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基于磁共振成像的软骨终板退变评估。

Evaluation of Cartilaginous Endplate Degeneration Based on Magnetic Resonance Imaging.

机构信息

Department of Orthopedics, Panyu Hospital of Chinese Medicine, Guangzhou City, Guangdong Province 511400, China.

Department of Dermatology, Panyu Hospital of Chinese Medicine, Guangzhou City, Guangdong Province 511400, China.

出版信息

J Healthc Eng. 2021 Mar 23;2021:5534227. doi: 10.1155/2021/5534227. eCollection 2021.

DOI:10.1155/2021/5534227
PMID:33859806
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8009704/
Abstract

In order to carry out the evaluation of cartilaginous endplate degeneration based on magnetic resonance imaging (MRI), this paper retrospectively analyzed the MRI data from 120 cases of patients who were diagnosed as lumbar intervertebral disc degeneration and underwent MRI examinations in the designated hospital of this study from June 2018 to June 2020. All cases underwent conventional sagittal and transverse T1WI and T2WI scans, and some cases were added with sagittal fat-suppression T2WI scans; then, the number of degenerative cartilaginous endplates and its ratio to degenerative lumbar intervertebral discs were counted and calculated, and the T1WI and T2WI signal characteristics of each degenerative cartilage endplate and its correlation with cartilaginous endplate degeneration were summarized, compared, and analyzed to evaluate the cartilaginous endplate degeneration by those magnetic resonance information. The study results show that there were 33 cases of cartilaginous endplate degeneration, accounting for 27.50% of all those 120 patients with lumbar intervertebral disc degeneration (54 degenerative endplates in total), including 9 cases with low T1WI and high T2WI signals, 5 cases with high T1WI and low T2WI signals, 12 cases with high and low mixed T1WI and high or mixed T2WI signals, and 4 cases with both low T1WI and T2WI signals. Therefore, MRI scanning can clearly present the abnormal signals of lumbar intervertebral disc and cartilaginous endplate degeneration, accurately identity their lesion locations, and type their degenerative characteristics, which may be best inspection method for the evaluation of cartilaginous endplate degeneration in the early diagnosis of intervertebral disc degeneration. The study results of this paper provide a reference for further researches on the evaluation of cartilaginous endplate degeneration based on magnetic resonance imaging.

摘要

为了对软骨终板退变进行基于磁共振成像（MRI）的评估，本文回顾性分析了自 2018 年 6 月至 2020 年 6 月在本研究指定医院诊断为腰椎间盘退变并接受 MRI 检查的 120 例患者的 MRI 数据。所有病例均行常规矢状位及横断位 T1WI 和 T2WI 扫描，部分病例加扫矢状位脂肪抑制 T2WI 扫描；然后对退变的软骨终板数量及其与退变腰椎间盘的比值进行计数和计算，并对各退变软骨终板的 T1WI 和 T2WI 信号特征及其与软骨终板退变的相关性进行总结、比较和分析，以评估这些磁共振信息对软骨终板退变的评估价值。研究结果显示，软骨终板退变 33 例，占腰椎间盘退变 120 例患者的 27.50%（共 54 个退变终板），其中低 T1WI 高 T2WI 信号 9 例，高 T1WI 低 T2WI 信号 5 例，高低混杂 T1WI 高或混杂 T2WI 信号 12 例，低 T1WI 及 T2WI 信号均低 4 例。因此，MRI 扫描可清晰呈现腰椎间盘及软骨终板退变的异常信号，准确识别其病变部位和类型退变特点，可能是椎间盘退变早期诊断中评估软骨终板退变的最佳检查方法。本文的研究结果为基于磁共振成像评估软骨终板退变的进一步研究提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/4739159e5648/JHE2021-5534227.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/7cca1b408afa/JHE2021-5534227.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/81a6c5443935/JHE2021-5534227.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/a95eb72efd0f/JHE2021-5534227.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/4739159e5648/JHE2021-5534227.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/7cca1b408afa/JHE2021-5534227.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/465d056fca18/JHE2021-5534227.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/d45264715688/JHE2021-5534227.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/c25660de5867/JHE2021-5534227.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/16175af6a6b0/JHE2021-5534227.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/81a6c5443935/JHE2021-5534227.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/a95eb72efd0f/JHE2021-5534227.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e402/8009704/4739159e5648/JHE2021-5534227.008.jpg

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