Share:
Share this content in WeChat
X
Experience Exchang
Clinical application of contrast enhanced MRI 3D-Space-iso sequence in the entire segment spinal nerve roots imaging
DUAN Sheng-wu  LI Yi-hui  LIU Jun  HU Li-nan  LI Ya  HUANG Wen-bo 

DOI:10.3969/j.issn.1674-8034.2015.10.011.


[Abstract] Objective: To investigate the display technique and application value of 3.0 T magnetic resonance contrast enhanced 3D-Space-iso sequence in the entire segment spinal nerve roots lesions.Materials and Methods: Fifteen cases of patients with spinal nerve roots lesions and 3 cases of healthy volunteers were included. MRI conventional sequence, coronary 3D-Space-iso sequences (contrast enhanced and non-contrast enhanced) were performed in all cases. The source coronal images of 3D-Space-iso were further reconstructed using maxium intensity projection(MIP) technique. All displayed nerve roots were morphologically analyzed and the relation with lesions was evaluated.Results: Contrast enhanced 3D-Space-iso sequence has the best visualization than the other two sequences of spinal nerve roots spinal ganflion, postganglionic neurofibers and the degree of invasion and compression by the lesions. Among the 15 cases, there were 10 cases of disk herniation, 3 cases of tumor and 2 case of nerve root cysts.Conclusion: Contrast enhanced 3D-Space-iso sequence shows more advantages in displaying the internal structures of spinal nerve roots and the relation with lesions. It can provide definitely diagnostic basis for spinal nerve root diseases in clinical practice.
[Keywords] Magnetic resonance imaging;Spinal nerve root;Image processing, Computer-assisted

DUAN Sheng-wu* Department of CT & MRI, The Zhuzhou Central Hospital, Zhuzhou 412000, China

LI Yi-hui Department of CT & MRI, The Zhuzhou Central Hospital, Zhuzhou 412000, China

LIU Jun Department of CT & MRI, The Zhuzhou Central Hospital, Zhuzhou 412000, China

HU Li-nan Department of CT & MRI, The Zhuzhou Central Hospital, Zhuzhou 412000, China

LI Ya Department of CT & MRI, The Zhuzhou Central Hospital, Zhuzhou 412000, China

HUANG Wen-bo Department of CT & MRI, The Zhuzhou Central Hospital, Zhuzhou 412000, China

*Correspondence to: Duan SW, E-mail: dswpsh@sina.com

Conflicts of interest   None.

Received  2015-06-25
Accepted  2015-09-23
DOI: 10.3969/j.issn.1674-8034.2015.10.011
DOI:10.3969/j.issn.1674-8034.2015.10.011.

[1]
谢敬霞.核磁共振新技术研究与临床应用.北京:北京医科大学出版社, 2001: 436-437.
[2]
Abdullah AF, Ditto EW, Byrd EB, et al. Extreme lateral lumbar dise hermation.clinical syndrome and special problems of diagnosis. Neurosurg, 1974, 41(2): 229-234.
[3]
Mugler JP, Brookeman JR. 3D turbo-spin-echo imaging with up to 1000 echoes per excitation:From faster acquisitions to echo-volumar imaging In: Proceeding of the International Society for Magnetic Resonance in Medicine. Berkeley, Calif; ISMRM, 2004, 2106.
[4]
Chhabra A, Williams EH, Wang KC, et al. MR neurography of neuromas related to nerve injury and entrapment with surgical correlation. AJNR, 2010, 31(9): 136-1368.
[5]
李国斌,张卫军.三维快速自旋回波成像技术SPACE.磁共振成像, 2010, 1(4): 295-298.
[6]
孔梅,夏好成,许蕾,等. SPACE在诊断要骶神经根病变的临床应用.放射学实践, 2014, 29(10): 1217-1220.
[7]
Chhabra A, Williams EH, Wang KC, et al. MR neurography of neuromas related to nerve injury and entrapment with surgical correlation. AJNR, 2010, 31(9): 1363-1368.
[8]
Artico M, Carloia S, Piacentini M, et al. Conjoined lumbosacral nerve roots observations on three cases and review of the literature. Neurocirugia, 2006, 17(1): 54-59.
[9]
Haijiao W, Koti M, Smith FW, et al. Diagnosis of lumbosacral nerve roots anomalies by Magnetic Resonance Imaging. J spinal Disord, 2001, 14(2): 143-149.
[10]
梁长虹.磁共振对比剂临床应用及进展.磁共振成像, 2014, 5(S1): 37-41.
[11]
曾庆斌,郭茜旎,罗晴,等.锰对比剂在MRI中的应用.磁共振成像, 2014, 5(4): 315-320.
[12]
Ashton E, Riek J. Advanced MR techniques in multicenter clinical trials. Journal of magnetic resonance imaging, 2013, 37(4): 761-769.
[13]
Bartolozzi C. MR of the liver:from breakthrough to clinical application. Abdominal imaging, 2012, 37(2): 154.
[14]
Ferre JC, Shiroishi MS, Law M. Advanced techniques using contrast media in neuroimaging. Magnetic resonance imaging clinics of North America, 2012, 20(4): 699-713.
[15]
孔祥泉,韩萍,徐海波,等.高场磁共振周围神经、血管与水成像.北京:人民卫生出版社, 2013: 52.
[16]
夏吉凯,刘新疆,房清敏,等. IDEAL序列在臂丛神经扫描方案中的对比研究.磁共振成像, 2014, 5(2): 107-110.
[17]
泮智勇,许茂盛,丁雪委,等. MEDIC序列在MR腰骶脊神经根成像中的临床应用.医学影像杂志, 2012, 22(9): 1528-1530.

PREV Discussing MRI stripe sign of brain developmental venous anomaly
NEXT Value of digital X-ray mammography and 3.0 T MRI in the diagnosis of small breast cancer
  



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