• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

慢性下腰痛患者多裂肌脂肪浸润率的计算机断层扫描评估

Computed tomography evaluation of fat infiltration ratio of the multifidus muscle in chronic low back pain patients.

作者信息

Prasetyo Marcel, Nindita Nadia, Murdana I Nyoman, Prihartono Joedo, Setiawan Stefanus Imanuel

机构信息

Department of Radiology, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.

Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.

出版信息

Eur J Radiol Open. 2020 Dec 2;7:100293. doi: 10.1016/j.ejro.2020.100293. eCollection 2020.

DOI:10.1016/j.ejro.2020.100293
PMID:33304941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7718153/
Abstract

BACKGROUND AND OBJECTIVES

Fat infiltration of multifidus muscle is an important parameter to assess the efficacy of spinal stabilization training in chronic low back pain (LBP) patients. As a CT scan shows a specific attenuation value for fat, it can be used as a ratio to evaluate fat infiltration of the muscle relative to its cross-sectional area. This study aims to compare the fat infiltration ratio of multifidus muscle between subjects with and without chronic LBP in Indonesia.

METHODS

Comparative cross-sectional study of 20 subjects with chronic LBP and 20 subjects without LBP. Fat infiltration ratio calculation of the multifidus muscle was obtained from the database of abdominal CT at the level of the superior and inferior endplate of L4 and L5 vertebral body.

RESULTS

The fat infiltration ratio of multifidus muscle in the chronic LBP subjects group was significantly higher than the subjects group without NPB (p < 0.05). The cut-off value of the fat infiltration ratio at the level of the inferior endplate of L4 was 0.125 (75 % sensitivity and 80 % specificity).

CONCLUSION

The calculation of the multifidus muscle fat infiltration ratio at the inferior endplate L4 using CT is a potential method to evaluate multifidus muscle quality in chronic LBP patients.

摘要

背景与目的

多裂肌脂肪浸润是评估慢性下腰痛（LBP）患者脊柱稳定训练效果的重要参数。由于CT扫描可显示脂肪的特定衰减值，因此可将其作为一种比值，用于评估肌肉脂肪浸润相对于其横截面积的情况。本研究旨在比较印度尼西亚慢性LBP患者与非慢性LBP患者多裂肌的脂肪浸润率。

方法

对20例慢性LBP患者和20例无LBP患者进行比较性横断面研究。多裂肌脂肪浸润率的计算来自于L4和L5椎体上下终板水平的腹部CT数据库。

结果

慢性LBP患者组多裂肌的脂肪浸润率显著高于无LBP患者组（p<0.05）。L4椎体下终板水平脂肪浸润率的截断值为0.125（灵敏度75%，特异度80%）。

结论

利用CT计算L4椎体下终板水平的多裂肌脂肪浸润率是评估慢性LBP患者多裂肌质量的一种潜在方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/07dcf5ccb8b4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/aabadf8a37b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/06efd533f3f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/067aefb87bcd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/9616e4fdfe5c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/42288d8d4ac6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/07dcf5ccb8b4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/aabadf8a37b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/06efd533f3f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/067aefb87bcd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/9616e4fdfe5c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/42288d8d4ac6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3a/7718153/07dcf5ccb8b4/gr6.jpg

