PreprintArticleVersion 1Preserved in Portico This version is not peer-reviewed
Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Lumbosacral Radiculopathy in Patients with Clinical Suspicion of the Pathology
Version 1
: Received: 1 May 2024 / Approved: 3 May 2024 / Online: 3 May 2024 (11:22:53 CEST)
How to cite:
Montaner-Cuello, A.; Caudevilla-Polo, S.; Rodríguez-Mena, D.; Ciuffreda, G.; Pardos-Aguilella, P.; Albarova-Corral, I.; Pérez-Rey, J.; Bueno-Gracia, E. Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Lumbosacral Radiculopathy in Patients with Clinical Suspicion of the Pathology. Preprints2024, 2024050162. https://doi.org/10.20944/preprints202405.0162.v1
Montaner-Cuello, A.; Caudevilla-Polo, S.; Rodríguez-Mena, D.; Ciuffreda, G.; Pardos-Aguilella, P.; Albarova-Corral, I.; Pérez-Rey, J.; Bueno-Gracia, E. Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Lumbosacral Radiculopathy in Patients with Clinical Suspicion of the Pathology. Preprints 2024, 2024050162. https://doi.org/10.20944/preprints202405.0162.v1
Montaner-Cuello, A.; Caudevilla-Polo, S.; Rodríguez-Mena, D.; Ciuffreda, G.; Pardos-Aguilella, P.; Albarova-Corral, I.; Pérez-Rey, J.; Bueno-Gracia, E. Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Lumbosacral Radiculopathy in Patients with Clinical Suspicion of the Pathology. Preprints2024, 2024050162. https://doi.org/10.20944/preprints202405.0162.v1
APA Style
Montaner-Cuello, A., Caudevilla-Polo, S., Rodríguez-Mena, D., Ciuffreda, G., Pardos-Aguilella, P., Albarova-Corral, I., Pérez-Rey, J., & Bueno-Gracia, E. (2024). Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Lumbosacral Radiculopathy in Patients with Clinical Suspicion of the Pathology. Preprints. https://doi.org/10.20944/preprints202405.0162.v1
Chicago/Turabian Style
Montaner-Cuello, A., Jorge Pérez-Rey and Elena Bueno-Gracia. 2024 "Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Lumbosacral Radiculopathy in Patients with Clinical Suspicion of the Pathology" Preprints. https://doi.org/10.20944/preprints202405.0162.v1
Abstract
(1) Background: The diagnosis of lumbosacral radiculopathy involves anamnesis, assessment of sensitivity and strength, diagnostic imaging—usually magnetic resonance imaging (MRI)—and electrodiagnostic testing (EDX), typically electromyography (EMG) and electroneurography (ENG). MRI evaluates the structures supporting the spinal cord, while EDX evaluates root functionality. The present study aimed to analyze the concordance of MRI and EDX findings in patients with clinically suspected radiculopathy. Additionally, we investigated the comparison between these two reference tests and various clinical variables and questionnaires. (2) Methods: We designed a prospective epidemiological study of consecutive cases with an observational, descriptive, cross-sectional, and double-blind nature following the STROBE guidelines, encompassing 142 patients with clinical suspicion of lumbosacral radiculopathy. (3) Results: Of the sample, 58.5% tested positive for radiculopathy using EDX as the reference test, while 45.8% tested positive using MRI. The comparison between MRI and EDX in the diagnosis of radiculopathy in patients with clinical suspicion was not significant; the overall agreement was 40.8%. Only the years with symptoms were comparatively significant between the positive and negative radiculopathy groups as determined by EDX. (4) Conclusion: The comparison between lumbar radiculopathy diagnoses in patients with clinically suspected pathology using MRI and EDX as diagnostic modalities did not yield statistically significant findings. MRI and EDX are complementary tests assessing different aspects in patients with suspected radiculopathy; degeneration of the structures supporting the spinal cord does not necessarily imply root dysfunction.
Keywords
Lumbosacral radiculopathy; Nuclear Magnetic Resonance Imaging; Electrodiagnostic studies; diagnostic tests
Subject
Medicine and Pharmacology, Clinical Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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