Hoch Michael J, Rispoli Joanne, Bruno Mary, Wauchope Mervin, Lui Yvonne W, Shepherd Timothy M
Department of Radiology, New York University Langone Medical Center, 660 First Avenue, New York, NY, 10016, United States.
Department of Radiology, New York University Langone Medical Center, 660 First Avenue, New York, NY, 10016, United States.
Clin Imaging. 2017 Sep-Oct;45:37-50. doi: 10.1016/j.clinimag.2017.05.021. Epub 2017 Jun 6.
Diffusion imaging of the spine has the potential to change clinical management, but is challenging due to the small size of the cord and susceptibility artifacts from adjacent structures. Reduced field-of-view (rFOV) diffusion can improve image quality by decreasing the echo train length. Over the past 2 years, we have acquired a rFOV diffusion sequence for MRI spine protocols on most inpatients and emergency room patients. We provide selected imaging diagnoses to illustrate the utility of including diffusion spine MRI in clinical practice. Our experiences support using diffusion MRI to improve diagnostic certainty and facilitate prompt treatment or clinical management.
脊柱扩散成像有改变临床管理的潜力，但由于脊髓尺寸小以及相邻结构的磁化率伪影，其具有挑战性。缩小视野（rFOV）扩散成像可通过缩短回波链长度来提高图像质量。在过去两年中，我们已为大多数住院患者和急诊室患者的MRI脊柱检查方案获取了rFOV扩散序列。我们提供了选定的影像诊断结果，以说明在临床实践中纳入脊柱扩散MRI的效用。我们的经验支持使用扩散MRI来提高诊断确定性并促进及时治疗或临床管理。
