Status of Lumbar Spinal mri Indications in the Diagnostic Management of Lumbar Spinal Pathologies in Hospitals in Kinshasa and Brazzaville about 302 Patients

Authors

  • Frederick Tshibasu Tshienda Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Jean-Jacques Malemba Department of Internal Medicine, Division of Rheumatology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Jean- Marie Kayembe Ntumba Department of Internal Medicine, Division of infectious diseases, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo Author
  • Hippolyte Nani Tuma Situakibanza Department of Internal Medicine, Division of pulmonology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo Author
  • Antoine Tshimpi Aole Department of Internal Medicine, Division of gastroenterology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo Author
  • Luc Mokassa Bakumobatane Department of chirurgical, division of orthopedically, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Mounir Sayadi Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia Author
  • Tasnime Hamdeni Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia Author
  • Wafa Mbarki Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia Author
  • Michel Lelo Tshikwela Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Nancy Moyo Kafundu Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Cynthia Minouche Bokumba Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Jean Mukaya Tshibola Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Patrick Lebughe Litite Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author
  • Jean-Marie Mbuyi Muamba Department of Internal Medicine, Division of Rheumatology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo Author

DOI:

https://doi.org/10.47363/h91x6347

Keywords:

Lumbar Spine, Remedies, MRI, Lumbo Radiculgia, Lumbar Disc Herniation

Abstract

Objective: Consist of making an inventory of the indications for lumbar spinal MRI in the diagnostic management of lumbar spinal pathologies in hospitals in Kinshasa and Brazzaville. About 302 patients.

Materials and Methods: This was a retrospective, documentary and multicenter study on 302 patients who underwent lumbar spine MRI examinations in 18 months in hospitals in Kinshasa and Brazzaville.

Results: The mean age of patients was 53.4 years. The most represented age group was 50 to 59 years old. The female sex was predominant (55.4%) with a ratio of 0.79. The majority of patients (68.2%) came from Kinshasa. Lumboradiculgia was the most represented indication (49.3%) followed by low back pain (48%). The majority of MRI examinations (91.4%) were performed without injection of contrast product. T1 and T2 weightings were performed in 100% of patients. Degenerative disc disease was found at (41.7%) and lumbar disc herniation at (27.2%). The MRI examination was normal in (47%) of the patients. Based on potentially clinically positive relevance, only 48.7% of our MRI diagnose were clinically positive. Age (p=0.000), lumboradiculgia (p=0.000) and specialist physician prescription (0.039) had a statistically significant relationship with clinically positive diagnosis.


Conclusion: The use of lumbar spinal MRI examination was inappropriate in our study; this opinion mostly corroborates the observations of the literature. A codification of lumbar MRI indications in the radiological exploration of lumbar spinal disorders would avoid abusive and expensive prescriptions for a study population with low economic income. 

Author Biographies

  • Frederick Tshibasu Tshienda, Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo 

  • Jean-Jacques Malemba, Department of Internal Medicine, Division of Rheumatology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Department of Internal Medicine, Division of Rheumatology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Jean- Marie Kayembe Ntumba, Department of Internal Medicine, Division of infectious diseases, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo

    Department of Internal Medicine, Division of infectious diseases, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republicof Congo

  • Hippolyte Nani Tuma Situakibanza, Department of Internal Medicine, Division of pulmonology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo

    Department of Internal Medicine, Division of pulmonology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo

  • Antoine Tshimpi Aole, Department of Internal Medicine, Division of gastroenterology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo

    Department of Internal Medicine, Division of gastroenterology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Democratic Republic of Congo 

  • Luc Mokassa Bakumobatane, Department of chirurgical, division of orthopedically, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Department of chirurgical, division of orthopedically, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic
    of Congo 

  • Mounir Sayadi, Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia

    Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia

  • Tasnime Hamdeni, Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia

    Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia 

  • Wafa Mbarki, Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia

    Laboratory Signal Image and Energy Mastery, University of Tunis, National High School of Engineering of Tunis, Tunis, Tunisia

  • Michel Lelo Tshikwela, Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Nancy Moyo Kafundu, Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Cynthia Minouche Bokumba, Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo 

  • Jean Mukaya Tshibola, Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo 

  • Patrick Lebughe Litite, Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Division of Diagnostic Imaging, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo 

  • Jean-Marie Mbuyi Muamba, Department of Internal Medicine, Division of Rheumatology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

    Department of Internal Medicine, Division of Rheumatology, University Hospital of Kinshasa, School of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

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Published

2022-05-25

Issue

Vol. 4 No. 2 (2022): Volume 4 Issue 2

Section

Articles