Himes Nathan C, Chansakul Thanissara, Lee Thomas C
Division of Neuroradiology, Brigham and Women's Hospital, 75 Francis Street, PBB-339, Boston, MA 02115, USA.
Division of Neuroradiology, Brigham and Women's Hospital, 75 Francis Street, PBB-339, Boston, MA 02115, USA.
Magn Reson Imaging Clin N Am. 2015 Nov;23(4):523-32. doi: 10.1016/j.mric.2015.05.007. Epub 2015 Jul 6.
MR imaging-guided interventions for treatment of low back pain and for diagnosis and treatment of soft tissue and bony spinal lesions have been shown to be feasible, effective, and safe. Advantages of this technique include the absence of ionizing radiation, the high tissue contrast, and multiplanar imaging options. Recent advancements in MR imaging systems allow improved image qualities and real-time guidance. One exciting application is MR imaging-guided cryotherapy of spinal lesions, including treating such lesions as benign osteoid osteomas and malignant metastatic disease in patients who are not good surgical candidates. This particular technique shows promise for local tumor control and pain relief in appropriate patients.
磁共振成像引导下的干预措施用于治疗腰痛以及诊断和治疗软组织及脊柱骨病变，已被证明是可行、有效且安全的。该技术的优点包括无电离辐射、高组织对比度以及多平面成像选项。磁共振成像系统的最新进展使图像质量得到改善并能进行实时引导。一个令人兴奋的应用是磁共振成像引导下的脊柱病变冷冻治疗，包括治疗那些不适合手术的患者的良性骨样骨瘤和恶性转移性疾病等病变。这种特殊技术在合适的患者中显示出局部肿瘤控制和缓解疼痛的前景。
