Muhle C, Metzner J, Brinkmann G, Kühn B, Bischoff L, Hutzelmann A, Wesner F, Heller M
Klinik für Radiologische Diagnostik, Christian-Albrechts-Universität zu Kiel.
Rofo. 1997 Nov;167(5):467-73. doi: 10.1055/s-2007-1015565.
The purpose of this study was to compare HASTE-sequence with T2-weighted TSE-sequence in the detection of cervical myelopathy and cervical spinal stenosis in kinematic MRI.
24 patients with degenerative disease of the cervical spine were studied. Images were evaluated according to the following criteria: artifacts, delineation of the vertebra, disks and degenerative changes, grade of spinal stenosis (grade 0-3) and evaluation of the cervical spinal cord.
Due to image blurring and artifacts, evaluation and delineation of the cervical spine was possible in all cases in the T2-weighted TSE-sequence, but only in 23 of 24 patients using HASTE-sequence. Differentiation between osteophytes and disks was obtained in most cases (23/24) in the T2-weighted TSE-sequence but none in the HASTE-sequence. Cervical myelopathy was observed in 4 patients in T2-weighted TSE images but only in two cases using HASTE-sequence. Compared to T2-weighted TSE-sequence spinal canal stenosis was underestimated using HASTE-sequence.
T2-TSE-sequence is superior to HASTE-sequence in the delineation of anatomical structures of the cervical spine, the grading of cervical spinal stenosis and the evaluation of cervical myelopathy.
本研究旨在比较快速自旋回波（HASTE）序列与T2加权快速自旋回波（TSE）序列在动态磁共振成像（MRI）中检测颈椎病和颈椎管狭窄症的效果。
对24例颈椎退行性疾病患者进行研究。根据以下标准对图像进行评估：伪影、椎体、椎间盘及退变改变的显示、椎管狭窄分级（0 - 3级）以及颈脊髓评估。
由于图像模糊和伪影，T2加权TSE序列在所有病例中均能对颈椎进行评估和显示，但HASTE序列仅能对24例患者中的23例进行评估和显示。T2加权TSE序列在大多数病例（23/24）中能够区分骨赘和椎间盘，而HASTE序列则无法区分。T2加权TSE图像中有4例患者观察到颈椎病，而HASTE序列仅在2例中观察到。与T2加权TSE序列相比，HASTE序列对椎管狭窄的评估偏低。
在颈椎解剖结构的显示、颈椎管狭窄分级以及颈椎病评估方面，T2 - TSE序列优于HASTE序列。
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