磁共振成像常用方法在脊髓损伤中的应用进展  

Research Progress on Spinal Cord Injury and Common Method of MRI Imaging

作　　者：安全明[1] 郑文彬[1] 郝朋元 顾锐[1] 赵建武[1] 

机构地区：[1]吉林大学中日联谊医院骨科,长春130033

出　　处：《医学综述》2015年第2期289-291,共3页Medical Recapitulate

摘　　要：脊髓损伤后,行常规磁共振成像(MRI)检查可以显示大多数的脊髓损伤情况,但是有临床报道只行常规核磁检查对脊髓损伤的诊治仍有不足,造成漏诊或误诊,临床可以根据脊髓损伤的特点,适当追加扩散加权成像技术、钆喷酸葡胺造影技术、脂肪抑制技术等序列信号的检查,可以早期、明确地诊断出脊髓损伤的情况,特别是对临床神经症状较重而常规MRI表现不明显的脊髓损伤患者。开展MRI新序列信号检查的研究对脊髓损伤的诊治有较大的意义,可以早期判断疾病的预后及是否早期行手术,应该引起相关科室医师的重视。After spinal cord injury,routine MRI examination can display most of the imaging findings of spinal cord injury. But it has been reported that simple MRI examination is still inadequate to the diagnosis of spinal cord injury,that may result in missed diagnosis or misdiagnosis. In clinical practice,according to the characteristics of the spinal cord injury,clinicians can appropriately apply diffusion-weighted imaging（ DWI）,gadolinium DTPA imaging techniques（ Gd-DTPA）,fat suppression（ FS） and other sequence checking in addition,in order to make clear diagnosis of spinal cord injury,especially,to patients with serious clinical neurological symptoms,but without clear results of conventional MRI among patients with spinal cord injury. Application of signal detection of new MRI sequence plays an significance role in the treatment for spinal cord injury,it can evaluate the prognosis of the disease at early stages,and determine whether early surgery is neccessary,therefore,it should be paid more attention from relevant sections of the hospital.

关 键 词：磁共振成像 扩散加权成像 钆喷酸葡胺 压脂成像 

分 类 号：R681.5[医药卫生—骨科学]