Tourrette J H, Le Vot J, Solacroup J C, Léonetti P, Muyard B, Gueguen E, Clavel G, Colineau X, Abony E
Service de Radiologie, Hôpital d'Instruction des Armées, Sainte Anne, Toulon Naval.
J Radiol. 1995 Aug;76(8):501-9.
Out of 137 cases concerning the spine and spine cord, the authors demonstrate that MRI is nowadays fully integrated in urgency investigations. In all cord compression suspicions and in spine trauma investigations, it's place is found. Coil and software improvements allow to put CT and MR scanning delays on a line. This study underlines the necessity of being equipped with non magnetic life support systems allowing management of very fragile patients. In traumas, MR provides the lesion's authentification, it's type, it's unique localisation or not, and therefore an early functional prognosis. The discovery of spine cord involving lesions in neoplastic conditions allows to follow a therapeutic strateging for maintaining the motor function. In the end, the authors discuss about practical utility of MR in scuba diving decompression accidents. No lesion of the spine cord has been demonstrated in 25 patients, probably because of technical insufficiency.
在137例涉及脊柱和脊髓的病例中,作者表明如今MRI已完全融入急诊检查。在所有怀疑脊髓受压和脊柱创伤检查中,都能找到它的用武之地。线圈和软件的改进使CT和MR扫描延迟处于同一水平。这项研究强调了配备非磁性生命支持系统以处理非常脆弱患者的必要性。在创伤中,MR可对病变进行鉴定、确定其类型、是否为独特定位,从而做出早期功能预后判断。在肿瘤性疾病中发现累及脊髓的病变有助于制定维持运动功能的治疗策略。最后,作者讨论了MR在潜水减压事故中的实际应用。25例患者未发现脊髓病变,可能是由于技术不足。