https://m2.mtmt.hu/ hun 2026-10-25 11:53 JournalArticle 36371264 VALIDATED true 0 false 2026-07-26T16:00:16.241+0000 2026-07-26T15:58:48.533+0000 2025-10-09T06:38:49.724+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true 2026-07-26T15:58:40.242+0000 2026-07-26T15:58:40.242+0000 2026-07-26T15:58:48.751+0000 true 10084159 Balázsné Balogh Ildikó /api/admin/10084159 Admin true true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Fitoussi, Lior Yehuda From Detection to Decision: T-Score-Guided Use of STIR MRI After CT in Vertebral Fractures true true /api/journal/10050131 REVIEWED true false 10050131 false 10050131 true 2075-4418 2075-4418 Journal FOREIGN 15 18 2370 2370 10 2025 Background/Objectives: Vertebral fractures are frequently underdiagnosed after minor trauma in patients with normal or mildly reduced bone mineral density (BMD). CT, the standard first-line imaging, may miss subtle fractures, while STIR MRI is more sensitive but not routinely applied. We evaluated whether DEXA-derived T-scores can guide selective use of STIR MRI in patients > 50 years. Methods: We retrospectively analyzed 214 patients who underwent CT, sagittal whole-spine STIR MRI, and DEXA within 48 h after minor trauma. Fracture counts were compared using the Wilcoxon signed-rank test. Spearman's correlation examined associations between T-score and fracture counts. Subgroups were defined as normal (>=-1), osteopenia (-2.5 < T-score < -1), osteoporosis (-3.5 < T-score <= -2.5), and high-risk osteoporosis (<=-3.5). Results: STIR MRI identified more fractures than CT in 87 patients (40.7%), while CT detected more in 19 (8.9%) (p < 0.0001). MRI outperformed CT across all T-score categories. The osteopenia group had the highest number of additional fractures (n = 53), and even patients with normal BMD showed a notable yield (n = 36). Correlations between T-score and fracture counts were weak and not statistically significant. Conclusions: T-score can support imaging triage but should not be used as a strict threshold. STIR MRI is justified in patients with T-scores < -2.5 when clinical suspicion exists and should be considered in those with higher T-scores if CT is negative but symptoms persist. Integrating T-score into imaging protocols may reduce missed fractures and improve outcomes. true true 2025 true true true false true false GOLD 2026-07-26 false https://www.mdpi.com/journal/diagnostics 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Q2 false false false false 2025-10-08T06:47:50.221+0000 Budapesti Dr. Manninger Jenő Baleseti Központ; Budapesti Péterfy Sándor Utcai Kórház-Rendelőin...; Doktori Iskola (SE); Neurotraumatológiai Tanszéki Csoport (SE / AOK / K / TK) 6 27 4 6 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 128051866 /api/authorship/128051866 1 0.167 true false false Author 10102400 /api/author/10102400 Fitoussi Lior Yehouda true true Fitoussi Lior Yehuda true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128051867 /api/authorship/128051867 2 0.167 false false true Author 10001096 /api/author/10001096 Viola Árpád true 10001096 true Viola Arpad true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128051868 /api/authorship/128051868 3 0.167 false false false Author 10093407 /api/author/10093407 Aslan Siran true true Aslan Siran true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128051869 /api/authorship/128051869 4 0.167 false false false Author 10096260 /api/author/10096260 Viola Réka true true Viola Reka true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128051870 /api/authorship/128051870 5 0.167 false false false Author 10105764 /api/author/10105764 Foglar Viktor true true Foglar Viktor true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128051871 /api/authorship/128051871 6 0.167 false true false Author 10082250 /api/author/10082250 Al-Smadi Mohammad Walid true true Al-Smadi Mohammad Walid true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 29971502 /api/publicationidentifier/29971502 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true IDENTICAL 10.3390/diagnostics15182370 https://doi.org/10.3390/diagnostics15182370 false true PublicationIdentifier 29971503 /api/publicationidentifier/29971503 PlainSource 1 /api/publicationsource/1 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true WoS WoS https://www.webofscience.com/wos/woscc/full-record/@@@ true true 1 true IDENTICAL 001582222200001 https://www.webofscience.com/wos/woscc/full-record/001582222200001 false true PublicationIdentifier 29971505 /api/publicationidentifier/29971505 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 