磁共振成像2017，Vol.8Issue(12)：902-907,6.DOI:10.12015/issn.1674-8034.2017.12.005
磁共振成像在布鲁氏杆菌性脊柱炎诊断中的应用价值
The application of magnetic resonance imaging in the diagnosis of brucellosis spondylitis
张琴 1陆通 2樊芮娜 1续梦玲 1崔悦 1胡洁婷 1熊瑶 1郭玉林2
作者信息
- 1. 宁夏医科大学临床医学院,银川750004
- 2. 宁夏医科大学总医院放射科,银川750004
- 折叠
摘要
Abstract
Objective: To investigate the MRI findings of brucellosis spondylitis, so as to improve the level of diagnosis and differential diagnosis of brucellosis spondylitis. Materials and methods: The MRI images of 65 patients with brucellosis spondylitis confirmed by clinical were analyzed retrospectively from January 2015 to April 2017. Predilection site of disease, shape and signal characteristics of the vertebral body, characteristics of each sequence signal and the situation of surrounding tissue were analyzed. Results: Brucellosis spondylitis was common on the lumbar spine, and the lesions were located in the anterior and middle part of the vertebral body. The morphological changes of the diseased vertebral body were not obvious in 41 cases, T1WI showed imaging is low signal, T2WI showed high or low signal, the SPAIR sequence showed high signal intensity, and obviously enhanced in the enhanced scan. Intervertebral space narrowed in 53 cases. There were 58 cases of extra vertebral soft tissue were involved, paravertebral abscess in 58 cases, epidural abscess in 18 cases, the signal of abscess was inhomogeneous in long T1 and long T2. SPAIR sequence showed mixed high signals with blurred boundaries, it contains some abscess cavity, which is multiple sizes, uneven thickness wall and obvious enhanced. 28 patients had accompanying signs, including small vertebral joint inflammation, anterior longitudinal ligament and interspinous ligament calcification. Conclusions:MRI manifestations of brucellosis spondylitis are characteristic, MRI has important value in diagnosis and differential diagnosis of brucellosis spondylitis, the SPAIR sequence can remove the interference of fat tissue, can sensitively detect lesions and is of great significance to show the lesion and the surrounding circumstances.关键词
布鲁氏杆菌/脊柱炎/磁共振成像Key words
Brucellosis/Spondylitis/Magnetic resonance imaging分类
医药卫生引用本文复制引用
张琴,陆通,樊芮娜,续梦玲,崔悦,胡洁婷,熊瑶,郭玉林..磁共振成像在布鲁氏杆菌性脊柱炎诊断中的应用价值[J].磁共振成像,2017,8(12):902-907,6.
