磁共振Dixon-VIBE及MRS序列评估多裂肌脂肪化程度及其与腰背肌等速力量的相关性研究

陈灿; 张承旻; 杨森; 喻学科; 陈春华; 李凯; 戴威; 胡晨波; 薛浩; 魏小雨; 陈品珍; 赵骏; 罗飞

doi:10.16016/j.2097-0927.202204024

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磁共振Dixon-VIBE及MRS序列评估多裂肌脂肪化程度及其与腰背肌等速力量的相关性研究

临床医学 | 更新时间：2026-01-09

- 磁共振Dixon-VIBE及MRS序列评估多裂肌脂肪化程度及其与腰背肌等速力量的相关性研究
- Evaluation of fat fraction of multifidus muscle with Dixon-VIBE and magnetic resonance spectroscopy and its correlation with isokinetic strength of lumbar and dorsal muscles
- 陆军军医大学学报 2022年44卷第21期页码：2192-2199
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)第一附属医院：骨科
  2.453000 河南新乡，中国人民解放军陆军第八十三集团军医院骨科
  3.400038 重庆，陆军军医大学(第三军医大学)第一附属医院：放射科
- 作者简介：
  
  [罗飞，E-mail：luofeispine@126.com LUO Fei, E-mail: luofeispine@126.com
- 基金信息：
  
  军队后勤科研重大项目(AWS17J004);重庆市技术创新与应用发展专项面上项目(cstc2019jscx-msxmX0221)
- DOI：10.16016/j.2097-0927.202204024
  中图分类号： R194.3;R337;R445.2
- 收稿：2022-04-03，
  
  修回：2022-06-20，
  
  纸质出版：2022-11-15
- 稿件说明：
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陈灿, 张承旻, 杨森, 等. 磁共振Dixon-VIBE及MRS序列评估多裂肌脂肪化程度及其与腰背肌等速力量的相关性研究[J]. 陆军军医大学学报, 2022,44(21):2192-2199.

Can CHEN, Chengmin ZHANG, Sen YANG, et al. Evaluation of fat fraction of multifidus muscle with Dixon-VIBE and magnetic resonance spectroscopy and its correlation with isokinetic strength of lumbar and dorsal muscles[J]. Journal of Army Medical University, 2022, 44(21): 2192-2199.
陈灿, 张承旻, 杨森, 等. 磁共振Dixon-VIBE及MRS序列评估多裂肌脂肪化程度及其与腰背肌等速力量的相关性研究[J]. 陆军军医大学学报, 2022,44(21):2192-2199. DOI： 10.16016/j.2097-0927.202204024.

Can CHEN, Chengmin ZHANG, Sen YANG, et al. Evaluation of fat fraction of multifidus muscle with Dixon-VIBE and magnetic resonance spectroscopy and its correlation with isokinetic strength of lumbar and dorsal muscles[J]. Journal of Army Medical University, 2022, 44(21): 2192-2199. DOI： 10.16016/j.2097-0927.202204024.

摘要

目的

探究磁共振水脂分离技术(Dixon-VIBE)及磁共振单体素波谱技术(magnetic resonance spectroscopy，MRS)对多裂肌脂肪分数的评估作用及其与腰背肌等速力量检测结果的拟合程度。

方法

选择2020-2021年于陆军军医大学第一附属医院门诊公开招募的38例中老年受试者作为研究对象，受试者均行磁共振Dixon-VIBE、MRS序列扫描及腰背肌等速肌肉功能评估，等速肌肉功能测试参数包括峰力矩(peak torque，PT)、屈伸比(flexion/extension，F/E)和耐力比(endurance ratio，ER)，比较两个序列多裂肌脂肪分数(fat fraction，FF)及不同加权计算方法与腰背肌等速肌肉功能评估结果的拟合程度。

结果

Dixon-VIBE序列中多裂肌FF与F/E呈正相关(

=0.350，

＜0.05)，经身高、体质量、体质量指数(BMI)加权修正后与F/E呈正相关(

=0.371、0.382、0.338，

＜0.05)；Dixon-VIBE及MRS序列中多裂肌FF(含修正后)与PT、ER未发现明显的相关性，MRS序列中多裂肌FF(含修正后)与F/E相关性不明显。

结论

磁共振Dixon-VIBE序列中多裂肌FF与腰背肌等速肌肉功能评估的F/E具有相关性，经体质量加权计算后可进一步提升相关程度。

Abstract

Objective

To explore the evaluation effectiveness of MRI Dixon-VIBE and magnetic resonance spectroscopy (MRS) on the fat fraction of multifidus muscle

and to investigate its fitting degree to isokinetic strength detection of lumbodorsal muscles.

Methods

A total of 38 middle-aged and elderly subjects were publicly recruited from the outpatient department of the First Affiliated Hospital of Army Medical University between 2020 and 2021. All the subjects underwent MRI Dixon-VIBE sequence and MRS sequence scanning

and received isokinetic muscle function evaluation of lumbar and dorsal muscles

whose parameters included peak torque (PT)

flexion/extension (F/E) and endurance ratio (ER). The fat fraction (FF) of multifidus muscle measured by the 2 sequences was compared

and the fitting degree between the multifidus FF and the isokinetic muscle function of lumbodorsal muscles was analyzed after weighted correction.

Results

In Dixon-VIBE sequence

there was a positive correlation between multifidus FF and F/E (

=0.350

0.05)

and after weighted correction of height

weight and body mass index (BMI)

FF was still positively correlated with F/E (

=0.371

0.382

0.338

0.05). While in MRS sequences

no significant correlation was observed between multifidus FF (including corrected) and F/E. In addition

there was no notable correlation of multifidus FF (including corrected) with PT and ER in both Dixon-VIBE and MRS sequences.

Conclusion

The multifidus FF measured by Dixon-VIBE sequence is correlated with the F/E of isokinetic muscle function of lumbodorsal muscles

and the correlation is further improved after weighted calculation by body weight.

关键词

Keywords

references

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