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Abstract

Benign lumbar arachnoiditis: MR imaging with gadopentetate dimeglumine.

C E Johnson and G Sze
American Journal of Neuroradiology July 1990, 11 (4) 763-770;
C E Johnson
Sloan-Kettering Cancer Center, New York, NY.
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G Sze
Sloan-Kettering Cancer Center, New York, NY.
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Abstract

MR imaging was performed in 13 patients with benign lumbar arachnoiditis both before and after IV injection of gadopentetate dimeglumine. The arachnoiditis was proved by previous myelography in 12 patients and by noncontrast MR imaging in one patient. The disease was presumably the result of previous myelography and/or surgery. It was characterized as mild in two patients, moderate in two patients, and severe in nine patients. Imaging was performed on a 1.5-T unit, and both short and long TR images were obtained before and after contrast administration. Noncontrast MR images demonstrated changes consistent with arachnoiditis in all patients. After contrast, three patients had no enhancement, three patients had minimal enhancement, three patients had mild enhancement, and four patients had moderate enhancement. In no case did contrast enhancement alter the diagnosis or reveal additional findings that could not be seen on the noncontrast images. Gadopentetate dimeglumine enhancement plays little role in the diagnosis of lumbar arachnoiditis. If used for another reason, however, short TR scans may show enhancement of adherent roots in some cases. In addition, administration of gadopentetate dimeglumine will not cause sufficient enhancement to hinder the detection of arachnoiditis on long TR images and may aid in recognition of adherent roots on short TR images.

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American Journal of Neuroradiology
Vol. 11, Issue 4
1 Jul 1990
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C E Johnson, G Sze
Benign lumbar arachnoiditis: MR imaging with gadopentetate dimeglumine.
American Journal of Neuroradiology Jul 1990, 11 (4) 763-770;

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Benign lumbar arachnoiditis: MR imaging with gadopentetate dimeglumine.
C E Johnson, G Sze
American Journal of Neuroradiology Jul 1990, 11 (4) 763-770;
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