相似文献

1
Computed tomography evaluation of fat infiltration ratio of the multifidus muscle in chronic low back pain patients.慢性下腰痛患者多裂肌脂肪浸润率的计算机断层扫描评估
Eur J Radiol Open. 2020 Dec 2;7:100293. doi: 10.1016/j.ejro.2020.100293. eCollection 2020.
2
Dynamic changes of elasticity, cross-sectional area, and fat infiltration of multifidus at different postures in men with chronic low back pain.慢性腰痛男性在不同姿势下多裂肌的弹性、横截面积和脂肪浸润的动态变化。
Spine J. 2012 May;12(5):381-8. doi: 10.1016/j.spinee.2011.12.004. Epub 2011 Dec 23.
3
Risk Factors in Patients with Low Back Pain Under 40 Years Old: Quantitative Analysis Based on Computed Tomography and Magnetic Resonance Imaging mDIXON-Quant.40岁以下腰痛患者的危险因素：基于计算机断层扫描和磁共振成像mDIXON-Quant的定量分析
J Pain Res. 2023 Oct 9;16:3417-3431. doi: 10.2147/JPR.S426488. eCollection 2023.
4
Fat in the lumbar multifidus muscles - predictive value and change following disc prosthesis surgery and multidisciplinary rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up of a randomized trial.慢性下腰痛和椎间盘退变患者腰椎多裂肌脂肪：椎间盘假体手术及多学科康复后的预测价值及变化——一项随机试验的2年随访
BMC Musculoskelet Disord. 2017 Apr 4;18(1):145. doi: 10.1186/s12891-017-1505-5.
5
The association between back muscle characteristics and pressure pain sensitivity in low back pain patients.腰痛患者背部肌肉特征与压痛敏感性之间的关联。
Scand J Pain. 2018 Apr 25;18(2):281-293. doi: 10.1515/sjpain-2017-0142.
6
Reciprocal relationship between multifidus and psoas at L4-L5 level in women with low back pain.腰痛女性 L4-L5 水平多裂肌与腰大肌的相互关系。
Br J Neurosurg. 2021 Apr;35(2):220-228. doi: 10.1080/02688697.2020.1783434. Epub 2020 Jun 24.
7
Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain.稳定训练对患有腰痛的年轻精英板球运动员多裂肌横截面积的影响。
J Orthop Sports Phys Ther. 2008 Mar;38(3):101-8. doi: 10.2519/jospt.2008.2658. Epub 2007 Dec 7.
8
Lumbar muscle structure and function in chronic versus recurrent low back pain: a cross-sectional study.慢性与复发性下腰痛患者的腰椎肌肉结构和功能：一项横断面研究。
Spine J. 2017 Sep;17(9):1285-1296. doi: 10.1016/j.spinee.2017.04.025. Epub 2017 Apr 26.
9
Structural Changes of Lumbar Muscles in Non-specific Low Back Pain: A Systematic Review.非特异性下腰痛患者腰椎肌肉的结构变化：一项系统评价
Pain Physician. 2016 Sep-Oct;19(7):E985-E1000.
10
CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects.慢性下腰痛患者和健康对照者躯干肌肉的CT成像
Eur Spine J. 2000 Aug;9(4):266-72. doi: 10.1007/s005860000190.

引用本文的文献

1
Multifidus Fat Infiltration in Patients with Persistent Spinal Pain Syndrome Type II Treated with Spinal Cord Stimulation: A Preliminary Report.脊髓刺激治疗的II型持续性脊柱疼痛综合征患者的多裂肌脂肪浸润：初步报告
J Clin Med. 2025 Apr 30;14(9):3124. doi: 10.3390/jcm14093124.
2
The role of paraspinal muscle degeneration in cervical spondylosis.椎旁肌退变在颈椎病中的作用。
Eur Spine J. 2025 Mar;34(3):1187-1197. doi: 10.1007/s00586-025-08648-9. Epub 2025 Jan 15.
3
Quantification of volumetric thigh and paravertebral muscle fat content: comparison of quantitative Dixon (Q-Dixon) magnetic resonance imaging (MRI) with high-speed T-corrected multiecho MR spectroscopy.

