Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleEMERGENCY NEURORADIOLOGY

An Optimized CT Protocol for Detecting Suspected Cauda Equina Syndrome: A Comparative Analysis with MRI

Philip J. Dempsey, David T. Ryan, Gerard Lambe, Jack W. Power, Andrew H. Yates, Grace Kenny and Peter J. MacMahon
American Journal of Neuroradiology July 2024, DOI: https://doi.org/10.3174/ajnr.A8315
Philip J. Dempsey
aFrom the Department of Radiology (P.J.D., D.T.R., G.L., J.W.P., A.H.Y., P.J.M.), Mater Misericordiae University Hospital, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Philip J. Dempsey
David T. Ryan
aFrom the Department of Radiology (P.J.D., D.T.R., G.L., J.W.P., A.H.Y., P.J.M.), Mater Misericordiae University Hospital, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gerard Lambe
aFrom the Department of Radiology (P.J.D., D.T.R., G.L., J.W.P., A.H.Y., P.J.M.), Mater Misericordiae University Hospital, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jack W. Power
aFrom the Department of Radiology (P.J.D., D.T.R., G.L., J.W.P., A.H.Y., P.J.M.), Mater Misericordiae University Hospital, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrew H. Yates
aFrom the Department of Radiology (P.J.D., D.T.R., G.L., J.W.P., A.H.Y., P.J.M.), Mater Misericordiae University Hospital, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Grace Kenny
bCentre for Experimental Pathogen Host Research (G.K.), University College Dublin, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter J. MacMahon
aFrom the Department of Radiology (P.J.D., D.T.R., G.L., J.W.P., A.H.Y., P.J.M.), Mater Misericordiae University Hospital, Dublin, Ireland
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Peter J. MacMahon
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Knezevic NN,
    2. Candido KD,
    3. Vlaeyen JW, et al
    . Low back pain. Lancet 2021;398:78–92 doi:10.1016/S0140-6736(21)00733-9
    CrossRefPubMed
  2. 2.↵
    1. Lavy C,
    2. Marks P,
    3. Dangas K, et al
    . Cauda equina syndrome: a practical guide to definition and classification. Int Orthop 2022;46:165–69 doi:10.1007/s00264-021-05273-1 pmid:34862914
    CrossRefPubMed
  3. 3.↵
    1. Hauptfleisch J,
    2. Meagher TM,
    3. King D, et al
    . Out-of-hours MRI provision in the UK and models of service delivery. Clin Radiol 2013;68:e245–48 doi:10.1016/j.crad.2012.12.007 pmid:23352762
    CrossRefPubMed
  4. 4.↵
    1. Ginde AA,
    2. Foianini A,
    3. Renner DM, et al
    . Availability and quality of computed tomography and magnetic resonance imaging equipment in U.S. emergency departments. Acad Emerg Med 2008;15:780–83 doi:10.1111/j.1553-2712.2008.00192.x pmid:18783491
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. Shah LM,
    2. Long D,
    3. Sanone D, et al
    . Application of ACR appropriateness guidelines for spine MRI in the emergency department. J Am Coll Radiol 2014;11:1002–04 doi:10.1016/j.jacr.2013.12.015 pmid:24768078
    CrossRefPubMed
  6. 6.↵
    1. Peacock JG,
    2. Timpone VM
    . Doing more with less: diagnostic accuracy of CT in suspected cauda equina syndrome. AJNR Am J Neuroradiol 2017;38:391–97 doi:10.3174/ajnr.A4974 pmid:27789449
    Abstract/FREE Full Text
  7. 7.↵
    1. Lee S,
    2. Lee JW,
    3. Yeom JS, et al
    . A practical MRI grading system for lumbar foraminal stenosis. AJR Am J Roentgenol 2010;194:1095–98 doi:10.2214/AJR.09.2772 pmid:20308517
