Peranan Magnetic Resonance Imaging (MRI) Lumbal dalam Penegakan Diagnosis Kasus Low Back Pain: Studi Kasus di Instalasi Radiologi Rumah Sakit Satya Negara Jakarta Utara

Wahyu Setiyoningsih, Nursama Heru Apriantoro

Abstract


Background: Magnetic resonance imaging (MRI) is considered the best imaging for chronic low back pain because of high tissue contrast and no effect of ionizing radiation. The purpose of this study was to determine the management of Lumbar MRI examination with Low Back Pain Cases.

Methods: The research used was a qualitative descriptive research method by collecting data by direct observation which was conducted in December 2022 at Satya Negara Hospital, North Jakarta. The research was conducted using direct observation methods, documentation and decision studies. The sample used was 1 patient.

Results: The image results are strengthened by the expertise of a radiologist. The results of the study were obtained from the beginning of the patient's process of coming to radiology to perform a Lumbar MRI examination in the administration section until the examination was completed. Using a GE 1.5 T MRI machine and a whole spine coil. The sequences used are 3-plane location, calibration scan lumbar, Coronal T2, Sagittal T2, Sagittal T1, Sagittal T2 + FATSAT, Axial T2, Sagittal Myelography, Coronal Myelography.

Conclusions:  This study shows that Lumbar MRI image results and the doctor's expertise show that there is grade I spondylolithesis and L4-L5 spondyloarthrosis with disc protrusion. It’s mean that MRI can provide information for making a diagnosis.


Keywords


MRI; Lumbar; Low Back Pain

Full Text:

PDF

References


Filippi, C. G., Carlson, M., Johnson, J. M., Burbank, H. N., Alsofrom, G. F., & Andrews, T. (2012). Improvements in lumbar spine MRI at 3 T using parallel transmission. American Journal of Roentgenology, 199(4), 861–867. https://doi.org/10.2214/AJR.11.8139

Fritz, J., U-Thainual, P., Ungi, T., Flammang, A. J., Cho, N. B., Fichtinger,

G., Iordachita, I. I., & Carrino, J. A. (2012). Augmented reality visualization with image overlay for MRI-guided intervention: Accuracy for lumbar spinal procedures with a 1.5-T MRI system. American Journal of Roentgenology, 198(3). https://doi.org/10.2214/AJR.11.6918

Ii, A. D. G., Gottumukkala, R. V., Greer, M. L. C., & Gee, M. S. (2020). Whole-Body MRI Surveillance of Cancer Predisposition Syndromes: Current Best Practice Guidelines for Use, Performance, and Interpretation. American Journal of Roentgenology, 215(4), 1002–1011. https://doi.org/10.2214/AJR.19.22399

Karmazyn, B., Reher, T. A., Supakul, N., Streicher, D. A., Kiros, N., Diggins, N., Jennings, S. G., Eckert, G. J., Hibbard, R. A., & Radhakrishnan, R. (2022). Whole-Spine MRI in Children With Suspected Abusive Head Trauma. AJR. American Journal of Roentgenology, 218(6), 1074–1087. https://doi.org/10.2214/AJR.21.26674

Kim, S. J., Ch, S., Hs, K., Jh, K., & Sj, K. (2020). Chong Hyun Suh 1 Ho Sung Kim 1 Jeong Hoon Kim 2 Sang Joon Kim 1. American Journal of Roentgenology, September, 706–712.

Lakadamyali, H., Tarhan, N. C., Ergun, T., Cakir, B., & Agildere, A. M. (2008). STIR sequence for depiction of degenerative changes in posterior stabilizing elements in patients with lower back pain. American Journal of Roentgenology, 191(4), 973–979. https://doi.org/10.2214/AJR.07.2829

Park, H. J., Kim, S. S., Han, C. H., Lee, S. Y., Chung, E. C., Kim, M. S., & Kwon, H. J. (2014). The clinical correlation of a new practical MRI method for grading cervical neural foraminal stenosis based on oblique sagittal images. American Journal of Roentgenology, 203(2), 412–417. https://doi.org/10.2214/AJR.13.11647

Ross, S., Ebner, L., Flach, P., Brodhage, R., Bolliger, S. A., Christe, A., & Thali, M. J. (2012). Postmortem Whole-Body MRI in traumatic causes of death. American Journal of Roentgenology, 199(6), 1186–1192. https://doi.org/10.2214/AJR.12.8767

Roudsari, B., & Jarvik, J. G. (2010). Lumbar spine MRI for low back pain: Indications and yield. American Journal of Roentgenology, 195(3), 550–559. https://doi.org/10.2214/AJR.10.4367

