Hannibal D, Zanella F E
Institut und Poliklinik für Radiologische Diagnostik, Universität Köln.
Aktuelle Radiol. 1991 May;1(3):125-9.
MR tomography is now considered to be the examination method of choice in diagnosis of thoracic vertebral disk prolapses, since all the other imaging methods do not lend themselves easily to this task. The advantages of MR are that it is non-invasive, that the soft parts yield strong contrasts, and that multiplanar sections are possible; sagittal section is particularly useful in the preoperatively important correct localisation of the height. CT proved of equal value only in calcified disk prolapse. However, since calcification does not entail any additional therapeutic consequences, MR can be used in this case too as a leading imaging method. If MR can be applied, myelography and myelo-CT should be set aside.
磁共振断层扫描如今被视为诊断胸椎椎间盘突出症的首选检查方法，因为所有其他成像方法都不太适合这项任务。磁共振成像的优点是无创、软组织对比度高且可进行多平面切片；矢状面切片在术前确定高度的重要定位方面特别有用。计算机断层扫描仅在钙化性椎间盘突出症中显示出同等价值。然而，由于钙化不会带来任何额外的治疗后果，在这种情况下磁共振成像也可作为主要的成像方法。如果可以应用磁共振成像，脊髓造影和脊髓计算机断层扫描就应搁置不用。
