患有结石的患者是否表现出CT成像中明显的内体反射?
Dillon R Haughton1,2, Akhil K Gupta1, Bader R Nasir1
1448838 Burrell College of Osteopathic Medicine , Las Cruces, NM, USA.
Journal of osteopathic medicine
|October 9, 2025
概括
结石与脊椎旋转变化有关,特别是在T10,T12和L4水平. 这一发现可以通过了解内体反射来为结石病的骨科医疗治疗提供信息.
科学领域:
- 骨科治疗的操纵医学
- 放射学 放射学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 体体反射将内脏病理与体质变化联系在一起,涉及多个脊椎水平.
- 结石 (结石) 可能会影响这种反射,为骨科医疗治疗提供潜在的点.
- 机器学习数据集提供了成像数据,用于研究骨病学现象,如内体反射.
研究的目的:
- 为了在患有结石和没有结石的患者中比较与脏内体反射相关的水平的脊椎旋转.
- 为了研究石位置和脊椎旋转之间的关系.
- 为了确定受石存在影响最严重的特定的脊椎水平.
主要方法:
- 来自开源数据集的210个未经增强的计算机断层扫描 (CT) 扫描的分析.
- 排除了166个具有混杂病理的扫描,留下44个扫描进行分析.
- 利用开源的算法进行脊椎细分和自定义的3D切片模块用于旋转检测.
- 应用双向差异分析 (ANOVA) 来评估基于结石位置和脊椎水平 (T5-L5,主要是T10-L5) 的脊椎旋转差异.
主要成果:
- 根据结石的位置 (p=0.0038) 观察到平均脊椎旋转的统计学上显著差异.
- 与没有结石的患者相比,左结石患者的左转平均为-1.38° (p=0.027).
- 与没有结石的患者相比,患有右结石的患者平均向左旋转1.72° (p=0.0037).
- 与对照组相比,特定的脊椎水平T10,T12和L4显示出与右结石的最显著联系 (p=0.046).
结论:
- 单侧结石与与内体反射相关的水平的脊椎旋转的统计学上显著差异有关.
- 脊椎水平T10,T12和L4特别受到影响,特别是在右侧结石的情况下.
- 这些发现支持了内体反射在结石病中的作用,并可能指导骨科医疗干预.
相关概念视频
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
372
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
372
01:28Urinary Tract Calculi V: Nursing Management
265
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
265
01:30Urinary Tract Calculi III: Medical Management
194
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
194
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
740
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
740
01:27Imaging Studies III: Computed Tomography
283
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
283
01:28Urinary Tract Calculi I: Introduction
395
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
395