Share:
Share this content in WeChat
X
Experience Exchange
Quantitative metabolites of lumbar intervertebral disc degeneration by diffusion tensor MR
ZHAO Shuang  PENG Ru-chen  SHEN Xiu-zhi  ZHANG Shuang  ZHONG Jia-li  SONG Hai-long 

DOI:10.12015/issn.1674-8034.2017.06.011.


[Abstract] Objective: To investigate the MR diffusion tensor imaging (DTI) as an application of quantitative analysis methods in lumbar intervertebral disc degeneration and the effects of different diffusion gradient directions (DGD) of DTI.Materials and Methods: Selected 50 patients with pain of waist or legs, including 32 male and 18 female, from 24 to 62 years old with mean age 46.9±16.2 years old, all the patients underwent sagittal scans for regular lumbar MRI and DTI, and with 6, 12, 20 DGD of DTI. According to the DGD, lumbar intervertebral discs can be divided into DD6, DD12, DD20 groups and divided lumbar intervertebral discs into Ⅱ, Ⅲ, Ⅳ, and Ⅴ groups by Pfirrmann grading system. ADC and FA and λ1 valuse were measured and analyzed among the different DGD groups and Pm groups.Results: There were no statistical difference of ADC values among the different DGD groups (P>0.05), while statistical difference of FA and λ1 values were found (P<0.05); DGD for 6, FA values were statistical differences among the different Pm groups (P<0.05), except Ⅳ and Ⅴ(P>0.05); DGD for 12 and 20, there were no statistical difference of FA values in all PM groups (P>0.05), except Ⅱ. DGD for 6, 12, 20, ADC values were statistical difference in all Pm groups, except Ⅱ and Ⅲ. In DGD for 6, 12, 20, λ1 values had no statistical difference in all Pm groups (P>0.05).Conclusion: DTI can be applied to the quantitative analysis of lumbar intervertebral disc, DGD for 6 can get high quality images and data in a relatively short time, and FA value can be used for quantitative analysis of different Pm grading lumbar intervertebral disc.
[Keywords] Magnetic resonance imaging;Diffusion tensor imaging;Intervertebral disc degeneration;Apparent diffusion coefficient

ZHAO Shuang Department of Radiology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

PENG Ru-chen* Department of Radiology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

SHEN Xiu-zhi Department of Radiology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

ZHANG Shuang Department of Radiology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

ZHONG Jia-li Department of Radiology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

SONG Hai-long Department of Radiology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

*Correspondence to: Peng RC, E-mail:13501271260@163.com

Conflicts of interest   None.

Received  2017-01-21
Accepted  2017-03-16
DOI: 10.12015/issn.1674-8034.2017.06.011
DOI:10.12015/issn.1674-8034.2017.06.011.

[1]
Pfirrmann CW, Metzdorf A, Zanetti M, et al. Magentic resonance classification of lumbar intervertebral disc degeneration. Spine, 2001, 26(17): 1873-1878.
[2]
方元, 刘兰祥, 李京龙, 等. 磁共振波谱成像、T2弛豫时间、扩散加权成像对腰椎间盘退变的初步研究. 磁共振成像, 2011, 2(4): 278-282.
[3]
蒋小莉, 查云飞, 王娇, 等. 3D-UTE评价腰椎间盘软骨终板缺损与椎间盘退变的相关性. 放射学实践, 2015, 30(9): 952-955.
[4]
祝静雅, 王晓明. 扩散张量成像对健康成人腰椎间盘与年龄及解剖部位的相关性研究. 磁共振成像, 2015, 6(7): 518-523.
[5]
Zijta FM, Lakeman MM, Froeling M, et al. Evaluation of the female pelvic floor in pelvic organ prolapse using 3.0 Tesla diffusion tensor imaging and fibre tractography. Eur Radiol, 2012, 22(12): 2806-2813.
[6]
Rousset P, Delmas V, Buy JN, et al. In vivo visualization of the levator ani muscle subdivisions using MR fiber tractography with diffusion tensor imaging. J Anat, 2012, 221(3): 221-228.
[7]
俎金燕, 王晨光, 贾宁阳, 等. 腰椎间盘退行性变的MR扩散张量成像初步研究. 中华放射学杂志, 2012, 46(11): 1002-1005.
[8]
杨丽娟, 孟志华, 程英. 脑干华勒氏变性的DTI研究. 山西医科大学学报, 2014, 45(3): 213-216.
[9]
Budzik JF, Balbi V, Verclytte S, et al. Diffusion tensor imaging in musculoskeletal disorders. Radiographics, 2014, 34(3): 56-72.
[10]
Gao SJ, Yuan X, Jiang XY, et al. Correlation study of 3.0 T MR-DTI measurements and clinical symptoms of cervical spondylotic myelopathy. Eur J Radiol, 2013, 82(11): 1940-1945.
[11]
赵丹丹, 李红, 秦灏, 等. DTI在正常人髌骨软骨的初步应用及临床意义. 磁共振成像, 2016, 7(2): 131-135.
[12]
Niu G, Yang J, Wang R, et al. MR imaging assessment of lumbar intervertebral disk degeneration and age-relate changes: apparent diffusion coefficient versus T2 quantitation. AJNR Am J Neuroradiol, 2011, 32(9): 1617-1623.
[13]
Zhang Z, Chan Q, Anthony MP, et al. Age-related diffusion patterns in human lumbar intervertebral discs: a pilot study in asymptomatic subjects. Magn Reson Med, 2012, 30(2): 181-188.
[14]
Siepe CJ, Heider F, Haas E, et al. Influence of lumbar intervertebral disc degeneration on the outcome of total lumbar disc replacement: a prospective clinical, histological, X-ray and MRI investigation. Eur Spine J, 2012, 21(11): 2287-2299.
[15]
褚相乐, 马景旭, 邱雪玲, 等. DTI在腰椎间盘退行性改变中的应用初探. 放射学实践, 2016, 31(1): 81-85.
[16]
Wu N, Liu H, Chen J, et al. Comparison of apparent diffusion coefficient and T2 relaxation time variation patterns in assessment of age and disc level related interverte bral disc changes. PLoS One, 2013, 8(7): e69052.
[17]
Kealey SM, Aho T, Delong D, et al. Assessment of apparent diffusion coefficient in normal and degenerated intervertebral lumbar disks: initial experience. Radiology, 2005, 235(2): 569-574.
[18]
贺宝荣, 郝定均, 许正伟, 等. 腰椎间盘突出症髓核的超微结构与临床对照研究. 骨科, 2010, 1(1): 33-36.
[19]
Joong HK, David NL, Liang HF, et al. Noninvasive diffusion tensor imaging of evolving white matter pathology in a mouse model of acute spinal cord injury. Magn Reson Med, 2007, 58(2): 254-260.
[20]
陈德胜, 金群华, 张焱. 大鼠退变腰椎间盘组织的超微结构观察.中国矫形外科杂志, 2007, 15(3): 223-225.
[21]
付志辉, 贡志刚, 周建华, 等. 扩散梯度方向数目对DTI参数SNR和FA的影像. 临床放射学杂志, 2014, 33(3): 437-440.

PREV Variation analysis of diffusion weighted imaging in normal brain tissue between two b and multi-b value sequence
NEXT The fourth ventricle central neurocytoma: A case report
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn