老年人非外伤性多椎体压缩的mri分析-中南大学学报医学版.pdfVIP

2001, 26( 3) BULL HUNAN MED UNIV 235 MRI 沈比先, 周顺科, 张可建 ( 中南大学湘雅二医院放射科, 长沙 410011) [ ] 目的: 评估MRI 在老年人急性非外伤性多椎体压缩骨折病因 断与鉴别 断中的价值方法: 收集非 外伤性多椎体压缩68例每例均同时进行矢状位T1WI, T2WI, T 1WI 增强及轴位T1WI 检查, 其中12 例加扫了T1WI 冠状位, 22例加扫T1WI 轴位增强检查结果:骨质疏松31例, 压缩椎体后缘骨皮质向前折迭成角且骨片向椎管内突 出为特异性MRI 表现, 其MRI 信号与邻近椎体相等为其特征性表现; 转移瘤30例, 硬膜外肿块椎弓根骨质破坏为特 异性表现, 而在T 1WI 增强及T2WI 像上, 病变椎体呈弥漫性高信号或不均匀高信号是与骨质疏松鉴别的特征性表现; 多发性骨髓瘤7 例, T1WI 低信号,T 1WI 增强及T2WI 像呈均匀高信号为其主要表现结论: MRI 是老年人多发性椎体 压缩病因鉴别 断的敏感和可靠的方法 [ ] 脊椎骨折; 骨质疏松; 转移瘤; 多发性骨髓瘤; 磁共振成像; 断; 老年人 [ ] R6832 R4452 [ ] A [ ] 2001 MRI analysis of non- traumatic multiple vertebral collapse in aged people SHEN Bixia , ZHOU Shu ke, ZHANG Kejia ( Dep artment of Radiology , The Second X iangy a H osp ital , Central South University , Changsha 410011, Chi na ) Abstract: Objective To evaluate the MRI i the differe tial diag osis of acute o - traumatic vertebral collapse. Methods Sixty- eight caseswere retrospected. All cases were studied with sagittal T1- weighted MR images, T2- weighted MR images, gadoli ium- e ha ced T1- weighted MR images, a d axial T1- weighted MR images. Twelve of 68 were performed extra coro al T1- weighted MR images a d 22 with additio al axial gadoli ium- e ha ced T1- weighted images. Results The causes of vertebral collapse were: ( 1) osteoporosis ( n = 31) , their images showed retropulsio of bo y fragme ts of collapsed vertebral body which kept the ormal sig al i to the spi al ca al as the disti ctive sig ; ( 2) metastatic tumor ( n = 30) , their images showed de structio s of pedicles of vertebral a d epidural mass as the disti ctive sig , a d hyperi te se or mixed hyperi