MRI正常椎管内臂丛神经根MRI形态研究.docVIP

平衡式稳态自由进动序列成像正常椎管内臂丛神经根解剖研究 陈新 刘伟 王丛颖 牛琰鑫 【摘要】目的：应用MRI平衡式稳态自由进动（Balance- SSFP）序列成像多平面重建描述椎管内臂丛正常形态解剖。材料与方法：本组20例自愿者行MRI检查;从283例同时行CTM和MRI检查中筛选CTM未见椎管内臂丛神经根结构损伤的28例与MRI比较。行冠状，矢状及 斜横轴位重建，测量20例自愿者各组神经根。结果：冠状图像显示完整的神经前，后根结构，前根表现为“机翼状”，后根表现为“毛刷状”；矢状位脊髓旁层面显示各组神经根与相应椎体位置关系；斜横轴位图像显示神经根连续性更完整，避免了上下组神经根重叠。结论：应用Balance- SSFP序列成像，冠状位、矢状位及斜横轴位重建图像，可提供更多的椎管内臂丛的形态解剖学信息。 【关键词】核磁共振成像，平衡式稳态自由进动；电子计算机X射线断层扫描技术 sequence. Chen Xin , liu wei, Wang cong-ying, Nu Yan-xin .Department of Radiology ,General Hospital of Missile Army of PLA, Beijing 100088 【Abstract】Objective: To delineate normal morphology and anatomy of nerver roots of brachial plexus within the spinal canal on the multiplanar reconstruction images of 3-D balance steady state free precession ( balance SSFP). Methods: 20 cases of normal volunteers and 28 cases in which no abnormal appearance of CTM coming from a consecutive 283 cases were evaluated by 3-D Balance -SSFP sequence on coronal,sagittal and oblique axial reconstructive images and some datas about the nerve roots of the nerve roots were measured. Results: A coronal image clearly demonstrates all of the nerve roots and described the ventral roots as a wing-like configuration and the dorsal roots as a brush-like configuration , respectively. A sagittal image on paraspinal cord demonstrate all of the nerve roots and the locating relationshipe of the upper and lower nerve roots with the corresponding vertebra body. Oblique axial image might display a more continuous roots than one on conventional axial image. Conclusion: Coronal,sagittal and oblique axial reconstructive of 3-D Balance -SSFP sequence images was helpful in obtaning more information about the morphology and anatomy of nerve roots of brachial plexus within spinal canal. 【Key words】MRI；Balance -SSFP ;Myelography；brachial plexus；nerver roots 臂丛神经损伤的治疗及预后与臂丛神经损伤的部位及性质密切相关。臂丛神经损伤临床主要分两大类型：一类为椎间孔内的节前损伤；另一类为椎间孔外的节后损伤。节前损伤是指椎管内颈神经前后根束状结构处断裂，因其损伤后无自行恢复的可能，难以外科手术的修复 。脊髓造影后CT（CT Myelography