退行性颈椎脊髓病的影像学评估：当前技术水平与未来方向
Imaging Evaluation of Degenerative Cervical Myelopathy: Current State of the Art and Future Directions.
作者信息
Martin Allan R, Tadokoro Nobuaki, Tetreault Lindsay, Arocho-Quinones Elsa V, Budde Matthew D, Kurpad Shekar N, Fehlings Michael G
机构信息
Division of Neurosurgery, Department of Surgery, University of Toronto, 8 Queen Victoria Street, Toronto, Ontario M4J1E9, Canada.
Department of Orthopedic Surgery, Kochi University, Kochi Medical School, Kohasu Oko-chou, Nankoku 783-8505, Japan; Division of Neurosurgery, Department of Surgery, Krembil Research Institute, University of Toronto, 60 Leonard Avenue, Toronto, Ontario M5T 2S8, Canada.
出版信息
Neurosurg Clin N Am. 2018 Jan;29(1):33-45. doi: 10.1016/j.nec.2017.09.003.
Degenerative cervical myelopathy (DCM) is a common neurologic condition that is often treated with surgery. Imaging plays a central role in the management of DCM, including diagnosis, preoperative planning, postoperative assessment, and prognostication. Radiographs, CT, and MRI offer unique and complementary assessments, and all have important uses in current clinical practice. Emerging microstructural and functional MRI techniques have the potential to have a major impact, potentially transforming practice by offering earlier and more accurate diagnosis, monitoring for deterioration, and prediction of outcomes. In the future, it can be expected that imaging will play an even greater role in DCM management.
退行性颈椎脊髓病（DCM）是一种常见的神经系统疾病，通常采用手术治疗。影像学在DCM的管理中起着核心作用，包括诊断、术前规划、术后评估和预后判断。X线片、CT和MRI提供了独特且互补的评估方法，并且在当前临床实践中都有重要用途。新兴的微观结构和功能MRI技术有可能产生重大影响，通过提供更早、更准确的诊断、病情恶化监测以及预后预测，有可能改变临床实践。未来，可以预期影像学在DCM管理中将发挥更大的作用。
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