3D MEDIC和3D SPACE 磁共振神经成像在腰骶丛神经根的一致性对比研究

doi:10.3969/j.issn.1006-7795.2021.01.022

首都医科大学学报 ›› 2021, Vol. 42 ›› Issue (1): 131-137.doi: 10.3969/j.issn.1006-7795.2021.01.022

3D MEDIC和3D SPACE 磁共振神经成像在腰骶丛神经根的一致性对比研究

孙峥^1,2, 孔超³, 鲁世保³, 陈海⁴, 笪宇威⁴, 张苗^1,2, 卢洁^1,2*

1.首都医科大学宣武医院放射科, 北京 100053;
2.磁共振成像脑信息学北京市重点实验室, 北京 100053;
3.首都医科大学宣武医院骨科, 北京 100053;
4.首都医科大学宣武医院神经内科, 北京 100053)

收稿日期:2020-03-30 出版日期:2021-02-21 发布日期:2021-02-02
基金资助:
北京市医院管理局“登峰”计划专项基金(DFL20180802)。

A comparative study on the consistency of 3D MEDIC and 3D SPACEmagnetic resonance neurography imaging in lumbosacral plexus nerve roots

Sun Zheng^1,2, Kong Chao³, Lu Shibao³, Chen Hai⁴, Da Yuwei⁴, Zhang Miao^1,2, Lu Jie^1,2*

1. Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2. Brain Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing 100053, China;
3. Department of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
4. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2020-03-30 Online:2021-02-21 Published:2021-02-02
Contact: ^*E-mail:imaginglu@hotmail.com
Supported by:
Special Funds for Beijing municipal Administration of Hospitals' Ascent Plan (DFL20180802).

摘要/Abstract

摘要： 目的验证三维多回波数据联合成像 (three dimensional multi-echo data imagine combination with selective water excitation, 3D MEDIC WE)和三维快速自旋回波成像 (three dimensional sampling perfection with application optimized contrasts by using different flip angle evolution, 3D SPACE STIR) 序列在腰骶丛神经根成像中的可行性和重复性。方法将55例受试者分为腰椎无异常表现的正常对照组(20例)、单纯性腰椎间盘突出症(lumbar disc herniation, LDH)组(20例)和慢性炎性脱髓鞘性多发性神经根神经病症(chronic inflammatory demyelinating polyradiculoneuropathy, CIDP)组(15例),分别应用两种腰骶丛神经根成像,评价图像质量参数信噪比(signal to noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR)和对比度(contrast ratio,CR),并验证正常对照组、CIDP组和LDH组测量神经根直径的一致性。结果两序列测得神经根直径的一致性较高(正常组r=0.95,CIDP组r=0.99,LDH组r=0.97,P<0.001),图像质量评价指标显示,3D SPACE STIR序列在SNR、CNR和CR三项指标中占优,3D MEDIC WE定性评估图像质量评分较高。两序列均能清晰显示正常腰骶丛神经根、病变所致的弥漫性形态增粗神经根以及间盘突出受挤压变形的神经根。结论 3D MEDIC WE和3D SPACE STIR序列可应用于腰骶丛神经根成像,两序列对正常和异常形态、走行的神经根评估具备很高的可行性和重复性。综合考量临床图像的定性、定量评价,可择优选择恰当的序列为腰骶丛神经根成像提供影像支持。

关键词: 3D MEDIC WE, 3D SPACE STIR, 腰骶丛神经根

Abstract: Objective To validate the feasibility and reproducibility of three dimensional multi-echo data imagine combination with selective water excitation (3D MEDIC WE)and three-dimensional sampling perfection with application optimized contrasts by using different flip angle evolution(3D SPACE STIR)sequence in lumbosacral plexus nerve root imaging. Methods Fifty-five subjects were undergone with two magnetic resonance neurography(MRN)sequences of lumbosacral plexus nerve roots to evaluate the signal to noise ratio(SNR),contrast to noise ratio(CNR)and contrast ratio(CR) of image quality parameters, and to validate the consistency of measurement of nerve root diameter in normal control (NC) group,chronic inflammatory demyelinating polyradiculoneuropathy(CIDP)group and lumbar disc herniation(LDH) group, respectively. Results The consistency of nerve root diameter measured by the two MRN sequences was higher (r=0.95 in NC group, r=0.99 in CIDP group, r=0.97 in LDH group, P<0.001). The image quality evaluation index showed that 3D space sequence was superior in the three indexes of SNR, CNR and CR, and the image quality score of 3D medic qualitative evaluation was higher. Both the two sequences can clearly show the normal lumbosacral plexus nerve root, the diffuse morphological thickening nerve root and the compressed nerve root caused by the disc herniation. Conclusion 3DMEDIC and 3D SPACE sequences can be used in the assessment of lumbosacral plexus nerve root imaging. The two sequences have high feasibility and reproducibility in the evaluation of normal and abnormal shape and course of nerve root. Considering the all-round evaluation of clinical images, we can choose the best sequence to provide image support.

