磁共振成像功能,以区分结核病和炎症性脊髓炎:一个元分析
Chen Ling-Shan1, Zhu Zheng-Qiu2, Li Jing1
1Department of Radiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, No. 155, Hanzhong Road, Nanjing, 210029, Jiangsu Province, China.
Skeletal radiology
|October 16, 2023
概括
磁共振成像 (MRI) 可以帮助区分结核性脊髓炎和炎症性脊髓炎. 关键的MRI特征,如多个脊椎体的卷入和薄壁表明结核病,而磁盘信号和高度变化表明发烧性感染.
科学领域:
- 脊柱成像 - 脊柱成像 - 脊柱成像
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 在适当的治疗中,区分结核性脊髓炎和热性脊髓炎至关重要.
- 磁共振成像 (MRI) 是脊髓感染的关键诊断工具.
- 之前的研究已经确定了各种MRI特征,但需要进行全面的比较.
研究的目的:
- 进行一项元分析,比较结核性脊柱炎和炎性脊柱炎的MRI特征.
- 为了识别区分的MRI特征,区分这两个条件.
- 用组织病理学结果和/或血液培养作为参考标准.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane图书馆进行了系统的文献搜索,查找2010年1月至2023年2月期间发表的研究.
- 诊断准确性研究质量评估-2 (QUADAS-2) 工具被用于评估包含的研究的偏差风险和适用性.
- 一个双变的随机效应模型被用来计算MRI特征的聚合比例.
主要成果:
- 32项研究符合纳入标准,其中21项专注于结核性脊髓炎,3项专注于发热性脊髓炎,8项专注于两者.
- 更多暗示结核性脊柱炎的MRI特征包括≥2个脊椎体 (92%),外周延伸 (77%),准脊椎收集 (91%),下带扩散 (93%),薄而规律的壁 (94%),脊椎崩 (68%) 和阴影 (39%) 的参与.
- 磁力共振成像功能更暗示pyogenic脊髓炎是磁盘信号变化 (82%) 和磁盘高度损失 (22%).
结论:
- 特定的MRI发现,如多个脊椎体的参与,软组织的参与与薄的,正规的壁,脊椎崩,和,更能表明结核性脊柱炎.
- 相反,磁盘信号变化和磁盘高度损失在MRI上更常见地与平原性脊髓炎有关.
- 这些区分的MRI特征可以帮助临床医生诊断脊髓感染.
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