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有没有黑盘疾病这样的东西?
Giancarlo Mattos Piaggio1, Esteban Quevedo Orrego1, Emilio González Martínez1
1Department of Neurosurgery, Complejo Asistencial Universitario de León [León University Healthcare Complex], León, Spain.
概括
在MRI上使用的术语"黑盘",表示含水量减少,往往被错误地与退行性磁盘疾病和症状性疼痛等同. 这种过度简化可能会导致不必要的医疗干预,因为正常的与年龄相关的变化.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 脊柱成像技术 脊柱成像技术
背景情况:
- 磁共振成像 (MRI) 术语用于椎间盘 (IVD) 病理学是广泛和模两可的.
- "黑盘"的发现,代表由于水含量减少而减少的核脉动信号强度 (ISNP),通常被用作退行性磁盘疾病的同义词.
研究的目的:
- 为了澄清围绕MRI"黑盘"发现的术语.
- 要区分生理性磁盘脱水和病理性退行性磁盘疾病.
- 评估误解与年龄相关的磁盘脱水作为磁盘产生的背痛标志物的风险.
主要方法:
- 对当前的MRI术语和关于椎间盘退行症的文献进行审查.
- 分析与脱水磁盘相关的放射性迹象,包括ISNP,高强度区域 (HIZ),突起,高度损失和Modic变化.
主要成果:
- 细胞核的生理脱水发生在一般人群中,从第三个十年开始.
- "黑盘"的发现经常被任意认为是光盘性背痛的放射学标记.
- 相关的症状,如HIZ,突起,身高下降和Modic变化,可能表明有症状的脱水盘.
结论:
- 广泛使用"黑色磁盘"作为退行性磁盘疾病的同义词是有问题的.
- 生理性磁盘脱水不应该自动等同于症状性磁盘性背痛.
- 仔细解释MRI发现,考虑到临床背景,对于避免不必要的干预至关重要.
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