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用途,检测率和病理在腰部神经MRI:一个25年的机构经验

Saeed Rahmani¹, Christopher Hamilton², Jeffers K Nguyen²

¹Tu Lab for Diagnostic Research, Yale School of Medicine, New Haven, CT Tompkin's East 2, New Haven, CT 06510, United States of America; Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, United States of America.

Clinical imaging

|June 10, 2025

概括

脊椎神经的MRI,虽然很少进行,但经常显示出像瘤和神经病变这样的异常. 识别这些模式可以改善对模仿腰椎根性病变的疾病的诊断.

科学领域:

放射学放射学是一门学科.
神经学神经学
在瘤学瘤学.

背景情况:

脊椎神经的MRI很少进行,导致放射科医生对病理和成像趋势的经验有限.
腰椎神经形病常常呈现含糊不清的症状,可以被误认为是腰椎根性病.

研究的目的:

为了确定25年来 lumbosacral plexus病理的频率和频谱.
为了评估与异常的腰 sacral plexus MRI 发现相关的临床指示.

主要方法:

从2000年到2024年,对233个腰部神经的MRI检查进行了回顾性审查.
根据病因学对病理的分类以及临床指示和患者人口统计的分析.
统计分析包括千平方和后勤回归来确定异常发现的预测因素.

主要成果:

在所有MRI中,只有0.024%是腰部神经的检查.
在27.9%的病例中发现了异常,神经瘤,其他瘤和压缩性神经病变是最常见的.
运动缺陷,神经病变和创伤与异常发现显著相关.

结论:

纵横 sacral plexus MRI,尽管使用不频繁,但经常识别显著的病理.
了解成像趋势和常见的病理增强了腹神经的解释和临床实用性.

关键词:

检测速度的检测速度脊椎神经 (Lumbosacral Plexus) 是一个脊椎神经.磁共振成像技术磁共振成像技术神经膜瘤的神经膜瘤整体神经病变 (Plexopathy) 是一种神经疾病.

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