Miao Mingming, Lin Xiangtao, Zhang Zhonghe, Zhao Hui
1 Shandong University School of Medicine, The Fifth People's Hospital of Jinan, Shandong, PR China.
2 Shandong University School of Medicine, Shandong Medical Imaging Research Institute, Shandong, PR China.
Acta Radiol. 2019 May;60(5):623-627. doi: 10.1177/0284185118791197. Epub 2018 Aug 24.
The studies that described the dimensions of the normal fetal thoracic spinal canal and spinal cord on magnetic resonance imaging (MRI) are scarce.
To determine the normal appearance of the fetal spinal canal and spinal cord at T12 across different gestational ages using 3.0-T MRI.
The spines of 43 normal human fetuses, aged 15-40 weeks, were scanned by 3.0-T MRI. All specimens were scanned using a GE 3.0-T MRI scanner. Imaging of the T12 vertebrae was performed in the coronal, sagittal, and axial planes. The anterior-posterior (AP) diameter, width, and cross-sectional area of the spinal canal and spinal cord at T12 were measured. The influence of gestational age on these parameters was investigated with a scatter plot and linear regression analysis using Pearson correlation coefficient.
The normal morphology of the fetal vertebra at T12 can be clearly showed by MRI; the spinal canal appeared circular, while the spinal cord was ellipsoid. Linear regression analysis showed a significant positive correlation between the AP diameter, width, and cross-sectional area of the spinal canal at T12 and gestational age.
Postmortem MRI is a reliable method for understanding the growth dynamics of the spinal canal and spinal cord at T12. Findings from this study would benefit the prenatal diagnosis of congenital malformations by MRI.
描述正常胎儿胸段椎管和脊髓在磁共振成像(MRI)上尺寸的研究较少。
使用3.0-T MRI确定不同孕周时胎儿T12水平椎管和脊髓的正常表现。
对43例15至40周龄的正常人类胎儿脊柱进行3.0-T MRI扫描。所有标本均使用GE 3.0-T MRI扫描仪进行扫描。在冠状面、矢状面和轴位平面上对T12椎体进行成像。测量T12水平椎管和脊髓的前后径、宽度和横截面积。使用Pearson相关系数通过散点图和线性回归分析研究孕周对这些参数的影响。
MRI可清晰显示胎儿T12椎体的正常形态;椎管呈圆形,而脊髓呈椭圆形。线性回归分析显示T12水平椎管的前后径、宽度和横截面积与孕周之间存在显著正相关。
死后MRI是了解T12水平椎管和脊髓生长动态的可靠方法。本研究结果将有助于通过MRI对先天性畸形进行产前诊断。