国际医学放射学杂志2024，Vol.47Issue(5)：527-532,6.DOI:10.19300/j.2024.L21487
MRI在强直性脊柱炎Andersson病变分型中的价值
The value of MRI in the classification of Andersson lesions in ankylosing spondylitis
张恒 1崔佳宁 1王苹 1钱占华 1叶薇 1詹惠荔 1李亚雄 1白荣杰1
作者信息
- 1. 首都医科大学附属北京积水潭医院放射科,北京 100035
- 折叠
摘要
Abstract
Objective To explore the classification of Andersson lesions in ankylosing spondylitis(AS)using MRI and analyze the vertebral units involved in different classifications,providing imaging evidence for the early diagnosis and treatment of AS.Methods All of 77 patients with ankylosing spondylitis who underwent whole spinal MRI were retrospectively included,with 69 males and 8 females,and an average age of 44.0±12.2 years.General clinical data and whole-spine MRI images of the patients were collected.Two physicians analyzed the MRI characteristics of Andersson lesions and the involved vertebral units.According to Kim's classification,the lesions were classified into types Ⅰ+Ⅴ.The Kappa test was used to analyze the consistency between the two physicians in classifying Andersson lesions.Results The consistency between the two physicians in diagnosing and classifying Andersson lesions was good(κ=0.694,P＜0.001).A total of 229 vertebral units were involved in Andersson lesions,with 208 vertebral units showing only one type of lesion.Types Ⅰ-V Andersson lesions involved 30(13.1％),57(24.9％),13(5.7％),85(37.1％),and 23(10.0％)vertebral units,respectively.Twenty-one vertebral units had two types of lesions simultaneously,with 18 units being type Ⅰ+Ⅱ,1 unit type Ⅱ+Ⅲ,and 2 units type Ⅰ+Ⅲ.Conclusion MRI can clearly display Andersson lesions in ankylosing spondylitis and can be used to classify them,which is of great value for the early diagnosis and treatment plans for AS.关键词
强直性脊柱炎/Andersson病变/鉴别诊断/磁共振成像Key words
Ankylosing spondylitis/Andersson lesions/Differential diagnosis/Magnetic resonance imaging分类
医药卫生引用本文复制引用
张恒,崔佳宁,王苹,钱占华,叶薇,詹惠荔,李亚雄,白荣杰..MRI在强直性脊柱炎Andersson病变分型中的价值[J].国际医学放射学杂志,2024,47(5):527-532,6.