105017014113 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105017014113 false true PublicationIdentifier 29971504 /api/publicationidentifier/29971504 PlainSource 17 /api/publicationsource/17 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 41008742 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=41008742&dopt=Abstract false true Classification 12541 /api/classification/12541 true true Classification 12258 /api/classification/12258 true true Classification 12260 /api/classification/12260 true true Keyword 11945 /api/keyword/11945 true 11945 true Keyword 1046278 /api/keyword/1046278 true 1046278 true Keyword 1600542 /api/keyword/1600542 true true Keyword 1673116 /api/keyword/1673116 true true Keyword 1840036 /api/keyword/1840036 true true Keyword 3451094 /api/keyword/3451094 true true Keyword 3451095 /api/keyword/3451095 true true Keyword 3916821 /api/keyword/3916821 true true SjrRating 11565877 /api/sjrrating/11565877 41 0.49 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 1308 /api/classificationexternal/1308 true 1308 true Q2 DIRECT true true /api/publication/36371264 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10102400"><a href="/gui2/?type=authors&mode=browse&sel=10102400" target="_blank">Fitoussi Lior Yehuda (<span class="authorship-author-name">Fitoussi Lior Yehouda</span> <span class="authorAux-mtmt"> Orvostudomány</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Traumatológiai Klinika">TK</span>/Neurotraumatológiai Tanszéki Csoport</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10001096"><a href="/gui2/?type=authors&mode=browse&sel=10001096" target="_blank">Viola Arpad ✉ (<span class="authorship-author-name">Viola Árpád</span> <span class="authorAux-mtmt"> Idegsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Traumatológiai Klinika">TK</span>/Neurotraumatológiai Tanszéki Csoport; Budapesti Dr. Manninger Jenő Baleseti Központ</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10093407"><a href="/gui2/?type=authors&mode=browse&sel=10093407" target="_blank">Aslan Siran (<span class="authorship-author-name">Aslan Siran</span> <span class="authorAux-mtmt"> Radiological and physiological findings after p...</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Traumatológiai Klinika">TK</span>/Neurotraumatológiai Tanszéki Csoport</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10096260"><a href="/gui2/?type=authors&mode=browse&sel=10096260" target="_blank">Viola Reka (<span class="authorship-author-name">Viola Réka</span> <span class="authorAux-mtmt"> Pszichiátria</span>) </a> </span> <span class="author-affil">Budapesti Péterfy Sándor Utcai Kórház-Rendelőintézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10105764"><a href="/gui2/?type=authors&mode=browse&sel=10105764" target="_blank">Foglar Viktor (<span class="authorship-author-name">Foglar Viktor</span> <span class="authorAux-mtmt"> neurotraumatológia</span>) </a> </span> <span class="author-affil">Budapesti Dr. Manninger Jenő Baleseti Központ</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10082250"><a href="/gui2/?type=authors&mode=browse&sel=10082250" target="_blank">Al-Smadi Mohammad Walid (<span class="authorship-author-name">Al-Smadi Mohammad Walid</span> <span class="authorAux-mtmt"> Idegsebészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Traumatológiai Klinika">TK</span>/Neurotraumatológiai Tanszéki Csoport; Budapesti Dr. Manninger Jenő Baleseti Központ</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36371264" target="_blank">From Detection to Decision: T-Score-Guided Use of STIR MRI After CT in Vertebral Fractures</a></div> <div> <span class="journal-title">DIAGNOSTICS</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/2075-4418">2075-4418</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/2075-4418">2075-4418</a>)</span>: <span class="journal-volume">15</span> <span class="journal-issue">18</span> <span class="page"> Paper 2370. 10 p. </span> <span class="year">(2025)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.3390/diagnostics15182370" target="_blank" href="https://doi.org/10.3390/diagnostics15182370"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001582222200001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001582222200001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105017014113" target="_blank" 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</span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WOS TAGGED</span> </div> <div class="lastModified">Utolsó módosítás: 2026.07.26. 17:58 Balázsné Balogh Ildikó (MJ Baleseti admin4) </div> </div></div>