METHOD FOR RADIATION DIAGNOSTICS OF PATIENTS WITH NONSPECIFIC PURULENT-INFLAMMATORY DISEASES OF THE SPINE Russian patent published in 2022 - IPC A61B6/03 G01N33/49 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to radiation diagnostics, neurosurgery, neurology, traumatology and orthopedics, and can be used for radiation diagnostics of non-specific purulent-inflammatory diseases of the spine. The method is carried out as follows. A patient with a nonspecific purulent-inflammatory process in the spine upon admission to the hospital undergoes a comprehensive clinical, laboratory and radiological examination in the scope of determining: the number of blood leukocytes, the level of ESR and CRP, the level of pain syndrome and neurological deficit, clarification of time data on the onset of the disease (in weeks) and measuring body temperature, determining radiation signs when performing MSCT and MRI. After performing X-ray studies of the spine, the data are interpreted with an assessment of the following signs: destruction of the vertebral bodies, sclerosis of adjacent surfaces of the vertebral bodies, infiltration of paravertebral soft tissues, paravertebral abscesses, sequesters, arthritis and destruction in the intervertebral joints, epiduritis and epidural abscess, perineural edema, edema of the intervertebral disc, destruction of the intervertebral disc, edema (swelling) of the spinal cord and grouping of the cauda equina, fistulas. Points are assigned to each identified symptom, with the subsequent calculation of their sum and entering the total number of points into the formula for calculating the stage (S) of a nonspecific purulent-inflammatory process in the spine with the assignment of a letter designation - P. Each indicator of radiological and clinical and laboratory examination, encrypted in a letter designation and translated into points, is substituted into the formula for the implementation of this diagnostic method.

EFFECT: method provides simplicity, accessibility, non-invasiveness and high efficiency in determining the clinical and radiation stage of a nonspecific purulent-inflammatory process in the spine by comparing clinical and laboratory data with the possibility of planning conservative treatment, virtual planning of the surgical method and predicting the earliest complications.

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