1
|
D'Anna G, Shah L, Kranz PG, Hirsch JA, Khan M, Johnson M, Feydy A, Nathan J, Manfre L, Nguyen DT, Sze G, Goethem JV, Vanhoenacker FM. Results of an International Survey on Spinal Imaging by the ASNR/ASSR/ESNR/ESSR "Nomenclature 3.0" Working Group. Semin Musculoskelet Radiol 2023; 27:561-565. [PMID: 37816364 DOI: 10.1055/s-0043-1768247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023]
Abstract
Our goal was to determine if "Nomenclature 2.0," the classification of lumbar disk pathology consensus, should be updated. We conducted a social media and e-mail-based survey on preferences regarding the use of classification on magnetic resonance spine reporting. Members of the European Society of Neuroradiology, European Society of Musculoskeletal Radiology, American Society of Neuroradiology, and American Society of Spine Radiology received a 15-question online survey between February and March 2022. A total of 600 responses were received from 63 countries. The largest number of responses came from Italy and the United States. We found that 71.28% of respondents used Nomenclature 2.0, Classification of Lumbar Disk Pathology. But classification on stenosis is used less often: 53.94% and 60% of respondents do not use any classification of spinal canal stenosis and foraminal stenosis, respectively. When queried about which part of Nomenclature needs improving, most respondents asked for a Structured Reporting Template (SRT), even though 58.85% of respondents do not currently use any template and 54% routinely use a clinical information questionnaire. These results highlight the importance of an updated Nomenclature 3.0 version that integrates the classifications of lumbar disk disease and spinal canal and foraminal stenosis. Further attention should also be directed toward developing a robust endorsed SRT.
Collapse
Affiliation(s)
- Gennaro D'Anna
- Neuroimaging Unit, ASST Ovest Milanese, Legnano, Milan, Italy
| | - Lubdha Shah
- Department of Radiology, University of Utah, Salt Lake City, Utah
| | - Peter G Kranz
- Department of Radiology, Duke University Medical Center, Durham, North Carolina
| | - Joshua A Hirsch
- Department of Neurointerventional Radiology, Massachusetts General Hospital, Boston, Massachusetts
| | - M Khan
- Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland
| | - Michele Johnson
- Departments of Radiology and Biomedical Imaging and Neurosurgery, Yale University School of Medicine, New Haven, Connecticut
| | | | - J Nathan
- Department of Neuroradiology, Emory School of Medicine, Atlanta, Georgia
| | - L Manfre
- Minimal Invasive Spine Department of Neurosurgery, Istituto Oncologico del Mediterraneo IOM, Viagrande, Italy
| | - Dan T Nguyen
- Neuroradiology and Pain Solutions of Oklahoma, Oklahoma City, Oklahoma
| | - Gordan Sze
- Department of Radiology, Yale School of Medicine, New Haven, Connecticut
| | - Johan Van Goethem
- Department of Radiology, University Hospital Antwerp, Antwerp, Belgium
- Department of Medical and Molecular Imaging, General Hospital VITAZ, Sint-Niklaas, Belgium
| | - Filip M Vanhoenacker
- Department of Radiology General Hospital Sint-Maarten Mechelen, Antwerp University Hospital, Edegem, Belgium
- Antwerp/Ghent University Faculty of Medicine and Health Sciences, Faculty of Medicine KU Leuven, Leuven, Belgium
| |
Collapse
|
2
|
Abstract
Lo studio sequenziale dell'afflusso del mezzo di contrasta a carico del parenchima ipofisario è stato di recente valutato da diversi autori, utilizzando apparecchiature operanti a 1,5 T. Tutta-via, con l'eccezione di 3 casi di macroadenoma, non sono state mai valutate le possibili alterazioni di flus-so ghiandolare nelle diverse affezioni interessanti l'ipofisi. Sono stati esaminati 27 volontari non affetti da patologia ipofisaria e 47 pazienti, in età pediatrica o adulti, affetti da alterazioni ipofisarie su base congenita o acquisita. I pazienti sono stati valutati mediante apparecchiatura operante a medio campo, compa-rando i risultati, ottenuti in tempi diversi, di una valutazione ipofisaria standard versus un esame di tipo sequenziale. Il nostro studio ha dimostrato un modello di accentuazione delle differenti componenti ghiandolari perfettamente corrispondente all'organizzazione microvascolare della ghiandola stessa, con un incremen-to dell'intensità di segnale apprezzabile prima a livello neuroipofisario, poi a carico del peduncolo e della parte prossimale dell'adenoipofisi, ed infine a carico della pars distalis adenoipofisaria. I microadenomi hanno dimostrato un modello di accentuazione di tipo <arterioso>, in rapporto alla neoangiogenesi esi-stente. I macroadenomi hanno dimostrato un modello differente, nelle aree esaminate, in dipendenza del-l'estensione. Nessuna alterazione è stata riscontrata nei pazienti affetti da sella vuota parziale. I pazienti affetti da deficit di ormone della crescita hanno dimostrato una riduzione del potenziamento del peduncolo ipofisario, in possibile relazione a danno del sistema vascolare portale.
Collapse
Affiliation(s)
| | - F. Rosato
- Istituto di Endocrinologia, Istituto Radiologia «P. Cignolini» Università di Palermo
| | | | | | | | - A. Janni
- Istituto di Endocrinologia, Istituto Radiologia «P. Cignolini» Università di Palermo
| | - R. Lagalla
- Istituto di Endocrinologia, Istituto Radiologia «P. Cignolini» Università di Palermo
| |
Collapse
|
3
|
Fierro B, Daniele O, Aloisio A, Buffa D, Oliveri M, Manfre L, Brighina F. Neurophysiological and radiological findings in myotonic dystrophy patients. Eur J Neurol 1998; 5:89-94. [PMID: 10210817 DOI: 10.1046/j.1468-1331.1998.510089.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Somatosensory evoked potentials (SEPs) and brainstem auditory evoked potentials (BAEPs) were recorded in 10 patients with myotonic dystrophy and in 20 sex and age-matched healthy controls. In all patients a brain MRI examination was also performed. In our results, the significantly longer absolute peak latencies of the SEPs and the abnormal increasing of the later components of the BAEPs suggest an involvement of the afferent sensory and central auditory pathways. Brain MRI showed white matter hyperintense lesions (WMHL) in eight patients (80%). No correlations were found between individual abnormal electrophysiological parameters or severity of WMHL and age, age at onset, disease duration or muscular impairment. The total number (SEP + BAEP) of electrophysiological abnormalities significantly correlated with muscular impairment (p < 0.05) and MRI changes (p < 0.005), suggesting a strict pathogenetic linkage between muscular and nervous system alterations in this disease.
Collapse
Affiliation(s)
- B Fierro
- Istituto di Neuropsichiatria, Universita di Palermo, Palermo, Italy
| | | | | | | | | | | | | |
Collapse
|