    CrossRefPubMed
  8. 8.↵
    Stangroom J. Social Science Statistics. https://www.socscistatistics.com/. 2018. Accessed August 15, 2023
  9. 9.↵
    1. Mamisch N,
    2. Brumann M,
    3. Hodler J, et al
    ; Lumbar Spinal Stenosis Outcome Study Working Group Zurich. Radiologic criteria for the diagnosis of spinal stenosis: results of a Delphi survey. Radiology 2012;264:174–79 doi:10.1148/radiol.12111930 pmid:22550311
    CrossRefPubMedWeb of Science
  10. 10.↵
    1. Steurer J,
    2. Roner S,
    3. Gnannt R, et al
    ; LumbSten Research Collaboration. Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskelet Disord 2011;12:175 doi:10.1186/1471-2474-12-175 pmid:21798008
    CrossRefPubMed
  11. 11.↵
    1. Bell DA,
    2. Collie D,
    3. Statham PF
    . Cauda equina syndrome: what is the correlation between clinical assessment and MRI scanning? Br J Neurosurg 2007;21:201–03 doi:10.1080/02688690701317144 pmid:17453789
    CrossRefPubMedWeb of Science
  12. 12.↵
    1. Ahad A,
    2. Elsayed M,
    3. Tohid H
    . The accuracy of clinical symptoms in detecting cauda equina syndrome in patients undergoing acute MRI of the spine. Neuroradiol J 2015;28:438–42 doi:10.1177/1971400915598074 pmid:26306934
    CrossRefPubMed
  13. 13.↵
    1. Balasubramanian K,
    2. Kalsi P,
    3. Greenough CG, et al
    . Reliability of clinical assessment in diagnosing cauda equina syndrome. Br J Neurosurg 2010;24:383–86 doi:10.3109/02688697.2010.505987 pmid:20726746
    CrossRefPubMed
  14. 14.↵
    1. Domen PM,
    2. Hofman PA,
    3. Van Santbrink H, et al
    . Predictive value of clinical characteristics in patients with suspected cauda equina syndrome. Eur J Neurol 2009;16:416–19 doi:10.1111/j.1468-1331.2008.02510.x pmid:19490073
    CrossRefPubMed
  15. 15.↵
    1. Fairbank J,
    2. Hashimoto R,
    3. Dailey A, et al
    . Does patient history and physical examination predict MRI proven cauda equina syndrome? Evid Based Spine Care J 2011;2:27–33 doi:10.1055/s-0031-1274754 pmid:23230403
    CrossRefPubMed
  16. 16.↵
    1. Chau AMT,
    2. Xu LL,
    3. Pelzer NR, et al
    . Timing of surgical intervention in cauda equina syndrome: a systematic critical review. World Neurosurg 2014;81:640–50 doi:10.1016/j.wneu.2013.11.007 pmid:24240024
    CrossRefPubMed
  17. 17.↵
    1. McDonnell J,
    2. Ahern DP,
    3. Gibbons D, et al
    . A systematic review of the presentation of scan-negative suspected cauda equina syndrome. Surgeon 2020;18:49–52 doi:10.1016/j.surge.2019.04.003 pmid:31201127
    CrossRefPubMed
  18. 18.↵
    1. Fountain DM,
    2. Davies SCL,
    3. Woodfield J, et al
    ; Neurology and Neurosurgery Interest Group. Evaluation of nationwide referral pathways, investigation and treatment of suspected cauda equina syndrome in the United Kingdom. Br J Neurosurg 2019;0:1–11 doi:10.1080/02688697.2019.1648757 pmid:31407596
    CrossRefPubMed
  19. 19.↵
    1. Hussain MM,
    2. Razak AA,
    3. Hassan SS, et al
    . Time to implement a national referral pathway for suspected cauda equina syndrome: review and outcome of 250 referrals. Br J Neurosurg 2018;32:264–68 doi:10.1080/02688697.2018.1457771 pmid:29607679
    CrossRefPubMed
  20. 20.↵
