CT Department, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China.
Contrast Media Mol Imaging. 2022 Oct 11;2022:7491565. doi: 10.1155/2022/7491565. eCollection 2022.
In recent years, people's living conditions have significantly improved, and their lifestyles have been diversified. However, the incidence of various diseases has also increased with it, including cervical spondylotic myelopathy (CSM). Spinal cord cervical spondylosis is one of the spinal cord compression disorders that can be severely disabling and accounts for 10% to 15% of all cervical spondylosis. In this paper, DKI image processing technology is used to study the symptoms of cervical spondylosis, which is helpful to help them explore the symptoms and causes. The onset of cervical spondylosis has a longer period of time, and the period of conservative treatment will inevitably require a longer period of time. The clinical symptoms of cervical spinal cord compression are mainly pain, and after the cervical spinal cord nerve is compressed, ischemia and hypoxia will occur, the nerve sensitivity will increase, and the patient will have reflex neck muscle pain symptoms. This causes degeneration of the patient's intervertebral disc tissue, degeneration of facet joints, ossification of the posterior longitudinal ligament, and formation of spurs on the posterior edge of the vertebral body. The condition will become more complicated, so it is very important to identify the characteristics of the clinical symptoms of cervical spondylotic myelopathy to help patients with cervical spondylosis recover. This paper identifies the clinical symptoms of cervical spondylosis based on the parameter ratio method of Diffusional Kurtosis Imaging (DKI). The current state of diffusion kurtosis imaging and the treatment of cervical spondylosis and the treatment operation are introduced, and the image enhancement technology in medical imaging is used to analyze the disc herniation of each segment in the overflexion, neutral and hyperextension positions. After comparing the FA, MK, and MD values in the spinal cord between the normal group and the patient group, the results showed that the FA, MD and MK values in the patient group were lower than those in the normal group, and the findings showed that the MD and MK values were positively correlated with the JOA score, reflecting that as the clinical symptoms of spinal cervical spondylosis worsened. The size and number of cervical intervertebral disc bulge on the hyperextension image is obvious and the number increases (especially the C4/5, C5/6, and C6/7 intervertebral discs with greater mobility), and the highest is 0.82 and 27%, respectively.
近年来，人们的生活条件有了显著改善，生活方式也变得多样化。然而，各种疾病的发病率也随之增加，包括颈椎病（CSM）。脊髓型颈椎病是脊髓压迫症之一，可导致严重残疾，占所有颈椎病的 10%至 15%。本文采用 DKI 图像处理技术研究颈椎病的症状，有助于帮助他们探索症状和病因。颈椎病的发病时间较长，保守治疗的周期必然较长。颈椎病的临床症状主要是疼痛，颈椎脊髓神经受压后会发生缺血缺氧，神经敏感性增加，患者会出现反射性颈肌疼痛症状。这会导致患者椎间盘组织退变、小关节退变、后纵韧带骨化、椎体后缘骨刺形成。病情会变得更加复杂，因此，识别颈椎病的临床症状特征对于帮助颈椎病患者康复非常重要。本文基于弥散峰度成像（DKI）的参数比方法识别颈椎病的临床症状。介绍了弥散峰度成像的现状及颈椎病的治疗和治疗操作，利用医学影像图像增强技术分析过屈、中立和过伸位各节段椎间盘突出。比较正常组和患者组脊髓 FA、MK、MD 值后发现，患者组 FA、MD、MK 值均低于正常组，且发现 MD、MK 值与 JOA 评分呈正相关，表明随着脊髓型颈椎病临床症状的加重。颈椎间盘在过伸位图像上的膨出大小和数量明显增加（尤其是活动度较大的 C4/5、C5/6、C6/7 椎间盘），数量最高分别为 0.82 和 27%。
