Share：
Share this content in WeChat
X
[Chinese][PDF]905111
• Clinical Article •
A Meta analysis of quantitative evaluation of lumbar disc degeneration by diffusion weighted magnetic resonance imaging
MA Hongju  ZHANG Xuyin  SAUGAT POKHAREL  GUO Yinxia  DU Yonghao  WANG Rong  NIU Gang 

Cite this article as: Ma HJ, Zhang XY, POKHAREL SAUGAT, et al. A Meta analysis of quantitative evaluation of lumbar disc degeneration by diffusion weighted magnetic resonance imaging. Chin J Magn Reson Imaging, 2020, 11(12): 1138-1142, 1155. DOI:10.12015/issn.1674-8034.2020.12.012.


[Abstract] Objective: Based on Meta analysis to explore the clinical application of magnetic resonance diffusion weighted imaging in quantitative evaluation of early lumbar disc degeneration.Materials and Methods: Literature on evaluation of lumbar disc degeneration using diffusion weighted imaging (DWI) published in PubMed, EMBASE, the Cochrane Library, CNKI, Wanfang and VIPS databases from the self-built database to October 1, 2019 was retrieved. Two researchers independently screened and extracted the retrieved literature according to inclusion and exclusion criteria. Combie cross study evaluation tool was used to evaluate the quality of the included literature. Using RevMan 5.3 and Stata 15.0 software for Meta analysis.Results: A total of 12 references were included. There were 577 grade Ⅰ discs, 1704 grade Ⅱ discs, 1299 grade Ⅲ discs, 1092 grade Ⅳ discs and 194 grade Ⅴ discs. ADC value of grade Ⅰ discs nucleus pulposus was higher than that of grade Ⅱ discs nucleus pulposus. The difference was statistically significant weighted mean difference (WMD)=0.034, 95% CI: 0.005—0.064, P=0.024. ADC value of grade Ⅱ discs nucleus pulposus was significantly higher than that of grade Ⅲ discs nucleus pulposus (WMD=0.161, 95% CI: 0.124—0.197, P<0.0001). ADC value of grade Ⅲ discs nucleus pulposus was significantly higher than that of grade Ⅳ discs nucleus pulposus (WMD=0.297, 95% CI: 0.222—0.373, P<0.0001). ADC value of grade Ⅳ discs nucleus pulposus was significantly higher than that of grade Ⅴ discs nucleus pulposus (WMD=0.293, 95% CI: 0.176—0.411, P<0.0001).Conclusions: Diffusional weighted imaging can quantitatively evaluate different grades of lumbar disc degeneration, especially distinguish early lumbar disc degeneration, and provide imaging basis for early diagnosis of lumbar disc degeneration.
[Keywords] diffusion weighted imaging；magnetic resonance imaging；apparent diffusion coefficient；lumbar disc degeneration；Meta analysis

MA Hongju Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China; Department of Imaging, Xixiang County People’s Hospital of Shaanxi Province, Hanzhong 723500, China

ZHANG Xuyin Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China

SAUGAT POKHAREL Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China

GUO Yinxia Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China

DU Yonghao Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China

WANG Rong Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China

NIU Gang* Department of Medical Imaging, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China

*Correspondence to: Niu G, E-mail: niugang369@xjtu.edu.cn

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of Key Research and Development Program of Shaanxi No. 2020SF-104
Received  2020-06-11
Accepted  2020-08-21
DOI: 10.12015/issn.1674-8034.2020.12.012
Cite this article as: Ma HJ, Zhang XY, POKHAREL SAUGAT, et al. A Meta analysis of quantitative evaluation of lumbar disc degeneration by diffusion weighted magnetic resonance imaging. Chin J Magn Reson Imaging, 2020, 11(12): 1138-1142, 1155. DOI:10.12015/issn.1674-8034.2020.12.012.

