摘要
目的探讨磁共振全脊柱成像(whole spine magnetic resonance imaging,WSMRI)在神经脊柱外科实践中的临床价值。方法回顾分析2015年1月—2016年12月入院拟行神经脊柱外科手术且术前均常规完善WSMRI的70例患者的临床资料。对比WSMRI与节段MRI扫描结果的差异,分析并评价其价值。结果全部患者在行节段MRI扫描、WSMRI扫描和图像处理后,均得到了清晰全脊柱图像,可观察到脊柱和脊髓的解剖结构,病变的定位及显像特征,且18例患者的WSMRI提供了单一节段扫描无法提供的重要信息,包括脊柱变异(1例),多发病变(3例),合并病变(6例),大范围多节段病变(8例)。结论 WSMRI可一次检查就在一幅图像上显示全脊柱、脊髓以及周围组织,定位准确,全面直观,减少了漏诊及误诊率,节约术前等待时间,具有极高的临床价值。
Objective To discuss the clinical value of whole spine magnetic resonance imaging （WSMRI） in practice of neurosurgical spinal surgery. Method A total of 70 cases examined using WSMRI between January 2015 and December 2016 were collected and analyzed retrospectively. Results All patients got clear images of WSMRI. Eighteen cases got important information, including spinal variation （1 case）, multiple lesions （3 cases）, combined lesions （6 cases） and large range multi-segmental lesions （8 cases）, which were missed by single-segment MRI. Conclusions WSMRI can show all the spine, spinal cord and surrounding tissue in one image at one time. It has high clinical value because of its accurate positioning, comprehensiveness, time saving, and low rate of misdiagnosis and missed diagnosis.
作者
叶锋
刘高元
徐宏
龙晓东
邹林波
李新军
孙中书
YE Feng LIU Gaoyuan XU Hong LONG Xiaodong ZOU Linbo LI Xinjun SUN Zhongshu(Department of Neurosurgery, People＇s Hospital of Deyang, Deyang, Sichuan 618000, P. R. China Department of Radiology, People＇s Hospital of Deyang, Deyang, Sichuan 618000, P. R. China)
出处
《华西医学》
CAS
2017年第8期1243-1246,共4页
West China Medical Journal
基金
四川省科技支撑计划项目(2016SZ0015)
关键词
全脊柱
脊髓
磁共振成像
神经脊柱外科
Whole spine
Spinal cord
Magnetic resonance imagine
Spinal neurosurgery
