亚急性和慢性腰痛:从MRI表型到成像指导干预
Giulia Pacella1, Raffaele Natella1,2,3, Federico Bruno4
1Department of Medicine and Health Science "V. Tiberio", University of Molise, 86100 Campobasso, Italy.
Diagnostics (Basel, Switzerland)
|January 28, 2026
概括
磁共振成像 (MRI) 可以指导持续性腰部疼痛 (LBP) 的干预. 本综述提供了一份路线图,将MRI发现与有针对性的图像导向治疗对齐,以获得更好的患者结果.
科学领域:
- 放射学 放射学是一门学科.
- 干预性疼痛管理 干预性疼痛管理
- 脊柱成像技术 脊柱成像技术
背景情况:
- 腰部疼痛 (LBP) 是全球残疾的重要原因之一.
- 磁共振成像 (MRI) 对于诊断持续的LBP,疑似红旗或指导程序至关重要.
- 目前的方法往往缺乏成像研究结果和特定干预措施之间的明确联系.
研究的目的:
- 提出一个实用的,放射学为主导的框架,用于亚急性和慢性LBP.
- 将基于MRI的表型与图像指导干预相结合.
- 为了使成像表型与解剖学目标和适当的治疗方法保持一致.
主要方法:
- 叙述性综述定义了根性与非根性表型的操作MRI标准.
- 总结基于MRI的表型,用于末板/模板和面板/骨退行性变化.
- 概述了选择,技术,指导方式 (光学,CT,超声波),安全性和有效性,主要的图像指导干预.
主要成果:
- 定义了MRI标准来区分LBP表型.
- 干预措施的详细选择和技术,如外周注射,射频切除 (RFA),基础脊椎神经切除 (BVNA) 和脊椎增大.
- 提出了基于表型的报告模板和护理途径,将MRI模式与干预联系起来.
结论:
- 一种标准化的表型 → 目标 → 工具方法提高了MRI报告对LBP的可操作性.
- 这一策略有助于临床医生选择适当的图像指导干预措施,改善患者的治疗结果.
- 通过减少不必要的测试和治疗不确定性,优先考虑安全和价值.
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