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青少年特发性脊柱侧凸检查方法的进展

Advances in examination methods for adolescent idiopathic scoliosis.

作者信息

Li Di, Wang Peikang, Zhang Man, Zhang Xinkai, Yao Hailun, Liu Xing

机构信息

Children's Hospital of Chongqing Medical University Chongqing China.

出版信息

Pediatr Discov. 2025 Jan 9;3(1):e2518. doi: 10.1002/pdi3.2518. eCollection 2025 Mar.

DOI:10.1002/pdi3.2518
PMID:40626296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12118105/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7452/12118105/77062c8c6815/PDI3-3-e2518-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7452/12118105/77062c8c6815/PDI3-3-e2518-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7452/12118105/77062c8c6815/PDI3-3-e2518-g001.jpg

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本文引用的文献

1
A Novel Screening Method for Scoliosis Using a Bodysuit and 3-Dimensional Imaging.一种使用紧身衣和三维成像的新型脊柱侧凸筛查方法。
Spine (Phila Pa 1976). 2023 Sep 15;48(18):1289-1294. doi: 10.1097/BRS.0000000000004658. Epub 2023 Jun 29.
2
A real-time freehand 3D ultrasound imaging method for scoliosis assessment.一种实时徒手 3D 超声成像方法用于脊柱侧弯评估。
J Appl Clin Med Phys. 2022 Aug;23(8):e13709. doi: 10.1002/acm2.13709. Epub 2022 Jun 24.
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A Review of the Methods on Cobb Angle Measurements for Spinal Curvature.脊柱曲度 Cobb 角测量方法的研究综述。
Sensors (Basel). 2022 Apr 24;22(9):3258. doi: 10.3390/s22093258.
4
A Survey of Methods and Technologies Used for Diagnosis of Scoliosis.脊柱侧凸诊断方法和技术综述。
Sensors (Basel). 2021 Dec 16;21(24):8410. doi: 10.3390/s21248410.
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EOS® imaging: Concept and current applications in spinal disorders.EOS®成像:脊柱疾病中的概念及当前应用
J Clin Orthop Trauma. 2020 Sep-Oct;11(5):786-793. doi: 10.1016/j.jcot.2020.06.012. Epub 2020 Jul 6.
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Current concepts in the diagnosis and management of adolescent idiopathic scoliosis.青少年特发性脊柱侧凸的诊断与治疗的当前概念
Childs Nerv Syst. 2020 Jun;36(6):1111-1119. doi: 10.1007/s00381-020-04608-4. Epub 2020 Apr 21.
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Meta-analysis of the validity and reliability of rasterstereographic measurements of spinal posture.脊柱姿势光栅立体测量的有效性和可靠性的荟萃分析。
Eur Spine J. 2020 Sep;29(9):2392-2401. doi: 10.1007/s00586-020-06402-x. Epub 2020 Apr 10.
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An Application of Artificial Intelligence to Diagnostic Imaging of Spine Disease: Estimating Spinal Alignment From Moiré Images.人工智能在脊柱疾病诊断成像中的应用:从莫尔条纹图像估计脊柱排列情况。
Neurospine. 2019 Dec;16(4):697-702. doi: 10.14245/ns.1938426.213. Epub 2019 Dec 31.
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CT-based study of vertebral and intravertebral rotation in right thoracic adolescent idiopathic scoliosis.基于 CT 的右侧胸弯青少年特发性脊柱侧凸的椎体和椎体内旋转研究。
Eur Spine J. 2019 Dec;28(12):3044-3052. doi: 10.1007/s00586-019-06138-3. Epub 2019 Sep 11.
10
Is Radiation-Free Ultrasound Accurate for Quantitative Assessment of Spinal Deformity in Idiopathic Scoliosis (IS): A Detailed Analysis With EOS Radiography on 952 Patients.无辐射超声对特发性脊柱侧凸(IS)脊柱畸形定量评估是否准确:对952例患者进行EOS X线摄影的详细分析
Ultrasound Med Biol. 2019 Nov;45(11):2866-2877. doi: 10.1016/j.ultrasmedbio.2019.07.006. Epub 2019 Aug 6.