本文引用的文献

1
Manually defining regions of interest when quantifying paravertebral muscles fatty infiltration from axial magnetic resonance imaging: a proposed method for the lumbar spine with anatomical cross-reference.通过轴向磁共振成像定量评估椎旁肌脂肪浸润时手动定义感兴趣区域：一种结合解剖学对照的腰椎评估方法
BMC Musculoskelet Disord. 2017 Jan 19;18(1):25. doi: 10.1186/s12891-016-1378-z.
2
Age- and Level-Dependence of Fatty Infiltration in Lumbar Paravertebral Muscles of Healthy Volunteers.健康志愿者腰椎旁肌肉脂肪浸润的年龄和程度依赖性
AJNR Am J Neuroradiol. 2016 Apr;37(4):742-8. doi: 10.3174/ajnr.A4596. Epub 2015 Dec 3.
3
大腿和椎旁肌肉脂肪含量的体积量化：定量狄克逊（Q-Dixon）磁共振成像（MRI）与高速T校正多回波磁共振波谱的比较。
Quant Imaging Med Surg. 2024 Jul 1;14(7):4490-4505. doi: 10.21037/qims-24-127. Epub 2024 Jun 13.
4
Inter-software and inter-threshold reliability of quantitative paraspinal muscle segmentation.定量脊柱旁肌分割的软件间和阈值间可靠性。
Eur Spine J. 2024 Feb;33(2):369-378. doi: 10.1007/s00586-023-08050-3. Epub 2023 Dec 6.
5
Risk Factors in Patients with Low Back Pain Under 40 Years Old: Quantitative Analysis Based on Computed Tomography and Magnetic Resonance Imaging mDIXON-Quant.40岁以下腰痛患者的危险因素：基于计算机断层扫描和磁共振成像mDIXON-Quant的定量分析
J Pain Res. 2023 Oct 9;16:3417-3431. doi: 10.2147/JPR.S426488. eCollection 2023.
6
Fatty Degeneration of the Autochthonous Muscles Is Significantly Associated with Incidental Non-Traumatic Vertebral Body Fractures of the Lower Thoracic Spine in Elderly Patients.老年患者自身肌肉的脂肪变性与下胸椎偶然发生的非创伤性椎体骨折显著相关。
J Clin Med. 2023 Jul 8;12(14):4565. doi: 10.3390/jcm12144565.
7
Fibromyalgia: Associations Between Fat Infiltration, Physical Capacity, and Clinical Variables.纤维肌痛：脂肪浸润、身体能力与临床变量之间的关联
J Pain Res. 2022 Aug 27;15:2517-2535. doi: 10.2147/JPR.S376590. eCollection 2022.
8
The effect of ageing on fat infiltration of thigh and paraspinal muscles in men.年龄对男性大腿和脊柱旁肌肉脂肪浸润的影响。
Aging Clin Exp Res. 2022 Sep;34(9):2089-2098. doi: 10.1007/s40520-022-02149-1. Epub 2022 May 28.
9
The Quantity and Quality of Lumbar Muscles and Lumbopelvic Parameters in Patients With Degenerative Spondylolisthesis.退行性腰椎滑脱症患者腰椎肌肉的数量和质量以及腰骶骨盆参数
Cureus. 2021 Oct 1;13(10):e18428. doi: 10.7759/cureus.18428. eCollection 2021 Oct.
10
Contribution of Intramyocellular Lipids to Decreased Computed Tomography Muscle Density With Age.肌内脂质对随年龄增长计算机断层扫描肌肉密度降低的影响。
Front Physiol. 2021 Jun 30;12:632642. doi: 10.3389/fphys.2021.632642. eCollection 2021.
The relationship of lumbar multifidus muscle morphology to previous, current, and future low back pain: a 9-year population-based prospective cohort study.
腰椎多裂肌形态与既往、当前及未来腰痛的关系：一项基于人群的9年前瞻性队列研究。
Spine (Phila Pa 1976). 2014 Aug 1;39(17):1417-25. doi: 10.1097/BRS.0000000000000424.
4
Effects of Spinal Stabilization Exercise on the Cross-sectional Areas of the Lumbar Multifidus and Psoas Major Muscles, Pain Intensity, and Lumbar Muscle Strength of Patients with Degenerative Disc Disease.脊柱稳定训练对椎间盘退变疾病患者腰多裂肌和腰大肌横截面积、疼痛强度及腰椎肌肉力量的影响
J Phys Ther Sci. 2014 Apr;26(4):579-82. doi: 10.1589/jpts.26.579. Epub 2014 Apr 23.
5
The global burden of low back pain: estimates from the Global Burden of Disease 2010 study.全球腰痛负担：来自 2010 年全球疾病负担研究的估计。
Ann Rheum Dis. 2014 Jun;73(6):968-74. doi: 10.1136/annrheumdis-2013-204428. Epub 2014 Mar 24.
6
Reliability of the Goutallier classification in quantifying muscle fatty degeneration in the lumbar multifidus using magnetic resonance imaging.使用磁共振成像对痛风利耶分类法在量化腰多裂肌肌肉脂肪变性中的可靠性研究。
J Manipulative Physiol Ther. 2014 Mar-Apr;37(3):190-7. doi: 10.1016/j.jmpt.2013.12.010. Epub 2014 Mar 11.
7
CT radiation dose: current controversies and dose reduction strategies.CT 辐射剂量：当前的争议和剂量降低策略。
AJR Am J Roentgenol. 2013 Dec;201(6):1283-90. doi: 10.2214/AJR.12.9720.
8
Effects of stabilization exercise using a ball on mutifidus cross-sectional area in patients with chronic low back pain.利用球进行稳定性练习对慢性下背痛患者多裂肌横截面积的影响。
J Sports Sci Med. 2013 Sep 1;12(3):533-41. eCollection 2013.
9
Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding.腰痛患者和对照组患者多裂肌和脊柱旁肌肉群横截面积的系统评价：重点关注盲法。
Phys Ther. 2013 Jul;93(7):873-88. doi: 10.2522/ptj.20120457. Epub 2013 Mar 15.
10
Is level- and side-specific multifidus asymmetry a marker for lumbar disc pathology?节段性和侧方多裂肌不对称是否是腰椎间盘病变的标志物？
Spine J. 2012 Oct;12(10):932-9. doi: 10.1016/j.spinee.2012.08.020. Epub 2012 Oct 18.