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• Clinical Article •
Preliminary study of multimodal magnetic resonance imaging in the evaluation of cervical spondylotic myelopathy
ZHOU Chun  LIU Meng  LIU Tianshui  TAN Yongming  HE Laichang 

Cite this article as: Zhou C, Liu M, Liu TS, et al. Preliminary study of multimodal magnetic resonance imaging in the evaluation of cervical spondylotic myelopathy. Chin J Magn Reson Imaging, 2020, 11(9): 747-751. DOI:10.12015/issn.1674-8034.2020.09.006.


[Abstract] Objective: To explore the correlation between cervical spondylotic myelopathy (CSM) image and clinical symptoms.Materials and Methods: Fifty-five CSM patients diagnosed by clinical and image diagnosis were divided into 35 mild-moderate cases (12—17 points) and 20 severe cases (<12 points) according to modified Japanese orthopaedic association scores for assessment of cervical myelopathy (mJOA). And 16 age and sex matched healthy controls were recruited, all participants scaned head MRI and cervical diffusion tensor imaging (DTI). The maximum compression of canal stenosis degree (maximum canal compromise, MCC), the maximum compression of the spinal cord level (maximum spinal cord compression, MSCC), T2WI high signal range of the most serious level cervical spinal, DTI data (FA value, ADC values), and brain function connection mapping (thalamus as seed area) were statistically compared and use linear regression analysis to explore the correlation between the data and mJOA, NDI score.Results: In CSM patients, MCC, MSCC, T2WI high signal range, FA value and ADC value all changed. There was a negative correlation between MSCC and mJOA (r=-0.464, P<0.05), and a positive correlation between FA value and mJOA (r=0.589, P<0.05).Conclusions: Most of the image of CSM patients are related to the degree of clinical symptoms, and brain remodeling is involved in the compensation of clinical functions.
[Keywords] spinal cord injury；cervical spondylotic myelopathy；function reorganization；magnetic resonance imaging

ZHOU Chun Department of Radiology, the First Affiliated Hospital of NanChang University, Nanchang 330006, China

LIU Meng Department of Radiology, the First Affiliated Hospital of NanChang University, Nanchang 330006, China

LIU Tianshui Department of Radiology, the First Affiliated Hospital of NanChang University, Nanchang 330006, China

TAN Yongming* Department of Radiology, the First Affiliated Hospital of NanChang University, Nanchang 330006, China

HE Laichang Department of Radiology, the First Affiliated Hospital of NanChang University, Nanchang 330006, China

*Correspondence to: Tan YM, E-mail: laichang_he@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  Regional Science Fund of National Natural Science Foundation of China No. 81460329 Jiangxi Natural Science Foundation No. 20192ACBL20039, 20181BAB205063
Received  2019-12-03
Accepted  2020-07-15
DOI: 10.12015/issn.1674-8034.2020.09.006
Cite this article as: Zhou C, Liu M, Liu TS, et al. Preliminary study of multimodal magnetic resonance imaging in the evaluation of cervical spondylotic myelopathy. Chin J Magn Reson Imaging, 2020, 11(9): 747-751. DOI:10.12015/issn.1674-8034.2020.09.006.

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