Theodorou, D. J., Theodorou, S. J., Kakitsubata, S., Nabeshima, K., & Kakitsubata, Y. (2020). Abnormal conditions of the diskovertebral segment: MRI with anatomic-pathologic correlation. American Journal of Roentgenology, 214(4), 853–861. https://doi.org/10.2214/AJR.19.22081

Woo, S., Kim, S. Y., Kim, S. H., & Cho, J. Y. (2016). Identification of

bone metastasis with routine prostate MRI: A study of patients with newly diagnosed prostate cancer. American Journal of Roentgenology, 206(6), 1156–1163. https://doi.org/10.2214/AJR.15.15761

Filippi, C. G., Carlson, M., Johnson, J. M., Burbank, H. N., Alsofrom, G. F., & Andrews, T. (2012). Improvements in lumbar spine MRI at 3 T using parallel transmission. American Journal of Roentgenology, 199(4), 861–867. https://doi.org/10.2214/AJR.11.8139

Fritz, J., U-Thainual, P., Ungi, T., Flammang, A. J., Cho, N. B., Fichtinger, G., Iordachita, I. I., & Carrino, J. A. (2012). Augmented reality visualization with image overlay for MRI-guided intervention: Accuracy for lumbar spinal procedures with a 1.5-T MRI system. American Journal of Roentgenology, 198(3). https://doi.org/10.2214/AJR.11.6918

Ii, A. D. G., Gottumukkala, R. V., Greer, M. L. C., & Gee, M. S. (2020). Whole-Body MRI Surveillance of Cancer Predisposition Syndromes: Current Best Practice Guidelines for Use, Performance, and Interpretation. American Journal of Roentgenology, 215(4), 1002–1011. https://doi.org/10.2214/AJR.19.22399

Karmazyn, B., Reher, T. A., Supakul, N., Streicher, D. A., Kiros, N., Diggins, N., Jennings, S. G., Eckert, G. J., Hibbard, R. A., &

Radhakrishnan, R. (2022). Whole-Spine MRI in Children With Suspected Abusive Head Trauma. AJR. American Journal of Roentgenology, 218(6), 1074–1087. https://doi.org/10.2214/AJR.21.26674

Kim, S. J., Ch, S., Hs, K., Jh, K., & Sj, K. (2020). Chong Hyun Suh 1 Ho Sung Kim 1 Jeong Hoon Kim 2 Sang Joon Kim 1. American Journal of Roentgenology, September, 706–712.

Lakadamyali, H., Tarhan, N. C., Ergun, T., Cakir, B., & Agildere, A. M. (2008). STIR sequence for depiction of degenerative changes in posterior stabilizing elements in patients with lower back pain. American Journal of Roentgenology, 191(4), 973–979. https://doi.org/10.2214/AJR.07.2829

Park, H. J., Kim, S. S., Han, C. H., Lee, S. Y., Chung, E. C., Kim, M. S., & Kwon, H. J. (2014). The clinical correlation of a new practical MRI method for grading cervical neural foraminal stenosis based on oblique sagittal images. American Journal of Roentgenology, 203(2), 412–417. https://doi.org/10.2214/AJR.13.11647

Ross, S., Ebner, L., Flach, P., Brodhage, R., Bolliger, S. A., Christe, A., & Thali, M. J. (2012). Postmortem Whole-Body MRI in traumatic causes of death. American Journal of Roentgenology, 199(6), 1186–1192. https://doi.org/10.2214/AJR.12.8767

Roudsari, B., & Jarvik, J. G. (2010). Lumbar spine MRI for low back pain: Indications and yield. American Journal of Roentgenology, 195(3), 550–559. https://doi.org/10.2214/AJR.10.4367

Theodorou, D. J., Theodorou, S. J., Kakitsubata, S., Nabeshima, K., & Kakitsubata, Y. (2020). Abnormal conditions of the diskovertebral segment: MRI with anatomic-pathologic correlation. American Journal of Roentgenology, 214(4), 853–861. https://doi.org/10.2214/AJR.19.22081

Woo, S., Kim, S. Y., Kim, S. H., & Cho, J. Y. (2016). Identification of bone metastasis with routine prostate MRI: A study of patients with newly diagnosed prostate cancer. American Journal of Roentgenology, 206(6), 1156–1163. https://doi.org/10.2214/AJR.15.15761




DOI: https://doi.org/10.31983/jimed.v9i2.9990

Article Metrics

Abstract view : 269
Download PDF : 170

Refbacks

  • There are currently no refbacks.



Creative Commons License  Statcounter Global Stats - Browser, OS, Search Engine including Mobile  Usage Share          Dimensions AI | The most advanced scientific research database

             
JURNAL IMEJING DIAGNOSTIK by http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jimed is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View My Stats