Smith A S, Blaser S I
Magnetic Resonance Imaging, University Hospitals of Cleveland, Ohio.
Crit Rev Diagn Imaging. 1991;32(3):165-89.
Magnetic resonance imaging is the study of choice in the evaluation of infectious and inflammatory disease of the spinal cord and spinal column. Not only is the multiplanar imaging a distinct advantage over other modalities, but direct visualization of the soft tissues, including the spinal cord, paraspinal musculature, and disk, is present. The sensitivity of MR, to evaluate infectious processes of the spine, especially when used with gadolinium, has been well documented. This article is an overview of the pathophysiology and MR appearance of various types of inflammation and infection of the spine. Subjects covered include disk space infections, epidural abscess, meningitis, arachnoiditis, and inflammatory mimics of disk space infections. Suggested imaging protocols are stated.
磁共振成像（MRI）是评估脊髓和脊柱感染性及炎性疾病的首选检查方法。多平面成像不仅是其相对于其他检查方式的显著优势，而且还能直接显示包括脊髓、椎旁肌肉组织和椎间盘在内的软组织。MRI评估脊柱感染性病变的敏感性，尤其是联合使用钆对比剂时，已有充分的文献记载。本文概述了脊柱各种类型炎症和感染的病理生理学及MRI表现。涵盖的主题包括椎间盘间隙感染、硬膜外脓肿、脑膜炎、蛛网膜炎以及椎间盘间隙感染的炎性模仿病变。文中还给出了建议的成像方案。
