磁共振扩散成像及磁敏感加权成像在脊髓损伤中的应用.pdf

国际医学放射学杂志 ： Ｉｎｔｅｒｎａｔｉｏｎａｌ Ｊｏｕｒｎａｌ ｏｆ Ｍｅｄｉｃａｌ Ｒａｄｉｏｌｏｇｙ ２０ 15 Sep鸦 38穴5雪 423-426 神经放射学 磁共振扩散成像及磁敏感加权成像 在脊髓损伤中的应用 1 2* 赵细辉 陈昆涛 【摘要】 目前，脊髓 MR 成像常规检查是诊断脊髓损伤的最佳手段，能清楚地显示受损伤脊髓形态及信号改 变，以此明确疾病，但是当 MRI 常规检查出现信号改变时往往提示脊髓损伤严重，并非病变的早期，使得病人错 过最佳治疗时期。 而 MR 扩散加权成像（DWI ）和磁敏感加权成像(SWI)对脊髓损伤的早期诊断、治疗和预后均具有 重要价值。 对 DWI 及 SWI 在急慢性脊髓损伤中的应用情况及研究进展进行综述。 【关键词】 磁共振成像；扩散加权成像；扩散张量成像；磁敏感加权成像；纤维束示踪成像；脊髓损伤 DOI: 10.3874/j.issn.1674-1897.2015.05.Z0502 Applications of magnetic resonance diffusion imaging and magnetic susceptibility weighted imaging in spinal 1 2 cord injury ZHAO Xihui , CHEN Kuntao . 1 Zunyi Medical College, Zhuhai 519100, China; 2 Department of Radiology, Fifth Affiliated (Zhuhai) Hospital of Zunyi Medical College 【Abstract 】 Nowadays, traditional MRI is the best tool for the diagnosis of spinal cord injury, which can clearly identify the spinal cord injury by detecting the morphological and signal changes. However, when traditional MRI detects the signal change, indicative of a serious myelo injury, it is too late for treatment. Magnetic diffusion imaging and magnetic susceptibility weighted imaging (SWI) have values for the early diagnosis, treatment and prognosis of spinal cord injury. In this paper, we reviewed the applications of DTI and SWI in the acute or chronic spinal cord injury and the research progress. 【Key words 】 Magnetic resonance imaging; Diffusion weighted imaging; Diffusion tensor imaging; Susceptibility weighted imaging; Diffusion tensor tractgraph