腰椎退行症的进展:一项为期14年的随访研究,检查Pfirrmann分级及其单个磁盘组件

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Niko Murto¹, Teija Lund², Hannu Kautiainen^3,4

¹Department of Radiology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Acta radiologica open

|September 29, 2025

概括

腰椎间盘退化 (LDD) 是一个复杂的疾病. 虽然Pfirrmann分类追踪了整体变化,但分析单个磁盘组件揭示了关键的变化,改善了LDD评估和AI分析.

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
生物医学工程生物医学工程

背景情况:

腰椎间盘退化 (LDD) 通常使用Pfirrmann分类来评估.
这种系统可能会过度简化LDD,因为它不考虑单个磁盘组件的变化.
这种限制影响了纵向研究和人工智能 (AI) 应用.

研究的目的:

通过Pfirrmann分类及其组成部分,研究LDD的14年进展情况.
评估基于组件的分析对LDD的实用性.

主要方法:

19名男性 (95张磁盘) 在37岁和51岁接受了MRI.
评估包括Pfirrmann分级,核脉 (NP) 信号强度,NP不均性,纤维环 (AF) 边界区别和圆盘高度 (DH).
分析了Pfirrmann分级和磁盘组件之间的纵向变化和相关性.

主要成果:

皮尔曼分级与AF边界区分有很强的相关性,与NP信号强度有中等相关性.
在14年内,Pfirrmann总结得分增加了3分.
在单个磁盘组件退化中观察到显著的变异性,尽管平均值下降,但一些NP信号强度增加.

结论:

LDD是复杂的,随着时间的推移,磁盘组件的变量变化.
皮尔曼分类在捕捉微妙的磁盘变化方面存在局限性.
为了诊断精度和人工智能开发,需要进行更详细的评估.

关键词:

第一个人是Pfirrmann.纤维化的圆环.圆盘高度圆盘高度纵向研究是一种纵向研究.腰椎间盘退化腰椎间盘退化它的核是脉冲的脉冲.

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