Woo Timothy, Tyrrell Prudencia N M, Leone Antonello, Cafarelli Francesco Pio, Guglielmi Giuseppe, Cassar-Pullicino Victor
Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry SY10 7aG, UK.
Institute of Radiology, Catholic University, School of Medicine, Fondazione Policlinico Universitario A. Gemelli, IRCSS, 00168 Rome, Italy.
Magn Reson Imaging Clin N Am. 2019 Nov;27(4):625-640. doi: 10.1016/j.mric.2019.07.004.
The human spine is a highly specialized structure that protects the neuraxis and supports the body during movement, but its complex structure is a challenge for imaging. Radiographs can provide fine bony detail, but lack soft tissue definition and can be complicated by overlying structures. MR imaging allow(s) excellent soft tissue contrast, but some bony abnormalities can be difficult to discern. This makes the 2 modalities highly complementary. In this article, the authors discuss the correlation between radiographic and MR imaging appearances focusing first on disease affecting the vertebral body itself, its surrounding structures, and finally global spinal alignment.
人类脊柱是一种高度专业化的结构，可保护神经轴并在运动过程中支撑身体，但其复杂的结构给成像带来了挑战。X线平片可以提供精细的骨质细节，但缺乏软组织清晰度，并且可能因重叠结构而变得复杂。磁共振成像（MR成像）能提供出色的软组织对比度，但一些骨质异常可能难以辨别。这使得这两种检查方式具有高度互补性。在本文中，作者讨论了X线平片与MR成像表现之间的相关性，首先关注影响椎体本身及其周围结构的疾病，最后是整体脊柱排列。
