MRI不同扫描方位在脊髓亚急性联合变性诊断中的价值.pdfVIP

论著·临床辅助检查 CHINESECOMMUNITYDOCTORS MRI不同扫描方位在脊髓亚急性联合变性诊断中的价值 1 2 马益颖 郭春锋(通讯作者) 466000周口市结核病防治所放射科1 463000驻马店市第一人民医院磁共振室2 doi:10.3969/j.issn.1007-614x.2016.24.68 摘 要 目的：探讨MRI不同扫描方位在脊髓亚急性联合变性诊断中的特点，以提高诊断准确率。方法：收治脊髓 亚急性联合变性患者18例，采用MRI检查，总结MRI特征。结果：18例患者MRI均得到明确显示，14例矢状位脊 髓后部略微肿胀，T1WI呈等或稍低信号，T2WI呈条带状高信号；16例轴位T2WI表现为脊髓后索对称性斑点状、 “倒V字形”高信号；18例轴位DWI序列呈明显高信号，相应ADC值降低；4例增强扫描均无明显异常强化。结论： MRI轴位T2WI，尤其是轴位DWI序列对脊髓亚急性联合变性的检出较为敏感，结合临床实验室检测能够做出脊髓 亚急性联合变性的定性诊断，有利于临床治疗及预后。 关键词 磁共振成像；脊髓亚急性联合变性；维生素B12缺乏 ValueofMRIdifferentscanningdirectionsinthediagnosisofsubacutecombineddegenerationofspinalcord MaYiying,GuoChunfeng(Correspondingauthor)1 2 DepartmentofRadiology,TuberculosisPreventionandTreatmentInstituteofZhoukouCity4660001 MRIRoom,theFirstPeoplesHospitalofZhumadianCity4630002 Abstract Objective:ToexplorethecharacteristicsofMRIdifferentscanningdirectionsinthediagnosisofsubacutecombined degeneration of spinal cord,in order to improve the accuracy of diagnosis.Methods:18 patients with subacute combined degenerationofspinalcordwereselected.TheyweregivenMRIexamination,andweanalyzedtheMRIcharacteristics.Results: MRIof18patientswereclearlydisplayed;theposteriorpartofthespinalcordof14caseswasslightlyswolleninsagittalposition; T1WIdisplayedequalsignalorslightlylowsignal;T2WIdisplayedstriphighsignal.Inaxialviewof16cases,T2WIdisplayed funiculusposteriormedullaespinalissymmetricalspots,reverseVhighsignal.Inaxialviewof18cases,DWIsequencedisplayed obvioushighsignal;thecorrespondingADCvaluewasreduced.4caseswithenhancedscandidnothaveobviousabnormal enhancement.Conclusion:InMRIaxialviewT2WI,especiallyaxialviewDWIsequencewassensitivetothediagnosisofsubacute combineddegenerationofthespinalcord.Combinedwithclinicallaboratorytesting,wecanmakequalitativediagnosisofsubacute