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Updated: Jan 23, 2026

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Diffusion Imaging in the Rat Cervical Spinal Cord
Published on: April 7, 2015
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对于怀疑患有多发性硬化症的患者,宫脊髓的MRI成像是否足够?
Isabelle Riederer1, Matthias Bussas2,3, Markus Lauerer2
1Institute for Neuroradiology, TUM University Hospital, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany. isabelle.riederer@tum.de.
Clinical neuroradiology
|January 21, 2026
概括
虽然大多数多发性硬化症 (MS) 中的脊髓病变都在宫区域,但有些患者仅在胸部区域出现病变. 常规的全脊髓MRI建议在怀疑MS诊断时使用.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 脊髓病变在多发性硬化症 (MS) 中很常见,影响高达83%的患者.
- 这些病变主要位于宫SC段.
- 许多医疗中心都省略了胸部SC成像,因为人们认为宫焦点.
研究的目的:
- 为了评估诊断敏感度的降低,当排除胸部SC从成像在MS患者.
- 量化仅专注于宫SC成像用于MS检测的影响.
主要方法:
- 543名患有临床隔离综合征 (CIS) 或MS的患者使用3TMRI进行了回顾性分析.
- 在轴向T2加权图像上SC病变的半自动细分.
- 病变体积与脊椎水平的相关性.
主要成果:
- 在409名患者中,共发现了1782个病变.
- 70%的损伤体积位于第三胸椎体以上.
- 然而,6%的患者 (26人) 仅在第3个胸椎以下有病变,这意味着94%的SC病变患者可以通过隔离的宫SC成像检测到.
结论:
- 隔离的宫SCMRI可以检测到大多数MS病变.
- 显著的少数患者仅在胸部SC表现出MS病变.
- 对于疑似多发性硬化病例,建议对整个SC进行例行扫描,以确保全面的诊断.
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