磁共振弥散张量成像技术在早期脊髓型颈椎病患者诊断中的应用及相关参数分析  

Application and Related Parameter Analysis of Magnetic Resonance Diffusion Tensor Imaging Technology in the Diagnosis of Early Cervical Spondylotic Myelopathy

作　　者：葛陈雷 GE Chenlei(Department of Imaging Center,Cao County County Hospital,Heze 274000,China)

机构地区：[1]山东省曹县县立医院影像中心,山东菏泽274000

出　　处：《中国伤残医学》2025年第4期94-97,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨磁共振弥散张量成像(DTI)技术在早期脊髓型颈椎病(CSM)患者诊断中的应用价值。方法:回顾性分析2022年3月-2024年3月曹县县立医院收治的80例早期CSM患者资料,将其纳入研究组;另选取同期本院体检的80例健康体检者资料,纳入对照组。两组均接受DTI检查,比较两组DTI参数,绘制受试者操作特征曲线并分析DTI参数对早期CSM的诊断价值。结果:研究组的各向异性分数低于对照组,表观扩散系数、径向弥散系数及轴向弥散系数均高于对照组,差异均有统计学意义(P<0.05)。各向异性分数、表观扩散系数、径向弥散系数、径向弥散系数值及联合诊断早期CSM的曲线下面积分别为0.791、0.766、0.724、0.729和0.894,均具有一定的诊断值,但联合诊断的诊断价值最高。结论:DTI参数对早期CSM具有一定的诊断价值,当各向异性分数值降低,表观扩散系数、径向弥散系数、径向弥散系数值升高,提示发生CSM风险升高。Objective:Exploring the application value of magnetic resonance diffusion tensor imaging(DTI)technology in the diagnosis of early cervical spondylotic myelopathy(CSM)patients.Methods:Data of of 80 early CSM patients admitted to Cao County County Hospital from March 2022 to March 2024 were retrospectively analyzed,and as the study group;at the same time,eighty healthy individuals who came to our hospital for physical examination during the same period were selected as the control group.Both groups underwent DTI examination.The DTI parameters of two sets were compared,and was draw to analyze the diagnostic value of DTI parameters for early CSM.Results:The fractional anisotropy value of the study group was lower than that of the control group,while the apparent diffusion coefficient,radial diffusion,and axial diffusion values of the study group were higher than those of the control group,with statistical significance(P<0.05).The area under the curve of fractional anisotropy,apparent diffusion coefficient,radial diffusion,axial diffusion,and combined diagnosis of early CSM were 0.791,0.766,0.724,0.729,and 0.894,respectively,which have certain diagnostic value,and the combined diagnostic value is the highest.Conclusion:DTI parameters have certain diagnostic value for early CSM,but when the fractional anisotropy value decreases and the apparent diffusion coefficient,radial diffusion,and axial diffusion values increase,it indicates an increased risk of CSM.

关 键 词：脊髓型颈椎病 磁共振弥散张量成像 各向异性分数 表观扩散系数 轴向弥散系数 径向弥散系数 诊断价值 

分 类 号：R604[医药卫生—外科学]