Key words: 3D MEDIC WE, 3D SPACE STIR, lumbosacral plexus nerve root

中图分类号:

孙峥, 孔超, 鲁世保, 陈海, 笪宇威, 张苗, 卢洁. 3D MEDIC和3D SPACE 磁共振神经成像在腰骶丛神经根的一致性对比研究[J]. 首都医科大学学报, 2021, 42(1): 131-137.

Sun Zheng, Kong Chao, Lu Shibao, Chen Hai, Da Yuwei, Zhang Miao, Lu Jie. A comparative study on the consistency of 3D MEDIC and 3D SPACEmagnetic resonance neurography imaging in lumbosacral plexus nerve roots[J]. Journal of Capital Medical University, 2021, 42(1): 131-137.

参考文献

[1] 龙茜,柳曦,刘定西,等. MRN在脊神经病变中的临床应用进展[J]. 临床放射学杂志, 2012,31(11):1666-1669.
[2] 张中伟,孟悛非. 周围神经磁共振成像研究进展[J]. 影像诊断与介入放射学, 2009,18(6):334-335.
[3] Gruber H, Glodny B, Galiano K, et al. High-resolution ultrasound of the supraclavicular brachial plexus-can it improve therapeutic decisions in patients with plexus trauma?[J]. Eur Radiol, 2007,17(6):1611-1620.
[4] 王月香,郭义柱,唐佩福,等. 高频超声诊断臂丛神经病变[J]. 中国医学影像技术, 2010,26(2):327-329.
[5] 孔龙,易海,张刚,等. 3D-MEDIC-WE序列对骶髂关节炎关节软骨病变的诊断价值[J]. 医学影像学杂志, 2017,27(8):1557-1560.
[6] 肖文丰,黄莹,许蕾,等. 3D SPACE STIR结合DTI显示腰骶神经根病变的研究[J]. 医学影像学杂志, 2015,25(9):1537-1540.
[7] 许桂晓,彭康强,张卫东,等. 增强3D SPACE STIR序列在显示腰骶神经根中的应用价值[J]. 中华临床医师杂志(电子版), 2013,7(6):2497-2500.
[8] 杨琼,郑卓肇. DESS、MEDIC、TrueFISP磁共振扫描序列对膝关节软骨成像的比较[J]. 中国医学影像技术, 2010,26(3):535-537.
[9] 李爽,孙峥,孙思远,等. 3D MEDIC WE和3D SPACE STIR磁共振序列在腰丛神经根成像的对比研究[J]. 医学影像学杂志, 2019,29(9):1548-1552.
[10]Mathey E K, Park S B, Hughes R A, et al. Chronic inflammatory demyelinating polyradiculoneuropathy: from pathology to phenotype[J]. J Neurol Neurosurg Psychiatry, 2015,86(9):973-985.
[11]中华医学会神经病学分会,中华医学会神经病学分会周围神经病协作组,中华医学会神经病学分会肌电图与临床神经电生理学组,等. 中国慢性炎性脱髓鞘性多发性神经根神经病诊治指南2019[J]. 中华神经科杂志, 2019,52(11):883-888.
[12]李冲,杨杨,朱恂,等. 腰骶丛MRI形态学成像在诊断CIDP患者中的价值[J]. 中国医学计算机成像杂志, 2017,23(6):549-552.
[13]冉鹏程,柴晓明,李松柏,等. MR-PROSET序列观察腰骶神经根(节)解剖[J]. 中国医学影像技术, 2008,24(12):1988-1991.
[14]Duggins A J, Mcleod J G, Pollard J D, et al. Spinal root and plexus hypertrophy in chronic inflammatory demyelinating polyneuropathy[J]. Brain,1999,122(Pt7):1383-1390.
[15]李国斌,张卫军. 三维快速自旋回波成像技术-SPACE[J]. 磁共振成像,2010,1(4):295-298.
[16]尤云峰,张森,鲍伟宇,等. T2-tirm与3D-medic MRI序列在显示脊神经损伤中的效能比较[J]. 实用医学影像杂志,2011,12(2):69-71.
[17]Midroni G, de Tilly L N, Gray B, et al. MRI of the cauda equina in CIDP: clinical correlations[J]. J Neurol Sci,1999,170(1):36-44.
[18]丁一,杨晋才,张黎明,等.正常腰神经根磁共振神经成像临床影像学特点研究[J].首都医科大学学报,2019,40(5):769-775.
[19]张明,郑祖根. 腰椎神经根管狭窄神经根受压的形态学变化及其临床意义[J]. 中国临床解剖学杂志,2002,20(2):109-111.

3D MEDIC和3D SPACE 磁共振神经成像在腰骶丛神经根的一致性对比研究

A comparative study on the consistency of 3D MEDIC and 3D SPACEmagnetic resonance neurography imaging in lumbosacral plexus nerve roots

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