Eichler M, Weber M-A, Hähnel S, Rehnitz C H
Department Orthopädie, Unfallchirurgie und Paraplegiologie, Sektion Wirbelsäulenchirurgie, Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.
Orthopade. 2012 Sep;41(9):711-20. doi: 10.1007/s00132-012-1915-x.
Back pain is nonspecific and allows a broad range of differential diagnoses. In the early phase of infectious or neoplastic processes conventional diagnostic radiology rarely shows groundbreaking findings. Magnetic resonance imaging (MRI) is the method of choice to detect early changes in the vertebral bodies, intervertebral discs and surrounding tissues. Fluid-sensitive, fat-suppressed sequences (STIR) and contrast media are used to distinguish infections from other diseases. Due to the typical signal intensity in T1 and T2 sequences, infections of degenerative, rheumatic, and neoplastic processes can be defined and allow the initiation of appropriate therapy.
背痛是非特异性的，可有多种鉴别诊断。在感染性或肿瘤性疾病的早期阶段，传统诊断放射学很少能显示出突破性的发现。磁共振成像（MRI）是检测椎体、椎间盘及周围组织早期变化的首选方法。使用液体敏感、脂肪抑制序列（STIR）和造影剂来区分感染与其他疾病。由于在T1和T2序列中的典型信号强度，可明确退行性、风湿性和肿瘤性疾病的感染情况，并有助于启动适当的治疗。
