[1]李伟,战微微,冯越,等.腰椎ModicⅠ型终板退行性变的高场强核磁共振诊断特点[J].中医正骨,2013,25(01):33-34.
点击复制

腰椎ModicⅠ型终板退行性变的高场强核磁共振诊断特点()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年01期
页码:
33-34
栏目:
影像诊断
出版日期:
2013-01-20

文章信息/Info

作者:
李伟; 战微微; 冯越; 刘轶
浙江省浙江医院,浙江 杭州 310013
关键词:
腰椎 磁共振成像 终板 退行性变 诊断
摘要:
目的:探讨腰椎ModicⅠ型终板退行性变高场强MRI影像特点,为该病的诊断提供依据。方法:回顾性分析39例腰椎ModicⅠ型终板退行性变患者的高场强MRI图片。男16例,女23例,年龄40～81岁,中位数56岁; 均有腰背部疼痛不适、活动受限症状; 均无外伤、发热及血象异常等病史。结果:本组39例,共96椎终板发生病变。病变分布:L2下缘1椎,L3上缘2椎,L3下缘8椎,L4上缘9椎,L4下缘17椎,L5上缘19椎,L5下缘20椎,S1上缘20椎。4例8椎MRI表现为T1WI混杂高信号,抑脂序列信号减低; 其余受累椎体MRI表现为T1WI信号降低,T2WI信号增高,椎体上下缘毛糙,部分呈“毛刷样”改变; 相邻椎体终板退变大致呈“吻状”对称分布; 与病变终板平行的椎间盘T2WI信号降低,上下径变窄,有膨出或突出征象。结论:腰椎ModicⅠ型终板退变多发生在L4～5、L5S1节段,受累椎体终板T1WI信号降低、T2WI信号增高,与病变终板平行的椎间盘有突出或膨出表现,无椎间盘破坏征象,可与早期椎间盘感染性病变相鉴别。

参考文献/References:

[1] Modic MT,Steinberg PM,Ross JS,et al.Degenerative disk disease:assessment of changes in vertebral body marrow with MR imaging[J].Radiology,1988,166(1 Pt 1):193-199.
[2] Kuisma M,Karppinen J,Niinimäki J,et al.Modic changes in endplates of lumbar vertebral bodies:prevalence and association with low back and sciatic pain among middle-aged male workers[J].Spine(Phila Pa 1976),2007,32(10):1116-1122.
[3] Kerttula L,Luoma K,Vehmas T,et al.Modic type I change may predict rapid progressive,deforming disc degeneration:a prospective 1-year follow-up study[J].Eur Spine J,2012,21(6):1135-1142.
[4] Albert HB,Kjaer P,Jensen TS,et al.Modic changes,possible causes and relation to low back pain[J].Med Hypotheses,2008,70(2):361-368.
[5] Emch TM,Modic MT.Imaging of lumbar degenerative disk disease:history and current state[J].Skeletal Radiol,2011,40(9):1175-1189.
[6] Sandhu HS,Sanchez-caso LP,Parvataneni HK,et al.Association between findings of provocative discography and vertebral endplate signal changes as seen on MRI[J].J Spinal Disord,2000,13(5):438-443.
[7] Modic MT,Ross JS.Lumbar degenerative disk disease [J].Radiology,2007,245(1):43-61.
[8] Mitra D,Cassar-pullicino VN,Mccall IW.Longitudinal study of vertebral type-1 end-plate changes on MR of the lumbar spine[J].Eur Radiol,2004,14(9):1574-1581.
[9] Fayad F,Marie-martine L,Jean-luc D,et al.Reliability of a modified Modic classification of bone marrow changes in lumbar spine MRI[J].Joint Bone Spine,2009,76(3):286-289.

更新日期/Last Update: 2013-01-20