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全脊柱MRI对强直性脊柱炎急性炎症的诊断价值分析

Diagnostic Value of Total Spine MRI for Acute Inflammation of Ankylosing Spondylitis
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摘要 目的:浅析强直性脊柱炎急性炎症诊断中全脊柱MRI的应用价值。方法:本次50例研究对象均是前来本院就诊的强直性脊柱炎急性炎症患者,2015年5月-2020年5月为研究对象筛选时间,所有患者均进行全脊柱MRI检查,对诊断结果、影像表现、图像质量进行分析。结果:96%患者MRI扫描图像质量满意,解剖结构清晰、拼接图像无缺失、无伪影。另外,所有患者均存在脊柱急性炎症,其中,56%棘突附着点炎、74%椎小关节炎、76%肋椎关节炎、20%椎间盘炎、80%椎角炎。MRI影像表现,T1WI序列呈低信号,T2WI脂肪抑制序列呈等信号或高信号。结论:强直性脊柱炎急性炎症诊断中全脊柱MRI有着较高的应用价值,不仅能清晰显示病灶解剖位置、结构,还能缩短检查时间,为治疗方案确定提供更多数据,值得推广应用。 Objective:To analyze the application value of total spine MRI in the diagnosis of acute inflammation of ankylosing spondylitis.Methods:The 50 study subjects were all patients with compulsive spondylitis and acute inflammation who came to our hospital.The screening time was May 2015-May 2020.All patients underwent a full spine MRI to diagnose the diagnosis.,Image performance,image quality analysis..Results:96%of the patients had satisfactory MRI scan images,clear anatomical structure,no missing images and no artifacts.In addition,all patients have acute spinal inflammation,of which 56%of spinous process attachment point inflammation,74%of vertebral arthritis,76%of costal arthritis,20%of intervertebral discitis,and 80%of vertebral inflammation.MRI image showed that T1WI sequence showed low signal,T2WI fat suppression sequence showed equal signal or high signal.Conclusion:The total spine MRI has high application value in the diagnosis of acute inflammation of ankylosing spondylitis.Not only can it clearly display the anatomical location and structure of the lesion,but also shorten the examination time.It provides more data for the determination of the treatment plan and is worthy of popularization and application.
作者 陈苍松 龚碧云 Chen Cangsong;Gong Biyun(Department of Radiology,Fujian Provincial Geriatric Hospital,Fuzhou,Fujian 350003)
出处 《现代医用影像学》 2021年第4期636-638,共3页 Modern Medical Imageology
关键词 全脊柱 MRI 强直性脊柱炎 急性炎症 核磁共振 Total spine MRI Ankylosing spondylitis Acute inflammation
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