椎体骨质疏松性骨折MRI研究进展
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摘要
椎体骨质疏松性骨折(OCVF)的发病率逐年上升。MRI可无创观察OCVF的类型、病理分期及严重程度等,且无辐射。近年来,MRI已成为评价OCVF的重要手段,可为临床选择治疗方案提供影像学依据。本文对OCVF的MRI研究进展进行综述。
The incidence of osteoporotic vertebral fractures(OCVF)has increased year by year.MRI is noninvasive and nonradiative,which can be used to observe the type,pathological stage and severity of OCVF.In recent years,MRI has become an important method to evaluate OCVF,which can provide imaging basis for clinical choice of treatment.The research progresses of MRI in OCVF were reviewed in this article.
The incidence of osteoporotic vertebral fractures(OCVF)has increased year by year.MRI is noninvasive and nonradiative,which can be used to observe the type,pathological stage and severity of OCVF.In recent years,MRI has become an important method to evaluate OCVF,which can provide imaging basis for clinical choice of treatment.The research progresses of MRI in OCVF were reviewed in this article.
引文
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[5]Pappou IP,Papadopoulos EC,Swanson AN,et al.Osteoporotic vertebral fractures and collapse with intravertebral vacuum sign(Kümmel's disease)Orthopedics,2008,31(1):61-66.
[6]张淑娴,郭新全.骨质疏松性脊柱骨折的影像学诊断.中国中西医结合影像学杂志,2006,4(5):374-376.
[7]张啟维,徐宏兵,孙常太,等.骨质疏松椎体压缩骨折磁共振信号特征及其意义.中国骨与关节杂志,2013,2(6):345-348.
[8]余建明.医学影像技术学.第2版.北京:科学出版社,2009:48.
[9]齐萌,莫伟钊.骨质疏松症的影像学研究进展.医学影像学杂志,2017,27(4):762-764.
[10]陈文静,燕桂新,孙亮,等.128排螺旋CT及MRI对诊断骨质疏松性椎体压缩的诊断价值比较.中国CT和MRI杂志,2012,10(6):97-99.
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[12]Kijowski R,Blankenbaker DG,Munoz Del Rio A,et al.Evaluation of the articular cartilage of the knee joint:Value of adding a T2mapping sequence to a routine MR imaging protocol.Radiology,2013,267(2):503-513.
[13]Murthy NS.Imaging of stress fractures of the spine.Radiol Clin North Am,2012,50(4):799-821.
[14]刘峰瑞,高宏.骨质疏松和转移瘤致椎体压缩骨折的MRI早期鉴别诊断.中华临床医师杂志(电子版),2017,11(9):1518-1521.
[15]Li X,Kuo D,Schafer AL,et al.Quantification of vertebral bone marrow fat content using 3Tesla MR spectroscopy:Reproducibility,vertebral variation,and applications in osteoporosis.J Magn Reson Imaging,2011,33(4):974-979.
[16]Karampinos DC,Ruschke S,Gordijenko O,et al.Association of MRS-based vertebral bone morrow fat fraction with bone strength in a human In vitro model.J Osteoporos,2015,2015:152349.
[17]刘智,蔡跃增.氢质子磁共振波谱在骨质疏松诊断中的应用价值.中国骨质疏松杂志,2014,20(12):1417-1420,1424.
[18]Tang GY,Lv ZW,Tang RB,et al.Evaluation of MR spectroscopy and diffusion-weighted MRI in detecting bone marrow changes in postmenopausal women with osteoporosis.Clin Radiol,2010,65(5):377-381.
[19]Schellinger D,Lin CS,Fertikh D,et al.Normal lumbar vertebrae:Anatomic,age,and sex variance in subjects at proton MRspectroscopy--initial experience.Radiology,2000,215(3):910-916.
[20]Patsch JM,Li XJ,Baum T,et al.Bone marrow fat composition as a novel imaging biomarker in postmenopausal women with prevalent fragility fractures.J Bone Miner Res,2013,28(8):1721-1728.
[21]张恒,黄刚,毛泽庆,等.3.0T磁共振腹部DWI序列定量评价腰椎骨质疏松的价值.医学影像学杂志,2016,26(6):1083-1087.
[22]尚伟,李保庆,刘安龙.磁共振扩散加权成像于骨质疏松椎体骨折的评估.医学影像学杂志,2014,24(2):286-288.
[23]杨正汉,冯逢,王霄英.磁共振成像技术指南.2版.北京:人民军医出版社,2010:224.
