DOI: 10.36347/sjams.2021.v09i09.032

Pages: 1478-1483

Background: Cancer is the leading cause of death worldwide, causing a global 10 million deaths just in 2018. Cancer has no cure, but is preventable if diagnosed early. Among the methods of diagnosing cancer, MRI or Magnetic Resonance Imaging is one of the most accurate ones. This study was done with the aim of evaluating the diagnostic usefulness of MRI in detection of intraspinal tumor and comparison with histopathological findings. Aim of the study: The study aimed to determine the sensitivity and specificity of MRI in respect to intraspinal tumor patients. Methods: The study was conducted at the Department of Radiology and Imaging, NITOR, Dhaka, Bangladesh, during the period of July 2019 to December 2020 with a sample size of 100 clinically suspected cases of intraspinal tumor aged between 10-70 years. Results: Among the participants, male: female ratio was 3:2. Thirty-Four (34) % of patients belonged to the age group of 41-50 years. 10% were from the youngest age group of 11-20 years, and 6% were from the oldest age group of 61-70 years. The mean age of the participants was 38.89 years. Weakness of the limbs was present in 92% of the participants, back pain was present in 90% percent of the participants. 58% of the participants had tumors in intradural extramedullary region. According to the MRI diagnosis, 55.56% of the participants had Sequestrated disc, 33.33% had Chronic Inflammatory lesion, and 11.11 % had Epidural abscess. According to the histopathological diagnosis of the patients, 32% had schwannoma tumors, 27% had meningioma tumors, 17% had ependymoma tumors, 5% had metastasis tumors, and 2% neurofibroma and hemangioma were present among the participants. After cross analysis of the MRI diagnosis with histopathological diagnosis, 76 cases were true positive, 2 cases were false positive, 6 cases were false negative and 16 cases were true negative. Sensitivity was found 92.68%, specificity was 88.88 % and accuracy was 82.60%. Conclusion: This study.......