MRI与X线诊断交感神经型颈椎病的准确率及影像学特征研究OACSTPCD

Objective:To analyze the accuracy and imaging characteristics of magnetic resonance imaging(MRI)and X-ray in the diagnosis of sympathetic type of cervical spondylosis(SCS).Methods:60 cases of highly suspected SCS patients admitted to our hospital from January 2020 to January 2021 were selected and given X-ray and MRI examinations respectively,and comprehensive clinical diagnosis results such as experimental examination and EMG examination were used as the gold standard for this study,compare the diagnostic accuracy,sensitivity,specificity of X-ray,MRI,Kappa test the consistency of X-ray,MRI and gold standard.The ROC curve was drawn to analyze the diagnostic efficacy of X-ray and MRI,and the detection rate of positive signs of X-ray and MRI was compared.Results:The diagnostic accuracy(91.67％),sensitivity(92.45％),and specificity(85.71％)of MRI were higher than those of X-ray(58.33％,64.15％,14.29％)(P＜0.05).The consistency between X-ray and the gold standard of Kappa test was general(Kappa value=0.586),and the consistency between MRI and gold standard was good(Kappa value=0.785)(P＜0.05).X-ray cervical curvature arch(8.33％),reduction(21.67％),S-type(8.33％)detection rate compared with MRI(20.00％,30.00％,20.00％)(P＞0.05).X-ray cervical spine the detection rates of increased curvature(28.33％)and vertical(33.33％)were higher than those of MRI(13.33％,16.67％)(P＜0.05).Conclusion:MRI can improve the diagnostic accuracy,sensitivity and specificity of SCS,and can also provide imaging such as intervertebral disc herniation or bulging,transverse foramen stenosis,lateral recess stenosis,posterior longitudinal ligament thickening,ligamentum flavum thickening,spinal cord edema or degeneration.Signs,high clinical value.However,X-ray has a higher detection rate than MRI in terms of increased curvature and verticality of the cervical spine.In the specific diagnosis process,clinicians should select a specific diagnosis method based on the actual situation of the patient.