腰部面关节和椎间盘退化的生化变化通过T2*映射
Yi Ding1,2, Liping Liu1,2, Jiangyou Shi1
1Department of Spine Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, China.
BMC musculoskeletal disorders
|March 20, 2024
概括
T2*映射显示腰部面关节和椎间盘的生化变化,显示T2*值下降与退化增加. 然而,患有腰痛的老年患者关节中的液体积累可能会掩盖这些变化.
科学领域:
- 生物医学工程 生物医学工程
- 放射学 放射学是指放射学
- 整形外科 整形外科 整形外科
背景情况:
- 腰部侧面关节 (LFJ) 和椎间盘 (IVD) 退化是腰部疼痛的常见原因.
- 了解与退行相关的生化变化对于诊断和治疗至关重要.
研究的目的:
- 通过使用T2*映射,在不同退化级别的LFJ和IVD中调查生化变化.
- 为了将T2*值与LFJ和IVD的形态分级相关联.
主要方法:
- 68名腰部疼痛患者和20名健康志愿者接受了MRI,并进行了轴向T2*映射.
- 使用韦绍普特和菲尔曼系统分别对LFJ和IVD形态进行了分级.
- 测量和分析了IVD的LFJ和AF,NP和PF区域的T2*值.
主要成果:
- 在LFJ,AF和NP中观察到T2*值的下降趋势,变性度的增加.
- 在LFJ,AF和NP的T2*值和退行度之间发现了中度的负相关性.
- 不同的IVD退行度之间没有观察到PF T2*值的显著差异.
结论:
- T2*映射是一种有前途的技术,用于评估退化的LFJ和IVD中的生化变化.
- 患有腰部疼痛的老年患者的LFJ液体增加可能会影响T2*值,需要仔细解释.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
![Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F58491.jpg&w=3840&q=50)

