Department of Surgery, Taichung Veterans General Hospital, No. 1650, Sec. 4, Taiwan Boulevard, Xitun District, Taichung, 407219, Taiwan.
Department of Radiology, Taichung Veterans General Hospital, No. 1650, Sec. 4, Taiwan Boulevard, Xitun District, Taichung, 407219, Taiwan.
Sci Rep. 2024 Sep 27;14(1):22217. doi: 10.1038/s41598-024-73017-3.
To evaluate the necessity of performing whole spine magnetic resonance imaging (MRI) as opposed to solely lumbosacral MRI for detecting high-level spinal lesions (in the brain, cervical, or thoracic spine) in patients with anorectal malformations (ARM). This retrospective cohort study included 69 patients treated for ARM at a medical center between January 2011 and January 2022. Before March 2021, lumbosacral MRI was used for patients with ARM. Since March 2021, anomalies in the posterior cranial fossa and whole spine were assessed using routine MRI. Both male (n = 30, 43.4%) and female patients were included in the study. Out of the 69 patients, 19 (27.5%) underwent whole spine MRI, and 50 (72.5%) underwent lumbosacral MRI. In the whole spine group, 4 patients had anomalies beyond the lumbosacral area. In the lumbosacral group, 4 patients subsequently underwent whole spine MRI due to symptoms, with 3 revealing higher-level anomalies.High-level spinal and brain anomalies, although infrequent, are present in patients with ARM. The findings suggest considering routine whole spine MRI in screening ARM patients to avoid missing high-level anomalies.
评估对肛门直肠畸形（ARM）患者进行全脊柱磁共振成像（MRI）而非仅进行腰骶部 MRI 以检测高级别脊柱病变（脑、颈或胸段脊柱）的必要性。这项回顾性队列研究纳入了 2011 年 1 月至 2022 年 1 月期间在一家医疗中心接受 ARM 治疗的 69 例患者。在 2021 年 3 月之前，ARM 患者使用腰骶部 MRI。自 2021 年 3 月以来，使用常规 MRI 评估颅后窝和整个脊柱的异常情况。本研究纳入了男性（n=30，43.4%）和女性患者。69 例患者中，19 例（27.5%）进行了全脊柱 MRI，50 例（72.5%）进行了腰骶部 MRI。在全脊柱组中，4 例存在腰骶部以外的异常。在腰骶部组中，4 例患者因症状随后进行了全脊柱 MRI，其中 3 例发现了高级别异常。尽管高级别脊柱和脑部异常少见，但存在于 ARM 患者中。这些发现表明，在 ARM 患者的筛查中考虑常规全脊柱 MRI，以避免漏诊高级别异常。
