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• Clinical Article •
Quantitative study of spinal tuberculosis by HISTO and DWI sequences
ZHENG Huanlu  LI Baiyan  CHEN Ying  Yang Liu  GUO Hui 

Cite this article as: Zheng HL, Li BY, Chen Y, et al. Quantitative study of spinal tuberculosis by HISTO and DWI sequences. Chin J Magn Reson Imaging, 2019, 10(5): 356-360. DOI:10.12015/issn.1674-8034.2019.05.008.


[Abstract] Objective: To explore the selection of high-speed multi-echo T2 corrected multicho at 1H MR Spectroscopy (HISTO) and diffusion weighted imaging (DWI) and ROI setting methods for quantitative study and analysis of FF%, R2water and ADC values in patients with spinal tuberculosis.Materials and Methods: Fifty vertebral bodies of 17 patients with spinal tuberculosis and 50 vertebral bodies of 17 healthy volunteers. HISTO and DWI sequence scanning, HISTO sequence will automatically draw the curve according to the region of interest selected before scanning and calculate the area under the curve. The DWI sequence selects the lesion vertebral body and adjacent normal vertebral body area by the same area unit on the fitted ADC map. The affected vertebral disc and healthy volunteers were the region of interest, and the ADC values were obtained.Results: the fat and R2water values of the lesion vertebral body and normal vertebral body in the HISTO sequence were: fat (19.90±12.59), (44.15±8.30) and R2water (26.12±8.94), (37.95±4.35); The ADC values of the vertebral body, the lesion near the normal vertebral body, the lesion jumping 2 normal vertebral body and the healthy volunteer vertebral body, the affected intervertebral disc and the healthy volunteer disc in the DWI sequence were (1.05±0.25), (0.39±0.18) and (0.38±0.20), respectively, (0.35±0.11), (0.38±0.20) and (1.94±0.16), (1.73±0.14), on the HISTO sequence, the lipid peak is on the left, the water peak is on the right, the lipid peak of the lesion is reduced, the area under the curve is less, the water peak becomes higher and narrower, the R2water value is reduced, and the FF% value is reduced compared with the R2water value. The fat content and R2water value of the body were statistically significant (P<0.05) with the fat content and R2water value of the healthy volunteers. DWI sequence of spinal tuberculosis lesions vertebral body and lesion adjacent vertebral body, lesion jumping 2 vertebral bodies and healthy volunteer vertebral body and affected intervertebral disc and healthy volunteer intervertebral disc have statistical significance(P<0.05).Conclusions: Quantitative analysis shows that HISTO and DWI imaging can better complement conventional MRI in diagnosis and differential diagnosis of spinal tuberculosis.
[Keywords] tuberculosis, spinal；diffusion magnetic resonance imaging；proton magnetic resonance spectroscopy

ZHENG Huanlu Department of Radiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 835400, China

LI Baiyan Department of Radiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 835400, China

CHEN Ying Department of Radiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 835400, China

Yang Liu Department of Radiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 835400, China

GUO Hui* Department of Radiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 835400, China

*Correspondence to: Guo H, E-mail: guohui9804@126.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  Natural Science Foundation of Xinjiang Autonomous Region No. 2017D01C300
Received  2018-11-07
Accepted  2019-03-16
DOI: 10.12015/issn.1674-8034.2019.05.008
Cite this article as: Zheng HL, Li BY, Chen Y, et al. Quantitative study of spinal tuberculosis by HISTO and DWI sequences. Chin J Magn Reson Imaging, 2019, 10(5): 356-360. DOI:10.12015/issn.1674-8034.2019.05.008.

[1]
艾琪勇，罗越，蔡林. 磁共振常规序列在结核性脊柱炎诊断中的应用.中国骨与关节杂志, 2015, 4(11): 870-874.
[2]
徐嬿，杨贤卫，郑芸, 等. 脊柱结核和非结核性脊柱炎的MRI影像鉴别. 临床放射学杂志, 2015, 34(6): 960-966.
[3]
秦世炳. 正确认识和提高脊柱结核合并截瘫的诊疗水平. 中国防痨杂志, 2015, 37(3): 221-222.
[4]
杨虹，郭玉林，李雪霜, 等. 磁共振成像对脊柱结核的诊断价值. 磁共振成像, 2016, 7(3): 198-202.
[5]
丁爽，赵之颢，杨利霞, 等. 磁共振扩散加权成像在脊椎结核病中的应用. 中国CT和MRI杂志, 2010, 8(5): 12-14.
[6]
刘斌，董国礼，郭静, 等. 椎体1H-MRS的临床应用研究进展. 国际医学放射学杂志, 2012, 35(6): 553-556.
[7]
庄碧梅，韩成坤，陈识, 等. 双回波序列和1H-MRS检测非酒精性脂肪肝大鼠肝内脂肪含量. 中国医学影像技术, 2015, 31(6): 812-815.
[8]
Strawford A, Antelo F, Christiansen M, et al. Adipose tissue triglyceride turnover, de novo lipogenesis, and cell proliferation in humans measured with 2H2O. Am J Physiol Endocrinol Metab, 2004, 286(4): E577-588.
[9]
赵秀芹，林青，徐文坚, 等. 脊柱转移瘤的3.0 T氢质子磁共振波谱初步观察与分析. 医学影像学杂志, 2009, 19(7): 899-902.
[10]
田华，王澜，韩春, 等. 磁共振弥散加权成像在食管癌精确放疗中的应用价值. 中华放射肿瘤学杂志, 2012, 21(3): 223-226.
[11]
赵斌，蔡世峰，高佩虹, 等. MR扩散加权成像鉴别乳腺良恶性病变的研究. 中华放射学杂志, 2005, 39(5): 497-500.
[12]
焦志云，李澄，陈文娟. 核磁共振全身弥散加权成像技术及其临床应用. 生物医学工程与临床, 2009, 13(3): 262-268.
[13]
Tuli SM. General principles of osteoarticular tuberculosis. Clin Orthop, 2002, (398): 11-19.
[14]
杨宏志，刘国军，杜笑松. 磁共振弥散加权成像在脊柱转移瘤中的应用价值. 肿瘤研究与临床, 2015, 27(8): 557-559.
[15]
李光纪，陈首名，罗鹰, 等. 磁共振弥散加权成像在脊柱转移瘤和脊柱感染性病变鉴别诊断中的应用. 实用癌症杂志, 2018, 33(4): 647-650.

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