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在脊髓刺激患者的手术前磁共振成像中,胸腔管道形态

Kevin Hines¹, Christian Tran¹, Anusha Koka¹

¹Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania, USA.

Pain practice : the official journal of World Institute of Pain

|June 29, 2024

概括

针对T9-10的脊髓刺激 (SCS) 可能是次优的. 下胸部水平 (T10-11) 显示出更大的直径和表面积,这表明这些可能更好地用于慢性疼痛患者的SCS安置.

科学领域:

神经外科神经外科
疼痛管理疼痛管理
医疗成像医学成像

背景情况:

目前的胸脊髓刺激 (SCS) 位置依赖于经验T9-10准.
对于低胸部区域存在有限的MRI形态分析.

研究的目的:

用MRI分析下胸脊髓和周围的解剖学.
为优化SCS领先位置提供数据.

主要方法:

对接受胸部SCS的101名患者的回顾性审查.
在手术前,对脊髓,持续囊和脑脊液 (CSF) 的尺寸进行MRI分析.

主要成果:

与T7-8.8相比,T9-10的背脊脑脊髓的厚度在T9-10较小.
侧面直径和持续表面积在T10-11时大于T9-10.

结论:

在T10-11的解剖学变化可能更适合SCS覆盖.
未来的SCS疗效研究应该考虑这些解剖学发现,以改善慢性疼痛管理.

关键词:

皮外线刺激皮外线刺激磁共振成像技术的使用形态学形态学形态学胸部脊柱胸部脊柱胸部脊柱

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