首页|期刊导航|中国康复理论与实践|儿童脊髓损伤后脊髓萎缩的MRI特征以及与损伤平面的相关性

儿童脊髓损伤后脊髓萎缩的MRI特征以及与损伤平面的相关性

张赢心姚佳烽孙博孙潇蒙刘根林陈迪张红霞田益凡王一吉敬洋程瑞动张韶岷

中国康复理论与实践2026，Vol.32Issue(4)：387-392,6.

中国康复理论与实践2026，Vol.32Issue(4)：387-392,6.DOI:10.3969/j.issn.1006-9771.2026.04.002

儿童脊髓损伤后脊髓萎缩的MRI特征以及与损伤平面的相关性

MRI findings of spinal cord atrophy after spinal cord injury in children and their injury level

张赢心 ¹姚佳烽 ²孙博 ³孙潇蒙 ¹刘根林 ⁴陈迪 ¹张红霞 ⁵田益凡 ¹王一吉 ⁴敬洋 ⁶程瑞动 ⁷张韶岷⁸

作者信息

1. 中国康复科学所康复信息研究部,北京市 100068||世界卫生组织国际分类家族中国合作中心,北京市 100068
2. 暨南大学物理与光电工程学院,广东广州市 510632
3. 西安理工大学机械与精密仪器工程学院,陕西西安市 710048
4. 中国康复研究中心北京博爱医院,脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068
5. 中国康复研究中心北京博爱医院,影像科,北京市 100068||首都医科大学康复医学院,北京市 100068
6. 慧影医疗科技(北京)有限公司AI创新中心,北京市 100080
7. 浙江省康复中心,浙江杭州市 310024||杭州医学院附属人民医院,浙江杭州市 310014
8. 浙江大学求是高等研究院,浙江杭州市 310058
折叠

摘要

Abstract

Objective To delineate imaging findings using an imaging platform and investigate the correlation between MRI charac-teristics of spinal cord atrophy and clinical diagnosis in children with spinal cord injury(SCI). Methods Imaging data of 150 children with SCI admitted to Beijing Bo'ai Hospital,China Rehabilitation Research Cen-ter,from January,2002 to March,2024 were collected and imported into the imaging platform.The anteroposteri-or and transverse diameters of the middle part of the spinal cord at the cross-section with the most severe atrophy were measured,and the relevant indicators of the previous normal spinal cord segment were measured as con-trols;the radiomic features were extracted.Clinical data of the children including gender,age,cause of injury,sensory level,motor level,spinal cord injury level,injury severity and disease course were collected. Results Spinal cord atrophy was identified in 81 cases(54%),among which 78 cases(96%)were American Spinal Inju-ry Association Impairment Scale(AIS)grade A and 3 cases(4%)were AIS grade C.The upper boundary of the spinal cord atrophy site strongly correlated with the injury level,motor level and sensory level(r>0.8,P<0.001). Conclusion More than half of children with SCI may develop secondary spinal cord atrophy,the vast majority of whom suffer from complete spinal cord injury;the upper boundary of spinal cord atrophy is correlated with the injury level.

关键词

脊髓损伤/儿童/脊髓萎缩/损伤平面/影像组学

Key words

spinal cord injury/children/spinal cord atrophy/injury level/radiomics

分类

医药卫生

引用本文复制引用

张赢心,姚佳烽,孙博,孙潇蒙,刘根林,陈迪,张红霞,田益凡,王一吉,敬洋,程瑞动,张韶岷..儿童脊髓损伤后脊髓萎缩的MRI特征以及与损伤平面的相关性[J].中国康复理论与实践,2026,32(4):387-392,6.

基金项目

中国康复科学所中央级公益性科研院所基本科研业务费项目(No.2023CZ-8) Supported by The Fundamental Research Funds for Central Public Welfare Research Institutes,conducted by China Rehabilitation Science Institute(No.2023CZ-8) （No.2023CZ-8）

中国康复理论与实践

ISSN：1006-9771

访问量0

下载量0

段落导航