Sorantin Erich, Robl Tanja, Lindbichler Franz, Riccabona Michael
Section of Paediatric Radiology, Department of Radiology, Medical University Graz, Austria.
Eur J Radiol. 2008 Nov;68(2):227-34. doi: 10.1016/j.ejrad.2008.06.032. Epub 2008 Aug 31.
Today several modalities for imaging the spine, the spinal canal and the spinal cord are available. Since children represent one of the most vulnerable patient groups, care has to be taken and imaging assessment should start always with less invasive procedures. Thus, in neonates and infants ultrasound should be used as first line imaging procedure due to their unique features of more cartilaginous parts of the yet non-ossified bones. Beyond this age group Magnetic Resonance Imaging (MRI) represents the modality of choice for radiological assessment of the spine, the spinal canal and the spinal cord. The purpose of this review is to present MRI and common MRI findings of typical diseases in children-ranging from congenital to acquired conditions. In addition, general imaging details will be given as well as a brief embryological description of the spine and spinal canal.
如今,有多种用于脊柱、椎管和脊髓成像的方式可供选择。由于儿童是最脆弱的患者群体之一,必须格外小心,成像评估应始终从侵入性较小的程序开始。因此,在新生儿和婴儿中,超声应作为一线成像程序,因为他们尚未骨化的骨骼中有更多软骨部分,具有独特的特征。超过这个年龄组,磁共振成像(MRI)是脊柱、椎管和脊髓放射学评估的首选方式。本综述的目的是介绍儿童典型疾病(从先天性疾病到后天性疾病)的MRI及常见MRI表现。此外,还将给出一般成像细节以及脊柱和椎管的简要胚胎学描述。