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Electronic Journal of Emerging Infectious Diseases ›› 2023, Vol. 8 ›› Issue (1): 82-86.doi: 10.19871/j.cnki.xfcrbzz.2023.01.017

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The research progress of MRI diagnosis of Brucella spondylitis

Zhou Yanni1, Zhao Jianhua2   

  1. 1. Graduate School of Inner Mongolia Medical University, Inner Mongolia Hohhot 010000, China;
    2. Department of Imaging Medicine, Inner Mongolia Autonomous Region People's Hospital, Inner Mongolia Hohhot 010017, China
  • Received:2022-10-12 Online:2023-02-28 Published:2023-03-30

Abstract: Brucella spondylitis is caused by brucella infection, with the highest incidence of the lumbar spine. Patients were initially diagnosed as BS with increased C-reactive protein and erythrocyte sedimentation rate, tiger Red plate agglutination test (RBPT) plate agglutination test and plate agglutination test (PAT) positive.The clinical symptoms of BS are mostly pain in the low back and lumbosacrum, low fever in the afternoon, and multiple osteoarthralgia. If not diagnosed and treated in time, it will cause serious injury to the spine and cause huge economic losses.MR is rapid, accurate and reproducible, has high sensitivity for soft tissue lesions, and is the preferred imaging method for BS detection.Besides,conventional MR sequence combined with special sequences,such as DTI, IVIM and DCE-MRI, can play an important role in the early diagnosis of BS, evaluation of disease progression, determination of treatment effect and prognosis of BS, contribute to the differential diagnosis of spinal diseases, and provide effective reference for the clinical diagnosis and treatment of BS patients.

Key words: Brucella spondylitis, Brucella, Magnetic resonance imaging, Diffusion tensor imaging, Intravoxel incoherent motion, Dynamic enhancement, Segmentation algorithm

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