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基于螺旋CT的健康颈段脊髓形态学参数的定量研究

[Quantitative Study on Morphological Parameters of Healthy Cervical Spinal Cord Based on SCT].

作者信息

Jin Wei, Liu Hao, Jiang Ruiyao, Liu Guangqi

机构信息

Shanghai Sixth People's Hospital, Shanghai, 200233.

出版信息

Zhongguo Yi Liao Qi Xie Za Zhi. 2025 Mar 30;49(2):141-147. doi: 10.12455/j.issn.1671-7104.240337.

Abstract

OBJECTIVE

To utilize Spinal Cord Toolbox (SCT) to measure the morphological parameters of healthy cervical spinal cords and explore the impact of gender, age and vertebral levels on them.

METHODS

A retrospective study was conducted, collecting cervical spinal cord magnetic resonance images of 184 healthy adults. Then, cross-sectional area (CSA), eccentricity, antero-posterior diameter (AP) and right-left diameter (RL) were each computed for every subject. Then, impacts of gender, age and vertebral level on CSA and eccentricity were explored. Moreover, linear correlation analysis was conducted among CSA, AP and RL.

RESULTS

The CSA of the cervical spinal cord in males was significantly larger than that in females at C2C7 segments (<0.05) . For C2C6 segments, there was no statistically significant difference in CSA between the young and middle-aged groups, but both were significantly larger than that of the elderly group. CSA of C4 was the largest whereas CSA of C7 was the smallest. Eccentricity values of C4 and C5 were significantly larger than those of other vertebral levels (<0.05). Linear correlation was established between CSA, AP and RL at C2~C7 segments.

CONCLUSION

The results allow for minimizing inter-subject variability using normalization, and thereby highlighting the importance of morphological parameters as biomarkers in the research of cervical spinal lesions.

摘要

目的

利用脊髓工具箱(SCT)测量健康颈椎脊髓的形态学参数,并探讨性别、年龄和椎体节段对其的影响。

方法

进行一项回顾性研究,收集184名健康成年人的颈椎脊髓磁共振图像。然后,为每个受试者计算横截面积(CSA)、偏心率、前后径(AP)和左右径(RL)。接着,探讨性别、年龄和椎体节段对CSA和偏心率的影响。此外,对CSA、AP和RL进行线性相关分析。

结果

男性颈椎脊髓在C2C7节段的CSA显著大于女性(<0.05)。对于C2C6节段,青年组和中年组之间的CSA无统计学显著差异,但两者均显著大于老年组。C4的CSA最大,而C7的CSA最小。C4和C5的偏心率值显著大于其他椎体节段(<0.05)。在C2~C7节段,CSA、AP和RL之间建立了线性相关性。

结论

这些结果有助于通过标准化最小化个体间变异性,从而突出形态学参数作为颈椎病变研究中生物标志物的重要性。

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