Li Di, Wang Peikang, Zhang Man, Zhang Xinkai, Yao Hailun, Liu Xing
Children's Hospital of Chongqing Medical University Chongqing China.
Pediatr Discov. 2025 Jan 9;3(1):e2518. doi: 10.1002/pdi3.2518. eCollection 2025 Mar.
The purpose of this article is to provide an overview of techniques for evaluating patients with adolescent idiopathic scoliosis (AIS). It encompasses the history, clinical examinations, and diagnostic imaging methods for AIS. These methods include digital radiological examination, EOS® imaging, nuclear medicine, ultrasound, body surface topography techniques such as the Moiré pattern technique, raster stereophotography, and DIERS formetric 4D as well as computed tomography and magnetic resonance imaging (MRI). Traditionally, full-spine standing X-rays have been the standard for diagnosing AIS. High-quality clinical assessments may continue as a reference for assessing other spinal deformities. However, the new diagnostic imaging methods aim to reduce radiation exposure while maintaining image quality and practicality. Emerging technologies demonstrate strong reliability and effectiveness in diagnostic imaging of AlS. These techniques may be beneficial for diagnosing and monitoring AIS and its progression without requiring high levels of radiation exposure. The article is a search and summary of the PubMed electronic database to understand the current and future status of AIS imaging technology, which can not only help to introduce other researchers to the field but also serve as a valuable source for healthcare professionals to study existing methods, develop new ones, or select evaluation strategies.
本文旨在概述评估青少年特发性脊柱侧凸(AIS)患者的技术。它涵盖了AIS的病史、临床检查和诊断成像方法。这些方法包括数字放射学检查、EOS®成像、核医学、超声、体表地形技术,如莫尔条纹技术、光栅立体摄影和DIERS三维体型测量以及计算机断层扫描和磁共振成像(MRI)。传统上,全脊柱站立位X线片一直是诊断AIS的标准。高质量的临床评估可能会继续作为评估其他脊柱畸形的参考。然而,新的诊断成像方法旨在减少辐射暴露,同时保持图像质量和实用性。新兴技术在AIS的诊断成像中显示出强大的可靠性和有效性。这些技术可能有助于诊断和监测AIS及其进展,而无需高剂量的辐射暴露。本文是对PubMed电子数据库的检索和总结,以了解AIS成像技术的现状和未来发展,这不仅有助于向其他研究人员介绍该领域,也可为医疗保健专业人员研究现有方法、开发新方法或选择评估策略提供有价值的参考。