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Differences in perfusion parameters between upper and lower lumbar vertebral segments with dynamic contrast-enhanced MRI (DCE MRI)

  • Musculoskeletal
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Abstract

To investigate the influence of age, sex and spinal level on perfusion parameters of normal lumbar bone marrow with dynamic contrast-enhanced MRI (DCE MRI). Sixty-seven subjects referred for evaluation of low back pain or sciatica underwent DCE MRI of the lumbar spine. After subtraction of dynamic images, a region of interest (ROI) was placed on each lumbar vertebral body of all subjects, and time intensity curves were generated. Consequently, perfusion parameters were calculated. Statistical analysis was performed to search for perfusion differences among lumbar vertebrae and in relation to age and sex. Upper (L1, L2) and lower (L3, L4, L5) vertebrae showed significant differences in perfusion parameters (p<0.05). Vertebrae of subjects younger than 50 years showed significantly higher perfusion compared to vertebrae of older ones (p<0.05). Vertebrae of females demonstrated significantly increased perfusion compared to those of males of corresponding age (p<0.05). All perfusion parameters, except for washout (WOUT), showed a mild linear correlation with age. Time to maximum slope (TMSP) and time to peak (TTPK) showed the same correlation with sex (0.22<r<0.32, p<0.05). Our results indicate increased perfusion of the upper compared to the lower lumbar spine, of younger compared to older subjects and of females compared to males.

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Acknowledgements

We greatly acknowledge the valuable help of our MR technologists, M. Roussakis and M. Ioannidis.

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Authors and Affiliations

  1. Department of Radiology, Medical School, University of Athens, Areteion Hospital, 76 Vas. Sofias Street, 11528,, Athens, Greece

    Vasiliki Savvopoulou, Lampros Vlahos & Lia Angela Moulopoulos

  2. Deparment of Medical Physics, Faculty of Medicine, University of Crete, P.O. Box 1352, Stavrakia, GR 71201,, Heraklion, Greece

    Thomas G. Maris

Authors
  1. Vasiliki Savvopoulou
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  2. Thomas G. Maris
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  3. Lampros Vlahos
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  4. Lia Angela Moulopoulos
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Correspondence to Lia Angela Moulopoulos.

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Savvopoulou, V., Maris, T.G., Vlahos, L. et al. Differences in perfusion parameters between upper and lower lumbar vertebral segments with dynamic contrast-enhanced MRI (DCE MRI). Eur Radiol 18, 1876–1883 (2008). https://doi.org/10.1007/s00330-008-0943-8

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  • DOI: https://doi.org/10.1007/s00330-008-0943-8

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