CAJ | 학술논문

目的：探讨磁共振在脊髓亚急性联合变性诊断中的应用价值。方法回顾性分析14例经临床确诊并行MRI检查的脊髓亚急性联合变性患者的临床及影像资料，所有病例均行矢状位T1WI、FS T2WI及轴位T2WI序列扫描，其中3例行GD-DTPA增强扫描。结果14例中7例矢状位FS T2WI序列显示连续条状高信号，其中4例轴位T2WI表现为脊髓后索点状、倒V字形高信号，3例轴位扫描平面不在病灶水平；14例中7例矢状位FS T2WI序列病灶显示不清，轴位T2WI序列表现为脊髓后索的点状高信号；3例增强扫描病灶均无明显强化。结论磁共振轴位T2WI序列对脊髓亚急性联合变性病灶显示最理想。
목적：탐토자공진재척수아급성연합변성진단중적응용개치。방법회고성분석14례경림상학진병행MRI검사적척수아급성연합변성환자적림상급영상자료，소유병례균행시상위T1WI、FS T2WI급축위T2WI서렬소묘，기중3례행GD-DTPA증강소묘。결과14례중7례시상위FS T2WI서렬현시련속조상고신호，기중4례축위T2WI표현위척수후색점상、도V자형고신호，3례축위소묘평면불재병조수평；14례중7례시상위FS T2WI서렬병조현시불청，축위T2WI서렬표현위척수후색적점상고신호；3례증강소묘병조균무명현강화。결론자공진축위T2WI서렬대척수아급성연합변성병조현시최이상。
Objective To explore the Diagnostic Value of MRI in Subacute Combined Degeneration of the Spinal Cord. Methods Retrospective analysis of clinic and ultrasonic image data of 14 suffers (confirmed by MRI) of Subacute Combined Degeneration of the Spinal Cord. All cases undergo scanning in T1WI、FS T2WI,T2WI, with three cases for GD-DTPA enhanced scanning. Results 7 out of 14 cases show successive strip-shaped high signal, among which 4 cases present punctuate reverse V-shaped high signal in posterior funiculus of spinal cord, and other 3 cases for T2WI scanning are not shown in focal zone;7 out of 14 cases for FS T2WI scanning show no clear sign focal zone yet show point-shaped sigh signal in posterior funiculus of spinal cord;3 cases for enhanced scanning in focal zone show no obvious high signal. Conclusion MRI T2WI serves as an ideal point for showing focal zone of Subacute Combined Degeneration of the Spinal Cord.