دانلود کتاب MRI بیماری دژنراتیو ستون فقرات

Five years after the first publication, the second edition of this book is borne. In this edition we wanted to widen and deepen the topic of the degenerative pathology of the spine, keeping on sharing our knowledge on the aspects of magnetic resonance imaging (MRI). Spine degenerative disease includes a series of arthrosic degenerative processes, which affect mechanical supports, resulting from a natural aging/worn process. As known, degenerative pathology is extremely widespread in the population and has a great socio-economic impact. Degenerative changes can be localized in the anterior vertebral compartment (vertebral-disc unit) and in the posterior vertebral compartment (interapophyseal joints, spinal ligaments and para-vertebral muscles), so in the diagnostic process with MR, it is very important to check carefully all anatomic elements of the spine as well as muscular and ligamentous supports. The main clinical onset of this disease is pain which is more often localized in the lumbar region and can also cause impaired mobility. Magnetic resonance is the gold standard imaging for the study of degenerative disease of the spine for its accuracy and diagnostic efficacy, but the appropriate use of MRI sequences is fundamental to an accurate diagnosis. MR study protocol includes T2-weighted images with fat saturation, since more sensitive to the pattern of oedema, also with administration of contrast medium in some cases, for more accurate assessment of the inflammatory stage of the disease. It is very important to make a correlation between the clinical data and the results of the MR in order to find out the cause of the pain and consequently identify therapeutic “targets” and specific therapeutic procedures. In conclusion, this case-based atlas aims at showing less common aspects of the degenerative disease highlighted with the MR mainly in their active inflammatory phase. Moreover, in this new edition, we have widened the casistry and added an important new chapter on postoperative spine. Thanks to its “case-based” structure, this book offers an easy-to-use but thorough handbook for radiologists, neuroradiologists, orthopaedists, neurosurgeons, rheumatologists as well as students.