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1. 重庆三博江陵医院放射科
2. 陆军军医大学第一附属医院放射科
纸质出版日期:2019,
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喻毅, 李可, 陈康, 等. 磁敏感加权成像及T2*mapping成像在评估早期腰椎间盘退变中的应用[J]. 局解手术学杂志, 2019,(5):374.
YU Yi, LI Ke, CHEN Kang, et al. Magnetic sensitive weighted imaging and T2*mapping imaging in early evaluation of lumbar disc degeneration[J]. null, 2019,(5):374.
目的 探讨磁敏感加权成像(SWI)及 T2*mapping成像在腰椎间盘退变早期诊断及分级评估中的价值。方法 选取陆军军医大学第一附属医院2016年7月至2017年4月非特异性下腰痛并伴有MRI检查指征的患者42例(117个腰椎间盘),将所有腰椎间盘基于Pfirrmann分级标准分为3组,再基于SWI分级标准分为3级,并采用T2*mapping成像技术测量每个椎间盘的T2*值,分析其相关性。结果 腰椎间盘各组间的SWI分级差异有极显著性统计学意义(P<0.01),各分组与SWI分级显示有很好的等级相关性(r0.786,P<0.01),2种评估腰椎间盘退变程度的方法具有较强的一致性(Kappa=0.716)。T2*值与基于Pfirrmann分级的分组及SWI分级均呈明显负相关(P<0.01)。结论 SWI及T2*mapping成像可用于对腰椎间盘退变程度的评估及早期诊断。
Objective To investigate the value of the susceptibility weighted imaging and T2*mapping imaging in the early diagnosis and grading evaluation of lumbar intervertebral disc degeneration.〖WTHZ〗Methods A total of 42 patients(117 lumbar intervertebral discs) of nonspecific low back pain with indications of MRI in first hospital affiliated to AMU from July 2016 to April 2017 were selected.The 117 lumbar intervertebral discs were divided into 3 groups based on the Pfirrmann classification standard
then based on the SWI classification standard
the semiquantitative classification was divided into three levels.T2*values of each intervertebral disc were measured by T2*mapping
and the correlation was analyzed.Results There was a statistically significant difference in the SWI grading between groups of lumbar intervertebral discs(P<0.01)
there was a good grade correlation between each group and SWI grading(r=0.786,P<0.01)
two methods of evaluating the degree of lumbar intervertebral disc degeneration were more consistent(Kappa=0.716).T2* values were negatively correlated with Pfirrmannbased classification and SWI classification(P<0.01).Conclusion Susceptibility weighted imaging and T2*mapping imaging can be used to evaluate the degeneration of lumbar intervertebral disc and early diagnosis.
腰椎间盘退变Pfirrmann分级T2*mapping成像磁敏感加权成像术前评估
lumbar disc degenerationPfirrmann gradesT2* mapping imagingsusceptibility weighted imagingpreoperative evaluation
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