MRI与DTI诊断无骨折脱位的急性颈髓损伤的价值比较

doi:10.3969/j.issn.1001-8131.2022.06.014

Abstract
Figure/Table
References
Related Citation (0)

Download: PDF (431 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the diagnostic value of magnetic resonance imaging（MRI）and magnetic resonance diffusion tensor imaging（DTI）in acute cervical spinal cord injury without fracture and dislocation. Methods Retrospective analysis treated the patients with acute cervical cord injury without fracture dislocation of the clinical data of 70 cases,adopt the X-ray and CT examination,fracture detection,then using MRI and DTI examination,confirmed that patients with cervical spinal injury,patients with measuring apparent diffusion coefficient（ADC）and anisotropic scores（FA）,The Japanese Orthopaedic Association evaluation treatment（JOA）score was recorded to analyze the correlation between apparent dispersion coefficient（ADC）and anisotropy score（FA）and JOA score. Results There were 12 grade ⅰ patients,21 grade ⅱ patients,22 grade ⅲ patients and 15 grade ⅳ patients in 70 patients with acute cervical spinal cord injury without fracture and dislocation.Different signal characteristics of patients at different levels;There were statistically significant differences in ADC and FA values among JOA grades（P<0.05）.Pearson correlation analysis showed that ADC value had no significant correlation with JOA score（r=0.197,P=0.058）.FA was positively correlated with JOA score（r=0.869,P=0.000）. Conclusion DTI can feedback the pathological process of cervical spinal cord injury without fracture and dislocation,evaluate the severity of patients' disease by FA index,and provide a basis for the judgment of prognosis.

Key words： Acute cervical spinal cord injury No fracture dislocation Magnetic resonance imaging Magnetic resonance diffusion tensor imaging

Received: 08 September 2021

PACS:

R682.1+7

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Qiao Zhimin
	Wang Houge
	Liang Hongjie

Cite this article:

Qiao Zhimin,Wang Houge,Liang Hongjie. Comparison of MRI and DTI in the Diagnosis of Acute Cervical Spinal Cord Injury Without Fracture and Dislocation[J]. journal1, 2022, 42(6): 36-38.

URL:

http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2022.06.014 OR http://www.hrbyybjb.org.cn/EN/Y2022/V42/I6/36

[1] 李伟. 无骨折脱位型颈髓损伤35例法医学鉴定分析[J].中国法医学杂志,2015,30(4):404-406.
[2] 任李良,王培源.无骨折脱位型颈髓损伤的MRI诊断与神经功能评价价值[J].磁共振成像,2019,10(8):571-577.
[3] 武军,奚文静,徐宁.MR弥散张量成像对无骨折脱位的急性颈髓损伤的诊断价值[J].临床和实验医学杂志,2019,18(11):1221-1224.
[4] 李红国. 无骨折脱位颈髓损伤应用不同方法治疗的疗效比较[J].中国伤残医学,2016,24(2):38-39.
[5] 李少林. 临床和影像学评估在脊髓型颈椎病与颈椎退变中的相关性分析[J].河北医药,2015,37(7):1064-1065.
[6] 陈芳,程亦斌,范利华.17例颈椎外伤合并颈椎退行性病变的伤病关系分析[J].法医学杂志,2016,32(5):350-352.
[7] 蒋雯,韩骁,李广祺,等.脊髓型颈椎病颈髓与手术效果间关系的DTI研究[J].放射学实践,2018,33(9):893-897.
[8] 刘艳辉,高阳,牛广明.急性颈髓外伤的DTI临床应用[J].放射学实践,2015,30(8):826-830.
[9] 郑建民,蔚胜男,张敏刚,等.快速DTI 在急性颈髓损伤的临床应用[J].实用放射学杂志,2016,32(8):1174-1177.
[10] 魏梁锋,王守森,郑兆聪,等.正常颈髓磁共振扩散张量成像参数的特征[J].中国医学影像学杂志,2016,24(2):91-95.
[11] 李振宇,林宏生,李恒国.颈髓MRI T2信号强度比在脊髓型颈椎病手术前后的应用价值[J].临床放射学杂志,2018,37(5):733-736.
[12] 黄靖,段云云,刘亚欧,等.视神经脊髓炎颈髓常规MRI及扩散张量成像研究[J].医学影像学杂志,2017,27(1):29-32.
[13] 涂灿,汪建华,廖海波,等.磁共振扩散张量成像对脊髓型颈椎病的诊断价值[J].医学影像学杂志,2016,26(3):389-392.
[14] 叶彩林,余永强,钱银锋.急性颈部外伤的MR扩散张量成像[J].临床放射学杂志,2017,36(10):1405-1411.
[15] 赵鹏,陈学明,刘亚东,等.无骨折脱位型颈脊髓损伤患者颈髓的弥散张量成像[J].中国康复理论与实践,2015,21(7):838-840.