[24]Dooms GC,Fisher MR,Hricak H,et al.Bone marrow imaging:Magnetic resonance studies related to age and sex.Radiology,1985,155(2):429-432.
[25]姚晓龙,姚娟,郭辉,等.T2mapping序列在早期强直性脊柱炎骶髂关节病变中的应用价值.中国骨质疏松杂志,2016,22(3):348-350,357.
[26]Selby K,Majumdar S,Newitt DC,et al.Investigation of Mr decay rates in microphantom models of trabecular bone.J Magn Reson Imaging,1996,6(3):549-559.
[27]Grampp S,Majumdar S,Jergas M,et al.MRI of bone marrow in the distal radius:In vivo precision of effective transverse relaxation times.Eur Radiol,1995,5(1):43-48.
[28]Mathis JM,Petri M,Naff N.Percutaneous vertebroplasty treatment of steroid-induced osteoporotic compression fractures.Arthritis Rheum,1998,41(1):171-175.
[29]Chen JF,Lee ST.Percutaneous vertebroplasty for treatment of thoracolumbar spine bursting fracture.Surg Neurol,2004,62(6):494-500;discussion 500.
[30]徐盛文,张长春,周章武,等.经皮椎体后凸成形术治疗老年骨质疏松性胸腰椎骨折的近期疗效.临床骨科杂志,2010,13(3):281-283.
[31]陈锦平.骨质疏松性骨折的外科治疗.中国全科医学,2010,13(2):122-123.
[32]程晓光,于爱红,余卫,等.骨健康的影像学评价.中国医学影像技术,2015,31(10):1451-1453.
[33]任秋萍,赵衡,唐德秋,等.外伤后骨髓病灶的影像学研究进展.医学综述,2016,22(15):3019-3022,3023.
[34]王文尚,梁志聪,林世磅,等.影像学检查在骨质疏松性椎体压缩骨折诊疗中的应用价值.现代医用影像学,2016,25(2):239-242.
[35]孟祥虹,王林森,王植,等.椎体骨质疏松性骨折评价方法和设备的临床应用现状.中国介入影像与治疗学,2013,10(6):381-384.
[36]郭宝英,朱魏,赵太茂.原发性骨质疏松椎体压缩性骨折的X线、MRI影像诊断价值分析.中国CT和MRI杂志,2016,14(11):124-126.
[2]马俊岭,郭海英,阳晓东.骨质疏松症的流行病学概况.中国全科医学,2009,12(18):1744-1746.
[3]Korovessis P,Vardakastanis K,Repantis T,et al.Balloon kyphoplasty versus KIVA vertebral Augmentation-Comparison of 2techniques for osteoporotic vertebral body fractures a prospective randomized study.Spine(Phila Pa 1976),2013,38(4):292-299.
[4]Katoh M,Spuentrup E,Stuber M,et al.Free-breathing renal magnetic resonance angiography with steady-state free-precession and slab-selective spin inversion combined with radial k-space sampling and water-selective excitation.Magn Reson Med,2005,53(5):1228-1233.
[5]Pappou IP,Papadopoulos EC,Swanson AN,et al.Osteoporotic vertebral fractures and collapse with intravertebral vacuum sign(Kümmel's disease)Orthopedics,2008,31(1):61-66.
[6]张淑娴,郭新全.骨质疏松性脊柱骨折的影像学诊断.中国中西医结合影像学杂志,2006,4(5):374-376.
[7]张啟维,徐宏兵,孙常太,等.骨质疏松椎体压缩骨折磁共振信号特征及其意义.中国骨与关节杂志,2013,2(6):345-348.
[8]余建明.医学影像技术学.第2版.北京:科学出版社,2009:48.
[9]齐萌,莫伟钊.骨质疏松症的影像学研究进展.医学影像学杂志,2017,27(4):762-764.
[10]陈文静,燕桂新,孙亮,等.128排螺旋CT及MRI对诊断骨质疏松性椎体压缩的诊断价值比较.中国CT和MRI杂志,2012,10(6):97-99.
[11]Pizones J,Izquierdo E,Alvarez P,et al.Impact of magnetic resonance imaging on decision making for thoracolumbar traumatic fracture diagnosis and treatment.Eur Spine J,2011,20(Suppl 3):390-396.
[12]Kijowski R,Blankenbaker DG,Munoz Del Rio A,et al.Evaluation of the articular cartilage of the knee joint:Value of adding a T2mapping sequence to a routine MR imaging protocol.Radiology,2013,267(2):503-513.
