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小儿脊柱发育异常：超声与MRI检查结果相关性综述

Developmental Abnormalities of the Pediatric Spine: A Review of the Correlation Between Ultrasound and MRI Findings.

作者信息

Hunsaker Parker, Gupta Kanika, Otto Nolan, Epelman Monica J, Chandra Tushar

机构信息

Diagnostic Radiology, University of Central Florida College of Medicine, Orlando, USA.

Diagnostic Radiology, University of Arizona, Tucson, USA.

出版信息

Cureus. 2023 Sep 2;15(9):e44580. doi: 10.7759/cureus.44580. eCollection 2023 Sep.

DOI:10.7759/cureus.44580
PMID:37790066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10545393/
Abstract

A broad spectrum of spinal pathologies can affect the pediatric population. Ultrasound (US) is the primary modality for pediatric spine assessment due to its widespread availability, non-requirement of sedation, and absence of ionizing radiation. Supplementing this, MRI offers an in-depth exploration of these conditions, aiding in preoperative strategizing. In this review, we examine the clinical indications, methodologies, and protocols for US and MRI scans of the pediatric spine. Additionally, we illustrate normal pediatric spinal anatomy, highlighting several examples of normal variants that are often misinterpreted. Through a series of case-based illustrations, we offer a comprehensive overview of various pathological conditions such as tethered cord, spinal dysraphism, spinal lipoma, diastematomyelia, and dermal sinus tract, among others. Furthermore, we explore the correlation between US and MRI findings for these lesions, employing real-world cases to enhance our understanding of this topic.

摘要

多种脊柱病变可影响儿童群体。超声（US）因其广泛可得、无需镇静且无电离辐射，是儿童脊柱评估的主要方式。此外，磁共振成像（MRI）能对这些病症进行深入探查，有助于术前制定策略。在本综述中，我们研究了儿童脊柱超声和MRI扫描的临床适应证、方法及方案。此外，我们展示了正常儿童脊柱解剖结构，突出了一些常被误解的正常变异的例子。通过一系列基于病例的图示，我们全面概述了诸如脊髓栓系、脊柱裂、脊髓脂肪瘤、脊髓纵裂和皮样窦道等各种病理状况。此外，我们利用实际病例探讨了这些病变的超声和MRI检查结果之间的相关性，以加深我们对该主题的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/7c352802c026/cureus-0015-00000044580-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/42ae258ef5a9/cureus-0015-00000044580-i01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/1a7dbe6cee26/cureus-0015-00000044580-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/69b880aea62b/cureus-0015-00000044580-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/7c352802c026/cureus-0015-00000044580-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/42ae258ef5a9/cureus-0015-00000044580-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/e7df549c3a2a/cureus-0015-00000044580-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/edd3255a4de9/cureus-0015-00000044580-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/910b59942e4c/cureus-0015-00000044580-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/8497ddd4b9a4/cureus-0015-00000044580-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/09f90dd75e7f/cureus-0015-00000044580-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/c04abd4639f0/cureus-0015-00000044580-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/1a7dbe6cee26/cureus-0015-00000044580-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/69b880aea62b/cureus-0015-00000044580-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/10545393/7c352802c026/cureus-0015-00000044580-i10.jpg

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