[1]
Abou Khadrah RS, Dawoud MF, Abo-Elsafa AA, et al. Advanced trends in magnetic resonance imaging in assessment of lumbar intervertebral degenerative disk disease. Egyptian J Radiol & Nuclear Med, 2019, 50: 101. DOI: 10.1186/s43055-019-0042-7.
[2]
Byvaltsev VA, Stepanov IA, Kalinin AA, et al. The use of apparent diffusion coefficient in diagnosis of lumbar intervertebral disk degeneration in patients with middle and old age by diffusion-weighted MRI. Advances in Gerontol, 2018, 31(1): 103-109.
[3]
Shen S, Wang H, Zhang J, et al. Diffusion weighted imaging, diffusion tensor imaging, and T2* mapping of lumbar intervertebral disc in young healthy adults. Iranian J Radiol, 2016, 13(1): 1-9. DOI: 10.5812/iranjradiol.30069.
[4]
Cui YZ, Yang XH, Liu PF, et al. Preliminary study on diagnosis of lumbar disc degeneration with magnetic resonance T1p, T2 mapping and DWI quantitative detection technologies. Eur Rev Med Pharmacol Sci, 2016, 20(16): 3344-3350.
[5]
Pfirrmann CW, Metzdorf A, Zanetti M, et al. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine, 2001, 26(17): 1873-1878.
[6]
Niu G, Yang J, Wang R, et al. MR imaging assessment of lumbar intervertebral disk degeneration and age-related changes: Apparent diffusion coefficient versus T2 quantitation. Am J Neuroradiol, 2011, 32(9): 1617-1623. DOI: 10.3174/ajnr.A2556.
[7]
Maasumi K, Tehranzadeh J, Muftuler LT, et al. Assessment of the correlation between apparent diffusion coefficient and intervertebral disk degeneration using 3 Tesla MRI. Neuroradiol J, 2011, 24(4): 593-602. DOI: 10.1177/197140091102400416.
[8]
Resorlu M, Gokmen F, Resorlu H, et al. Association between apparent diffusion coefficient and intervertebral disc degeneration in patients with ankylosing spondylitis. Int J Clin Exper Med, 2015, 8(1): 1241-1246.
[9]
Wang W, Hou J, Lv D, et al. Multimodal quantitative magnetic resonance imaging for lumbar intervertebral disc degeneration. Exper Therapeutic Med, 2017, 14(3): 2078-2084. DOI: 10.3892/etm.2017.4786.
[10]
黄耀渠，赵晓梅，伍琼慧,等.磁共振T2弛豫时间和ADC评估腰椎间盘退变的对比研究.放射学实践, 2016, 31(8): 773-777.
[11]
李晶晶. MRI表观弥散系数值用于腰椎间盘退变诊断的临床价值分析.中国保健营养, 2017, 27(27): 404-405. DOI: 10.3969/j.issn.1004-7484.2017.27.656.
[12]
马晓晖，张伟，刘栋,等. 1.5 T与3.0 T MRI弥散加权成像对腰椎间盘退变诊断价值的比较.河北医药, 2015, 37(7): 981-984.
[13]
张青波，李伟，曹云,等.表观弥散系数在腰痛患者腰椎间盘退变评估中的应用价值.实用骨科杂志, 2018, 24(6): 564-569.
[14]
赵才勇，陈兴灿，刘淼,等. MRI表观弥散系数用于腰椎间盘退变诊断的价值.浙江医学, 2015, 37(15): 1263-1265.
[15]
赵建，郭智萍，王林峰,等.腰痛患者腰椎3.0 T MR弥散加权成像腰椎间盘表观弥散系数与椎间盘退变分级的相关性.中国脊柱脊髓杂志, 2013, 23(12): 1074-1078.
[16]
周晓璇，王健. 3.0 T磁共振弥散加权成像与椎间盘退变Pfirrmann分级的相关性.浙江临床医学, 2018, 20(5): 793-795.
[17]
朱秀芳，段新秀，李文早. 1.5 T与3.0 T MRI弥散加权成像对腰椎间盘退变诊断价值的比较.临床和实验医学杂志, 2017, 16(24): 2478-2481.
[18]
Niinimäki J, Korkiakoski A, Parviaien O, et al. Association of lumbar artery narrowing, degenerative changes in disc and endplate and apparent diffusion in disc on postcontrast enhancement of lumbar intervertebral disc. MAGMA, 2009, 22(2): 101-109. DOI: 10.1016/j.mri.2008.10.005.
[19]
Rajasekaran S, Babu JN, Arun R, et al. ISSLS prize winner: A study of diffusion in human lumbar discs: a serial magnetic resonance imaging study documenting the influence of the endplate on diffusion in normal and degenerate discs. Spine, 2004, 29(23): 2654-2667. DOI: 10.1097/01.brs.0000148014.15210.64.
[20]
温群，孟凡华，钱亭,等. 1.5 T磁共振T2值定量测定在评价腰椎间盘退行性变中的价值研究.中国骨与关节杂志, 2016, 5(8): 582-587.

PREV Predictive value of random forest based on MRI radiomics in evaluating the invasion depth of endometrial carcinoma
NEXT MRI findings of whole spinal in 22 patients with SAPHO syndrome
  


LINK


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