The Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, MD 21287.
Clin Imaging. 2013 Sep-Oct;37(5):938-41. doi: 10.1016/j.clinimag.2013.01.005. Epub 2013 Jun 4.
To determine the prevalence of cervical ribs on cervical spine MRI and clinical relevance, we reviewed 2500 studies for cervical ribs and compression of neurovascular structures and compared to CT, when available. Brachial plexus or subclavian artery contact by cervical rib was identified on MRI and/or CT in 12 cases with diagnosis of thoracic outlet syndrome in one. Cervical ribs were identified on 1.2% (25/2083) of examinations, lower than on CT (2%), but MRI may offer equivalent anatomic explanation for patient symptoms.
为了确定颈椎 MRI 中颈肋的患病率及其临床相关性,我们对 2500 项颈肋和神经血管结构受压的研究进行了回顾,并与 CT 进行了比较(如果有 CT 的话)。在 12 例诊断为胸廓出口综合征的病例中,MRI 和/或 CT 显示颈肋与臂丛神经或锁骨下动脉接触。在 2083 例检查中,1.2%(25/2083)发现颈肋,低于 CT(2%),但 MRI 可能为患者症状提供同等的解剖学解释。