目的 探究MRI T2加权DIXON TSE序列对腰椎棘间韧带炎的诊断价值。 方法 收集2020年3月至2023年4月在我院就诊的80例腰椎棘间韧带炎患者，根据患者疼痛程度分级，分别为轻度组26例、中度组29例、重度组25例。比较3组患者基线资料、MRI T2加权DIXON TSE序列，并采用Spearman法分析MRI T2加权DIXON TSE序列与疼痛程度的相关性，采用受试者工作特征（ROC）曲线下面积（AUC）分析MRI T2加权DIXON TSE序列腰椎棘间韧带炎中重度疼痛的诊断价值。 结果 重度组FF-T2 TSE-Dixon值高于轻度组、中度组，中度组高于轻度组（P<0.05）；FF-T2 TSE-Dixon值与疼痛程度呈正相关（P<0.05）；FF-T2 TSE-Dixon诊断腰椎棘间韧带炎的AUC值为0.903。 结论 MRI T2加权DIXON TSE序列对腰椎棘间韧带炎可能有较好的诊断价值，且FF-T2 TSE-Dixon值与疼痛程度可能呈正相关，疼痛程度越严重，FF-T2 TSE-Dixon值越高。
Abstract
Objective To explore the diagnostic value of MRI T2-weighted DIXON TSE sequence in lumbar interspinous ligamentitis. Methods A total of 80 patients with lumbar interspinous ligamentitis treated in our hospital from March 2020 to April 2023 were collected. According to the pain degree of patients, 26 cases were in the mild group, 29 cases in the moderate group, and 25 cases in the severe group. Baseline data and MRI T2-weighted DIXON TSE sequence of the three groups were compared, and the correlation between MRI T2-weighted DIXON TSE sequence and pain degree was analyzed by Spearman method. The area under receiver operating characteristic (ROC) curve (AUC) was used to analyze the diagnostic value of MRI T2-weighted DIXON TSE in the diagnosis of moderate and severe lumbar interspinous ligamentitis. Results The FF-T2 TSE-Dixon value in severe group was higher than that in mild group and moderate group, and the moderate group was higher than that in mild group (P<0.05). FF-T2 TSE-Dixon value was positively correlated with pain degree (P<0.05). The AUC value of FF-T2 TSE-Dixon in the diagnosis of lumbar interspinous ligamentitis was 0.903. Conclusions MRI T2-weighted DIXON TSE sequence may have a better diagnostic value for lumbar interspinous ligamentitis, and the FF-T2 TSE-Dixon value may be positively correlated with the degree of pain. The more severe the degree of pain, the higher the FF-T2 TSE-Dixon value.
关键词
腰椎棘间韧带炎； /
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MRI； /
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疼痛程度； /
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诊断
Key words
Lumbar interspinous ligamentitis; /
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MRI; /
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Pain degree; /
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Diagnostic
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参考文献
[1] 徐传伟, 赵丹. 密集毫针针刺法治疗腰椎棘间韧带炎的临床观察[J]. 云南中医中药杂志, 2020, 41(1):55-57. DOI:10.16254/j.cnki.53-1120/r.2020.01.018.
Xu CW, Zhao D. Clinical observation on the treatment of lumbar interspinous ligamentitis by dense fine needle acupuncture [J]. Yunnan Journal of Traditional Chinese Medicine and Materia Medica, 2020, 41(1):55-57. DOI:10.16254/j.cnki.53-1120/r.2020.01.018.
[2] 郭凯锋,杨文,韩佩洁,等.单次体外冲击波治疗胸段棘上韧带炎的即刻及短期效果[J].按摩与康复医学,2021,12(14):27-29. DOI:10.19787/j.issn.1008-1879.2021.14.011.
Guo Kaifeng, Yang Wen, Han Peijie, et al. Immediate and short-term effects of single extracorporeal shock wave therapy on thoracic supraspinous ligamentitis [J]. Chinese Manipulation and Rehabilitation Medicine,2021,12(14):27-29. DOI:10.19787/j.issn.1008-1879.2021. 14.011.
[3] Leupold O, Cheng J, Barcavage C, et al. Treatment of Interspinous Pain With Extracorporeal Shockwave Therapy: A Case Report[J]. Am J Phys Med Rehabil. 2024,103(3):e23-e25.DOI:10.1097/PHM.00000000 00002353.
