常规的全脊椎磁共振成像,用于直肠形患者
Shao-Kang Su1, Hung-Chieh Chen2,3,4, Chia-Man Chou3,4,5,6
1Department of Surgery, Taichung Veterans General Hospital, No. 1650, Sec. 4, Taiwan Boulevard, Xitun District, Taichung, 407219, Taiwan.
Scientific reports
|September 27, 2024
概括
全脊椎MRI推用于直肠形 (ARM) 患者. 这种成像方法有助于检测罕见但显著的高水平脊髓和大脑异常,仅用腰部神经核磁共振 (MRI) 无法发现.
科学领域:
- 儿科手术 儿科手术
- 放射学 放射学是一门学科.
- 医学遗传学 医学遗传学
背景情况:
- 阳肠形 (ARM) 是一种先天性疾病,可能与其他异常有关.
- 在ARM患者中检测相关的中枢神经系统 (CNS) 和脊柱异常的成像协议的诊断实用性是正在进行的研究领域.
- 目前的做法在这些患者的磁共振成像 (MRI) 查程度上有所不同.
研究的目的:
- 为了确定全脊椎MRI是否有必要用于检测ARM患者的高水平脊椎病变,而不是仅仅是 lumbosacralMRI.
- 为了评估ARM患者在腰椎神经区域以上的大脑和脊柱异常的发生率.
主要方法:
- 在2011年1月至2022年1月期间,对69名接受ARM治疗的患者进行了回顾性队列研究.
- 对接受腰部神经核磁共振与整个脊柱核磁共振的患者之间的结局进行比较.
- 基于成像协议的高水平异常的诊断产量的分析.
主要成果:
- 在接受全脊椎MRI检查的19名患者中,有4名患者 (21.1%) 超出腰椎神经区域出现异常.
- 由于症状,四分之三的患者 (75%) 接受了腰部神经核磁共振成像,后来由于症状而接受了全脊椎核磁共振成像,发现了更高水平的异常.
- 发现高水平的脊柱和大脑异常很少发生,但在ARM人群中存在.
结论:
- 这些发现表明,在对ARM患者的查中,应考虑常规的全脊椎MRI.
- 仅仅是 lumbosacral MRI 可能会错过显著的高层异常.
- 综合脊柱成像对于ARM患者的完整评估至关重要.
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