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在1000名患者中使用计算机断层扫描对L1-S1神经外观尺寸的解剖学评估:一项后续研究

Kai Nguyen¹, Jacob Razzouk¹, Zachary Brandt¹

¹School of Medicine, Loma Linda University, Loma Linda, CA, United States.

Global spine journal

|December 7, 2023

概括

这项研究使用CT扫描在健康的年轻成年人中建立了正常的腰部神经形维度 (NFD). 研究结果显示,NFD因性别和种族而异,这对于诊断神经外狭窄症 (NFS) 至关重要.

科学领域:

放射学和成像科学放射学和成像科学
脊柱解剖学和生物力学脊柱解剖学和生物力学
医学诊断医学诊断医学诊断

背景情况:

中部腰椎狭窄症的放射学标准已经确立,但神经外狭窄症 (NFS) 的诊断标准尚不清楚.
之前对神经外形维度 (NFD) 的研究主要使用MRI,MRI具有固有的限制,影响测量准确性.
关于使用计算机断层扫描 (CT) 来定义正常NFDs的文献有限.

研究的目的:

在大量年轻健康个体中描述正常的腰部NFD.
提供客观的定量数据,以帮助建立NFS的诊断标准.
调查性别,人类学因素和种族对NFD的影响.

主要方法:

分析了1000名年龄在18-35岁之间的受试者 (494名女性,506名男性) 的CT成像数据.
测量包括斜前后的宽度,头骨后的高度和神经前的面积.
统计分析评估了基于性别,身高,体重,BMI和种族的NFD变化.

主要成果:

在所有测量中,平均NFD为:斜面宽度8.71毫米,尾高度17.73毫米,面积133.26毫米2.
男性受试者表现出比女性更大的NFD,亚洲和高加索受试者比西班牙裔和非洲裔美国人更大的NFD.
没有发现NFD与人体素因子 (身高,体重,BMI) 之间有显著的关联.

结论:

这项研究成功地在使用CT的年轻健康人群中表征了正常的腰部NFD.
性别和种族被确定为影响NFD的重要因素.
建立的正常NFD范围为开发NFS的客观诊断标准提供了基础.

关键词:

身体质量指数 (BMI) 是指身体质量指数.计算机断层扫描 (CT) 是一种计算机断层扫描.民族身份民族身份为了aminaamina 的原因.腰部腰部腰部腰部在 lumbosacral 的位置上.磁共振成像技术的使用根基病变是一种根基病变.狭窄症是一种狭窄症.

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