[4] 李彩.磁共振联合弥散张量成像诊断布氏杆菌性脊柱炎的效果[J].临床研究,2023,31(4):126-128. DOI:10.12385/j.issn.2096-1278(2023)04-0126-03.
Li C. Effect of magnetic resonance imaging combined with diffusion tensor imaging in the diagnosis of brucellosis spondylitis [J]. Clinical Research, 2023, 31(4):126-128. DOI:10.12385/j.issn.2096-1278(2023)04-0126-03.
[5] 周章南,陈培基,陈昆.胸背痛脊柱力学指标的临床分析[J].医学综述,2020,26(21): 4360-4363,4369. DOI:10.3969/j. issn.1006-2084. 2020. 21.039.
Zhou ZN, Chen PJ, Chen K. Clinical analysis of spinal mechanical indexes in patients with thoracic and back pain [J]. Medical Recapitulate, 2020, 26(21):4360-4363+4369. DOI:10.3969/j. issn.1006-2084.2020.21.039.
[6] Lins CF, Salmon CEG, Nogueira-Barbosa MH. Applications of the Dixon technique in the evaluation of the musculoskeletal system[J]. Radiol Bras. 2021,54(1):33-42. DOI:10.1590/0100-3984.2019.0086.
[7] 马梦园,王金洋,李小犇,等.磁共振脂肪量化的研究进展及应用[J].磁共振成像,2023,14(7):197-202. DOI:10.12015/issn.1674-8034. 2023. 07.036
Ma MY, Wang JY, Li XB, et al. Research progress and applications of fat quantification with magnetic resonance imaging [J]. Chin J Magn Reson Imaging, 2023,14(7):197-202. DOI:10.12015/issn.1674-8034.2023.07.036.
[8] 隋佳璇,南海鸥.慢性非特异性下腰痛的康复治疗研究现状[J].内蒙古医学杂志,2024, 56(2):171-176. DOI:10.16096/J.cnki.nmgyxzz. 2024.56.02.011.
Sui JX, Nan HO. Rehabilitation research status quo of chronic nonspecific low back pain [J]. Journal of Inner Mongolia Medical Journal, 2024, 56 (2):171-176. DOI: 10.16096 / j.carol carroll nki nmgyxzz. 2024.56.02.011.
[9] Engelke K, Chaudry O, Gast L, et al. Magnetic resonance imaging techniques for the quantitative analysis of skeletal muscle: State of the art[J]. J Orthop Translat,2023,42: 57-72. DOI: 10.1016/j.jot.2023.07. 005.
[10]Alic L, Griffin JF 4th, Eresen A, et al. Using MRI to quantify skeletal muscle pathology in Duchenne muscular dystrophy: A systematic mapping review[J]. Muscle Nerve, 2021, 64(1):8-22. DOI:10.1002/mus.27133.
[11]Jing QF, Shen SJ, Dong Y, et al. Correlation analysis between degenerative spondylolisthesis and T2WI hyperintensity on MRI of interspinous ligament[J]. Zhongguo Gu Shang, 2021, 34(4):333-336. DOI:10.12200/j.issn.1003-0034.2021.04.007.
[12]Koo BS, Song Y, Shin JH, et al. Evaluation of disease chronicity by bone marrow fat fraction using sacroiliac joint magnetic resonance imaging in patients with spondyloarthritis: A retrospective study[J]. Int J Rheum Dis, 2019, 22(4):734-741. DOI:10.1111/1756-185X.13485.
[13]李忠玉, 柴玉洁, 张建年.布鲁杆菌性脊柱炎的影像学表现及治疗[J]. 临床骨科杂志, 2022, 25(1):43-47. DOI:10.3969/j.issn.1008-0287. 2022. 01.013.
Li ZY, Chai YJ, Zhang JN. Imaging findings and treatment of Brucellar spondylitis [J]. Journal of Clinical Orthopaedics, 2022, 25(1):43-47. DOI:10. 3969/j.issn.1008-0287.2022.01.013.
[14]Mehta G, Shetty UC, Meena D, et al. Evaluation of diagnostic accuracy of magnetic resonance imaging in posterior ligamentum complex injury of thoracolumbar spine[J]. Asian Spine J, 2021,15(3):333-339. DOI: 10.31616/asj.2020.0027.
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