宫退行性MRI发现与自我报告的部疼痛,残疾和头痛之间的关联:一个横截面探索性研究
Rikke K Jensen1,2, Kristina B Dissing3, Tue S Jensen4,5
1Department of Sports Science and Clinical Biomechanics, Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark. rikkekruger@kiroviden.sdu.dk.
Chiropractic & manual therapies
|October 11, 2023
概括
宫MRI发现,如磁盘退化,与部疼痛和残疾有关. 然而,这些关联是温和的,还没有指导临床决定的部疼痛或头痛.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 神经学 神经学
背景情况:
- 部疼痛和头痛是全球普遍存在的残疾原因.
- 宫MRI是常见的,但其发现对部问题的临床意义是不确定的.
- 调查宫MRI发现与患者报告的症状之间的联系至关重要.
研究的目的:
- 为了检查退行性宫MRI发现与自我报告的部疼痛之间的关联.
- 为了确定宫MRI发现与部残疾之间的关系.
- 探索宫MRI发现与头痛患病率之间的联系.
主要方法:
- 对年龄在18-40岁之间患有腰部疼痛的队列进行二次分析.
- 利用了包括宫MRI和自我报告结果在内的四年随访数据.
- 采用多变量逻辑回归来分析MRI发现 (磁盘退化,轮变化,VESC) 和症状之间的关联.
主要成果:
- 在600名参与者中,35%的人有退行性宫MRI发现.
- 宫盘退化和轮变化与部疼痛相关 (OR 1.6).
- 脊椎末板信号变化 (VESC) 与部残疾相关 (OR 3.3);没有与头痛相关的MRI发现.
结论:
- 宫盘退化和轮变化与部疼痛有关.
- VESC与部残疾有关.
- 评估的MRI结果和头痛之间没有发现显著的关联;结果表明对症状的贡献很小.
相关概念视频
01:24Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
01:14Imaging Studies I: CT and MRI
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
01:27Imaging Studies IV: Magnetic Resonance Imaging
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...