Correlation between MRI Grading System and Surgical Findings for Lumbar Foraminal Stenosis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jeong, Tae Seok | - |
dc.contributor.author | Ahn, Yong | - |
dc.contributor.author | Lee, Sang Gu | - |
dc.contributor.author | Kim, Woo Kyung | - |
dc.contributor.author | Son, Seong | - |
dc.contributor.author | Kwon, Jung Hwa | - |
dc.date.available | 2020-02-27T18:41:45Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2017-07 | - |
dc.identifier.issn | 2005-3711 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5993 | - |
dc.description.abstract | Objective : Magnetic resonance imaging (MRI) grading systems using sagittal images are useful for evaluation of lumbar foraminal stenosis. We evaluated whether such a grading system is useful as a diagnostic tool for surgery. Methods : Between July 2014 and June 2015, 99 consecutive patients underwent unilateral lumbar foraminotomy for lumbar foraminal stenosis. Surgically confirmed foraminal stenosis and the contralateral, asymptomatic neuroforamen were assessed based on a 4-point MRI grading system. Two experienced researchers independently evaluated the MR sagittal images. Interobserver agreement and intraobserver agreement were analyzed using. statistics. Results : The mean age of patients (54 women, 45 men) was 62.5 years. A total of 101 levels (202 neuroforamens) were evaluated. MRI grades for operated neuroforamens were as follows : Grade 0 in 0.99%, Grade 1 in 5.28%, Grade 2 in 14.85%, and Grade 3 in 78.88%. Interobserver agreement was moderate for operated neuroforamens (kappa=0.511) and good for asymptomatic neuroforamens (kappa=0.696). Intraobserver agreement by reader 1 for operated neuroforamens was good (kappa=0.776) and that for asymptomatic neuroforamens was very good (kappa=0.831). In terms of lumbar level, interobserver agreement for L5-S1 (kappa=0.313, fair) was relatively lower than the other level (kappa=0.804, very good). Conclusion : MRI grading system for lumbar foraminal stenosis is thought to be useful as a diagnostic tool for surgery in the lumbar spine; however, it is less reliable for symptomatic L5-S1 foraminal stenosis than for other levels. Thus, various clinical factors as well as the MRI grading system are required for surgical decision-making. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | KOREAN NEUROSURGICAL SOC | - |
dc.relation.isPartOf | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | - |
dc.title | Correlation between MRI Grading System and Surgical Findings for Lumbar Foraminal Stenosis | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000409182700011 | - |
dc.identifier.doi | 10.3340/jkns.2016.1010.004 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.60, no.4, pp.465 - 470 | - |
dc.identifier.kciid | ART002232841 | - |
dc.identifier.scopusid | 2-s2.0-85022221354 | - |
dc.citation.endPage | 470 | - |
dc.citation.startPage | 465 | - |
dc.citation.title | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | - |
dc.citation.volume | 60 | - |
dc.citation.number | 4 | - |
dc.contributor.affiliatedAuthor | Jeong, Tae Seok | - |
dc.contributor.affiliatedAuthor | Ahn, Yong | - |
dc.contributor.affiliatedAuthor | Lee, Sang Gu | - |
dc.contributor.affiliatedAuthor | Kim, Woo Kyung | - |
dc.contributor.affiliatedAuthor | Son, Seong | - |
dc.contributor.affiliatedAuthor | Kwon, Jung Hwa | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Spinal stenosis | - |
dc.subject.keywordAuthor | Lumbar vertebrae | - |
dc.subject.keywordAuthor | Magnetic resonance imaging | - |
dc.subject.keywordAuthor | Foraminotomy | - |
dc.subject.keywordAuthor | Surgery | - |
dc.subject.keywordPlus | SPINE | - |
dc.subject.keywordPlus | EXTENSION | - |
dc.subject.keywordPlus | DIAGNOSIS | - |
dc.subject.keywordPlus | FLEXION | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.