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临床试验/NCT04130035
NCT04130035Unknown不适用

Decision Making in Degenerative Lumbar Spine: CT vs. MRI

Assiut University0 个研究点目标入组 30 人开始时间: 2019年11月1日最近更新:
适应症

试验速览

阶段
不适用
入组人数
30
主要终点
comparison between CT vs. MRI in decision making in degenerative lumbar spine.

研究概览

简要总结

To identify the optimal imaging modality involved in decision making in patients with degenerative lumbar spine using CT vs. MRI.

详细描述

  • There is 266 million individuals (3.63%) worldwide have DSD and LBP each year; the highest and lowest estimated incidences were found in Europe (5.7%) and Africa (2.4%), respectively. Based on population sizes, low- and middle-income countries have 4 times as many cases as high-income countries. Thirty-nine million individuals (0.53%) worldwide were found to have Spondylolisthesis, 403 million (5.5%) individuals worldwide with symptomatic disc degeneration, and 103 million (1.41%) individuals worldwide with spinal stenosis annually.
  • Degenerative disease of the lumbar spine is a significant cause of disability in the world; it encompasses conditions such as Spondylolisthesis, disc degeneration, and lumbar spinal stenosis. Associated with a variety of clinical symptoms, including lower extremity pain, weakness, and low back pain (LBP) of varying levels of severity.
  • Imaging plays an important role in the evaluation of degenerative spine.
  • Plain films still play an important role in evaluation of the spine, because the examination is inexpensive and available and gives a wide panoramic view of the spine. Direct information about bony structures can be obtained, and functional information about misalignment and vertebral stability can be obtained with upright dynamic films in flexion-extension and lateral bending.
  • Computerized axial tomography (CAT) scan: CT scan shows soft tissues such as ligaments and muscles more clearly than traditional X-rays do, so it is more useful for diagnosing certain problems, such as ruptured or degenerated discs and spinal stenosis.
  • Magnetic resonance imaging (MRI): The advantage of MRI scans over X-rays and CT scans is that MRI provides clear, detailed images of the soft-tissue structures, such as the muscles, cartilage, ligaments, discs, tendons and blood vessels, in addition to the bones.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • degenerative lumbar spine diseases.
  • age more than 18.

排除标准

  • Patients with contraindications for MRI.
  • Patients with spinal implants in the target region.

结局指标

主要结局

comparison between CT vs. MRI in decision making in degenerative lumbar spine.

时间窗: baseline

Differences in decision making in patients of lumbar degenerative spine based on CT vs. MRI.

次要结局

  • The correlation between the image finding and intraoperative finding.(baseline)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ahmed Aamer

resident doctor

Assiut University

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