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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 04
Evaluation of MRI (Magnetic Resonance Imaging) For Intraspinal Tumor Detection and its Comparison with Histopathological Findings
Md. Anisur Rahman, Md. Hafizur Rahman
Published: April 30, 2019 | 95 59
DOI: 10.36347/sjams.2019.v07i04.005
Pages: 1385-1392
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Abstract
Intraspinal tumors are not uncommon lesion that may result in serious morbidity. We conducted a cross sectional study in the department of Radiology & Imaging, Dhaka Medical College Hospital. Dhaka Bangladesh during from July 2008 to March 2010. Fifty (50) patients of intraspinal tumor were including in this study. The patient was of both sex and male female ratio about 3:2.Age group 11-70 years and mean age 38.89 years. This study was done with a view to evaluate the diagnostic usefulness of MRI in detection of intraspinal tumor and comparison with histopathological findings the range of the patient was 11-70.The maximum numbers of the patients were between 41-50 years. Mean age was 38.89 years. Male to Female ratio was 3:2. This observed in 46 (92%) patients. Another common symptom was back pain, which was observed in 45 (92%) patients. Twenty patients (40%) had loss of bowel and bladder control. and 15 (30%) patients had paraplegia. Only 10 (20%) patients had loss of sensation. Out of 50 lesions, 13 were intramedullary (26%), 29 were intradural extramedullary (58%), 8 were extradural (16%) location. After I/V contrast 17 (34%) cases were enhanced homogeneously, 22 (44%) were enhanced heterogeneously, ring enhancement 3 (6%) and none enhancing were 8 (16%). Among 50 patient 13 cases (26%) was found to be Schwannoma, 1case (2%) was neurofibroma, 11 cases (22%) were found to be Meningioma, Ependymoma 7 cases (14%) Astrocytoma. 4 cases (8%) Metastasis were 2 cases (4%) Hemangioma 1 (2%), and others than Intraspinal tumor were 11 (22%).{sequestrated disc-5, chronic inflammatory lesion-3, intramedullary abscess-1, intramedullary haematoma-1 and epidural abscess-1}. MRI diagnoses 39 (78%) cases as Intraspinal Tumor and 11 (22%) cases were diagnosed as other than intraspinal tumor. Among 11(22%) cases as others tumor 5(10%) cases were sequestrated disc, 3(6%) cases were chronic inflammatory lesion, 1(2%) case epidural haematoma,1(2%) case intramedullary abscess 1(2%) cas