CT and MRI diagnosis of 48 cases of lumbar superficial fasciitis
PENG Yuan1, CHEN ZHAOhui2
1. Department of Medical Imaging, Guizhou Provincial Corps Hospital of Chinese Armed Police Force, Guiyang 550005,China; 2. Institute of Medical Prevention and Control of Public Health Emergencies, Characteristic Medical Center of the Chinese People's Armed Police Force,Beijing 102613, China
Abstract：Objective To explore the applicability of CT and magnetic resonance imaging (MRI) in the diagnosis of lumbar superficial fasciitis and improve our understanding of the imaging manifestations of lumbar superficial fasciitis. Methods CT and MRI scans of 48 patients with clinically diagnosed lumbar superficial fasciitis between January and December in 2018 were compared and analyzed. There were 23 males and 25 females, aged 21 to 64, with an average of 44 years. Lumbar spine CT and lumbar spine MRI were performed. 1 mm reconstruction was routinely performed during CT examination and sagittal MPR was also performed. MRI was performed using a 1.5T superconducting MRI system. The same segments were scanned as in CT. Images of sagittal T1WI sequence, sagittal T2WI sequence, transverse T2WI sequence, and sagittal T2_TIRM sequence were collected. Results Thirty-seven cases of abnormality were observed on CT. The detection rate of lumbar superficial fasciitis was 77.1%. The superficial fascia of the waist was significantly thickened with reticular, flocculent and fuzzy borders. Forty-eight cases of abnormality were observed on MR. The detection rate of lumbar fasciitis was 100%. On MR, there were 8 cases of sheet-type superficial fasciitis, 26 cases of strip-type superficial fasciitis, 7 cases of fluid-type superficial fasciitis, and 7 cases of mixed-type superficial fasciitis. Conclusions Both CT and MRI are of great significance in the diagnosis of lumbar superficial fasciitis,and MRI could be listed as the first option.
2020, Vol. 31 
