增强背痛和坐骨神经炎诊断:冠状短tau逆转恢复在常规腰部磁共振成像协议中的作用
Somaya Al Kiswani1, Maysoon Nasser2, Abdulla Alzibdeh3
1Department of Radiology, King Hussein Cancer Center, Amman 11941, Jordan.
World journal of radiology
|July 3, 2025
概括
将冠状短逆转恢复 (STIR) 序列添加到腰部MRI中,可以显著改善背部疼痛和坐骨神经疼痛患者隐藏的脊柱和脊柱外病理的检测. 这种增强有助于更好的诊断和患者管理.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 整形外科 整形外科 整形外科
背景情况:
- 背痛和 sciatica 是普遍存在的疾病,需要通过成像进行准确的诊断.
- 传统的腰部MRI协议 (斜腰/轴心T1/T2) 可能会忽略某些病理.
- 冠状动脉STIR序列有可能改善脊柱和脊柱外异常的检测.
研究的目的:
- 评估将冠状动脉STIR序列纳入常规腰部MRI用于背部疼痛和 sciatica的诊断价值.
- 评估对识别脊柱和脊柱外病理的影响.
主要方法:
- 对274名 (≥6岁) 患有背部疼痛/坐骨炎的患者进行前性分析,这些患者接受了腰部MRI.
- 标准的核磁共振成像 (MRI) 协议包括角/轴心T1/T2和冠状STIR序列.
- 异常被收集和分析,用费舍尔对分类变量的精确测试.
主要成果:
- 冠状动脉STIR在36名T1/T2序列正常的患者中发现了异常.
- 它检测到26个脊柱和10个非脊柱病理,包括17个神经炎病例.
- 在圣炎和STIR-only发现之间发现了显著的关联 (P < 0.0001).
结论:
- 整合冠状STIR序列可以提高对隐藏的脊柱和脊柱外病理的检测.
- 这种补充改善了患者管理,并提供了显著的诊断和临床价值.
- 冠状STIR代表了常规的腰部MRI协议的经济高效的升级.
相关概念视频
Magnetic Resonance Imaging
7.2K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
7.2K
Imaging Studies for Cardiovascular System IV: CMRI
140
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
140
Imaging Studies I: CT and MRI
455
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
455
Imaging Studies IV: Magnetic Resonance Imaging
59
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
59
Radiological Investigation II: MRI and Ventilation Perfusion Scan
231
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
231
![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)

