between the segments of the lower lumbar spine (L3/4 86.6 %, L4/5 85.7 %, L5/S1 70.6 %). The sonographic evaluations were correct in 75.4 % of cases. Sensitivity of ultrasonography for the detection of an intradiscal lesion was 0.46 for L3/4, 0.83 for L4/5 and 0.78 for L5/S1. Specificity was 0.91 for L3/4, 0.65 for L4/5 and 0.67 for L5/S1. CONCLUSION: Compared to MRI investigation transabdominal ultrasonography of the lumbar herniated disc proved to be distinctly inferior because of methodical limitations and lower diagnostic accuracy. This method, however, can be used as a preliminary diagnostic procedure.
Authors:
A Berth; K Mahlfeld; H R Merk
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Ultraschall in der Medizin (Stuttgart, Germany : 1980)     Volume:  24     ISSN:  0172-4614     ISO Abbreviation:  Ultraschall Med     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-05     Completed Date:  2004-03-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8303585     Medline TA:  Ultraschall Med     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  383-7     Citation Subset:  IM    
Affiliation:
Orthopädische Universitätsklinik Magdeburg, Otto-von-Guericke-Universität Magdeburg. Alexander.Berth@medizin.uni-magdeburg.de
Vernacular Title:
Die transabdominale Sonographie in der Diagnostik des lumbalen Bandscheibenprolaps.
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Adult
Diagnosis, Differential
Female
Humans
Intervertebral Disk Displacement / ultrasonography*
Lumbar Vertebrae*
Male
Prospective Studies
Reproducibility of Results
Ultrasonography / methods*,  standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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