    Getting It Right First Time Group NHSU. Spinal Surgery: National Suspected Cauda Equina Syndrome (CES) Pathway. February 2023. https://gettingitrightfirsttime.co.uk/wp-content/uploads/2023/10/National-Suspected-Cauda-Equina-Pathway-UPDATED-V2-October-2023.pdf. Accessed April 3, 2024
  21. 21.↵
    1. Katzouraki G,
    2. Zubairi AJ,
    3. Hershkovich O, et al
    . A prospective study of the role of bladder scanning and post-void residual volume measurement in improving diagnostic accuracy of cauda equina syndrome. Bone Joint J 2020;102-B:677–82 doi:10.1302/0301-620X.102B6.BJJ-2020-0195.R1 pmid:32475252
    CrossRefPubMed
  22. 22.↵
    1. Alsaleh K,
    2. Ho D,
    3. Rosas-Arellano MP, et al
    . Radiographic assessment of degenerative lumbar spinal stenosis: is MRI superior to CT? Eur Spine J 2017;26:362–67 doi:10.1007/s00586-016-4724-9 pmid:27663702
    CrossRefPubMed
  23. 23.↵
    1. Kang WY,
    2. Ahn JM,
    3. Lee JW, et al
    . Is multidetector computed tomography comparable to magnetic resonance imaging for assessment of lumbar foraminal stenosis? Acta Radiol 2017;58:197–203 doi:10.1177/0284185116639766 pmid:27055917
    CrossRefPubMed
  24. 24.↵
    1. Ogikubo O,
    2. Forsberg L,
    3. Hansson T
    . The relationship between the cross-sectional area of the cauda equina and the preoperative symptoms in central lumbar spinal stenosis. Spine (Phila Pa 1976) 2007;32:1423–28 doi:10.1097/BRS.0b013e318060a5f5
    CrossRefPubMed
  25. 25.↵
    1. Bharadwaj UU,
    2. Ben-Natan AR,
    3. Huang J, et al
    . Evaluation of 2 novel ratio-based metrics for lumbar spinal stenosis. AJNR Am J Neuroradiol 2022;43:1530–38 doi:10.3174/ajnr.A7638 pmid:36109122
    Abstract/FREE Full Text
  26. 26.↵
    1. Lee KL,
    2. Beveridge T,
    3. Sanagou M, et al
    . Updated Australian diagnostic reference levels for adult CT. J Med Radiat Sci [ Sci 2020;67:5–15 doi:10.1002/jmrs.372 pmid:32040878
    CrossRefPubMed
  27. 27.↵
    1. Rawashdeh M,
    2. Bani Yaseen AB,
    3. McEntee M, et al
    . Diagnostic reference levels in spinal CT: Jordanian assessments and global benchmarks. J Xray Sci Technol 2024;32:725–34 doi:10.3233/XST-230276 pmid:38189739
    CrossRefPubMed
PreviousNext
Back to top
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
An Optimized CT Protocol for Detecting Suspected Cauda Equina Syndrome: A Comparative Analysis with MRI
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
Philip J. Dempsey, David T. Ryan, Gerard Lambe, Jack W. Power, Andrew H. Yates, Grace Kenny, Peter J. MacMahon
An Optimized CT Protocol for Detecting Suspected Cauda Equina Syndrome: A Comparative Analysis with MRI
American Journal of Neuroradiology Jul 2024, DOI: 10.3174/ajnr.A8315

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
An Optimized CT Protocol for Detecting Suspected Cauda Equina Syndrome: A Comparative Analysis with MRI
Philip J. Dempsey, David T. Ryan, Gerard Lambe, Jack W. Power, Andrew H. Yates, Grace Kenny, Peter J. MacMahon
American Journal of Neuroradiology Jul 2024, DOI: 10.3174/ajnr.A8315
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • Performance of CTSS
    • DISCUSSION
    • CONCLUSIONS
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Factors Impacting CTA Reporting in Stroke Codes
  • Length of Stay Changes After Dual-Energy CT
  • Black Hole Sign: Oral Anticoagulants
Show more EMERGENCY NEURORADIOLOGY

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire