MSCT三维重建指导椎弓根螺钉置入的体外应用研究-放射学实践.PDFVIP

2004 5 19 5 Radiol Practice, May 2004, Vol 19, No. 5 3 3 ## M SCT 王娟, 周义成, 胡宁, 王仁法 = : 探讨多层螺旋CT 三维重建对椎弓根螺钉置入的指导价值: 多层螺旋CT 三维图像上, 测量 两具胸椎标本( T ~ T ) 椎弓根的三维定量解剖数据, 用以指导椎弓根螺钉的置入置入螺钉后拔出, 用显影剂填充钉 1 10 道CT 测量显影钉道的椎弓根水平位角( PW ) 椎弓根宽度( PH ) 椎弓根高度( T SA) 和椎弓根长度( SSA) 值 实物标 本上用量角器和游标卡尺测量实际值: 配对资料两样本均数比较行 t 检验, CT 图像与实物标本测量数据之间的差 异无统计学意义( P 0. 05) 多因素设计资料方差分析证实, 椎弓根显影钉道的T SA SSA 与其中轴的T SA SSA 之间差 异无统计学意义( P 0. 05) : 多层螺旋CT 三维重建后测量的各解剖参数充分体现了 个体化原则, 真实可靠, 对椎 弓根螺钉的准确置入有指导意义 = 椎关节病变; 体层摄影术, X 线计算机; 成像, 三维 = R816. 8; R814. 42; R681. 53 = A = 1000-03 13( 2004) 05-0323-04 Application of multislice spiral CT for guidance of insertion of thoracic spine pedicle screws: an in vitro study WAN G uan, ZHOU Y-i cheng , HU Ning, et al. Department of R adiology , T ongji Hospital, T ongji M edical College, Huazhong University of Sc-i ence and T echnology, W uhan 430030, P . R. China = Abstract Objective:T o investigate the value of the guidance of three dimensional reconstruction of multislice spiral CT ( M SCT ) for the placement of pedicle scr ew s. Methods: T he 3D anatomical data of the thor acic spine pedicles were measured by M SCT in two human cadavers ( T ~ T ) to guide the insertion of pedicle screws. After pulling the screws out, the pathw ays w ere 1 10 filled with contr ast media. T he PW, PH, T SA and SSA of developed pathw ays w ere measured on the CT images and also mea- sured on the real objects by caliper and goniometer. Results:Analysis of variance demo nstrated that the difference between the CT scans and real objects had no statistical sig nificance ( P 0. 05) . Mor eover, the difference between pedicle ax is and developed path- w ay also had no statistical significance ( P 0. 05) . Conc