The Comparison of Bone Scan and MRI in Osteoporotic Compression Fractures.
- Author:
Jung Hoon KIM
1
;
Jong In KIM
;
Bo Hoon JANG
;
Jung Gook SEO
;
Jin Hwan KIM
Author Information
- Publication Type:Original Article
- Keywords: Osteoporotic vertebral fractures; Bone scan; MRI
- MeSH: Fractures, Compression; Humans; Magnetic Resonance Imaging; Retrospective Studies; Spine
- From:Asian Spine Journal 2010;4(2):89-95
- CountryRepublic of Korea
- Language:English
- Abstract: STUDY DESIGN: Retrospective study. PURPOSE: To estimate the usefulness of bone scan and magnetic resonance imaging (MRI) for the diagnosis of new fracture in osteoporotic vertebral fractures. OVERVIEW OF LITERATURE: The diagnosis of new fractrure in osteoporotic vertebral fractures requires simple X-ray and supplementary studies. METHODS: We analyzed 87 vertebrae in 44 patients, who diagnosed with osteoporotic vertebral fractures using bone scan and MRI within 2 months interval between August 2001 and July 2008. We compared hot uptakes in bone scan with MRI findings such as new fractures, old fractures and degenerative lesions. RESULTS: Hot uptakes in bone scan was matched to 48 new fractures, 26 old fractures and 13 degenerative lesions in MRI findings. It was 55% of concordance between hot uptakes in bone scan and new fractures in MRI. The rate of new vertebral fractures confirmed by MRI according to 1 level hot uptakes in bone scan was 96%, 2 levels was 50% and 3 more levels was 36%. CONCLUSIONS: The diagnosis of new fracture in osteoporotic vertebral fractures requires simple X-ray and supplementary studies such as bone scan and MRI. We recommend more careful interpretation in multiple osteoporotic vertebral fracture patients about hot uptake lesions of bone scan.