[13]Murthy NS.Imaging of stress fractures of the spine.Radiol Clin North Am,2012,50(4):799-821.
[14]刘峰瑞,高宏.骨质疏松和转移瘤致椎体压缩骨折的MRI早期鉴别诊断.中华临床医师杂志(电子版),2017,11(9):1518-1521.
[15]Li X,Kuo D,Schafer AL,et al.Quantification of vertebral bone marrow fat content using 3Tesla MR spectroscopy:Reproducibility,vertebral variation,and applications in osteoporosis.J Magn Reson Imaging,2011,33(4):974-979.
[16]Karampinos DC,Ruschke S,Gordijenko O,et al.Association of MRS-based vertebral bone morrow fat fraction with bone strength in a human In vitro model.J Osteoporos,2015,2015:152349.
[17]刘智,蔡跃增.氢质子磁共振波谱在骨质疏松诊断中的应用价值.中国骨质疏松杂志,2014,20(12):1417-1420,1424.
[18]Tang GY,Lv ZW,Tang RB,et al.Evaluation of MR spectroscopy and diffusion-weighted MRI in detecting bone marrow changes in postmenopausal women with osteoporosis.Clin Radiol,2010,65(5):377-381.
[19]Schellinger D,Lin CS,Fertikh D,et al.Normal lumbar vertebrae:Anatomic,age,and sex variance in subjects at proton MRspectroscopy--initial experience.Radiology,2000,215(3):910-916.
[20]Patsch JM,Li XJ,Baum T,et al.Bone marrow fat composition as a novel imaging biomarker in postmenopausal women with prevalent fragility fractures.J Bone Miner Res,2013,28(8):1721-1728.
[21]张恒,黄刚,毛泽庆,等.3.0T磁共振腹部DWI序列定量评价腰椎骨质疏松的价值.医学影像学杂志,2016,26(6):1083-1087.
[22]尚伟,李保庆,刘安龙.磁共振扩散加权成像于骨质疏松椎体骨折的评估.医学影像学杂志,2014,24(2):286-288.
[23]杨正汉,冯逢,王霄英.磁共振成像技术指南.2版.北京:人民军医出版社,2010:224.
[24]Dooms GC,Fisher MR,Hricak H,et al.Bone marrow imaging:Magnetic resonance studies related to age and sex.Radiology,1985,155(2):429-432.
[25]姚晓龙,姚娟,郭辉,等.T2mapping序列在早期强直性脊柱炎骶髂关节病变中的应用价值.中国骨质疏松杂志,2016,22(3):348-350,357.
[26]Selby K,Majumdar S,Newitt DC,et al.Investigation of Mr decay rates in microphantom models of trabecular bone.J Magn Reson Imaging,1996,6(3):549-559.
[27]Grampp S,Majumdar S,Jergas M,et al.MRI of bone marrow in the distal radius:In vivo precision of effective transverse relaxation times.Eur Radiol,1995,5(1):43-48.
[28]Mathis JM,Petri M,Naff N.Percutaneous vertebroplasty treatment of steroid-induced osteoporotic compression fractures.Arthritis Rheum,1998,41(1):171-175.
[29]Chen JF,Lee ST.Percutaneous vertebroplasty for treatment of thoracolumbar spine bursting fracture.Surg Neurol,2004,62(6):494-500;discussion 500.
[30]徐盛文,张长春,周章武,等.经皮椎体后凸成形术治疗老年骨质疏松性胸腰椎骨折的近期疗效.临床骨科杂志,2010,13(3):281-283.
[31]陈锦平.骨质疏松性骨折的外科治疗.中国全科医学,2010,13(2):122-123.
[32]程晓光,于爱红,余卫,等.骨健康的影像学评价.中国医学影像技术,2015,31(10):1451-1453.
[33]任秋萍,赵衡,唐德秋,等.外伤后骨髓病灶的影像学研究进展.医学综述,2016,22(15):3019-3022,3023.
[34]王文尚,梁志聪,林世磅,等.影像学检查在骨质疏松性椎体压缩骨折诊疗中的应用价值.现代医用影像学,2016,25(2):239-242.
[35]孟祥虹,王林森,王植,等.椎体骨质疏松性骨折评价方法和设备的临床应用现状.中国介入影像与治疗学,2013,10(6):381-384.
[36]郭宝英,朱魏,赵太茂.原发性骨质疏松椎体压缩性骨折的X线、MRI影像诊断价值分析.中国CT和MRI杂志,2016,14(11):124-126.