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Radiology：用CT看腰椎间盘突出的好办法！

2019-07-07 shaosai MedSci原创

CT腰椎间盘突出
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本研究旨在评估双能CT虚拟非钙化（VNCa）重建在检出腰椎间盘突出较常规CT图像重建的价值。

本研究旨在评估双能CT虚拟非钙化（VNCa）重建在检出腰椎间盘突出较常规CT图像重建的价值。

本研究共纳入了41例行双能双源CT和3.0T MRI成像的患者，由6名放射科医生在不知临床及MRI诊断的情况下独立评价传统灰阶双源CT来评价腰椎间盘突出及其程度、脊神经根受累情况。在8周后，阅片者利用伪彩VNCa重建进行评价。由额外两名放射科医生评价MRI图像，其结果作为参考标准。评价诊断的敏感性和特异性。

结果为，共有112处腰椎间盘突出在MRI被诊断。VNCa显示在检出腰椎间盘突出的敏感性(612 of 672 [91%] vs 534 of 672 [80%])和特异性(723 of 786 [92%] vs 665 of 786 [85%])要明显高于常规CT（P < .001）。组间一致性均较高(κ = 0.82 vs 0.67； P < .001)。与常规CT相比，VNCa具有较高的诊断效能、图像质量和噪声评分质量（P < .001）。

本研究表明，伪彩双能CT虚拟非钙化重建方法表现出较常规CT诊断腰椎间盘突出更加优秀的诊断效能。

原始出处：

Booz C， N？ske J， Martin SS，et al.Virtual Noncalcium Dual-Energy CT： Detection of Lumbar Disk Herniation in Comparison with Standard Gray-scale CT.Radiology.DOI：10.1148/radiol.2018181286

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    2020-03-30 lfyang

    #椎间盘突出#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1683779, encodeId=04b11683e7956, content=<a href='/topic/show?id=599862899ba' target=_blank style='color:#2F92EE;'>#椎间盘突出#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62899, encryptionId=599862899ba, topicName=椎间盘突出)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=104527995107, createdName=lfyang, createdTime=Mon Mar 30 20:29:00 CST 2020, time=2020-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272114, encodeId=0d9412e2114cf, content=<a href='/topic/show?id=cd1a854340b' target=_blank style='color:#2F92EE;'>#腰椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85434, encryptionId=cd1a854340b, topicName=腰椎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Tue Jul 09 13:29:00 CST 2019, time=2019-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1615415, encodeId=ef5b161541548, content=<a href='/topic/show?id=6c6b85465c0' target=_blank style='color:#2F92EE;'>#腰椎间盘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85465, encryptionId=6c6b85465c0, topicName=腰椎间盘)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7c4619628184, createdName=12498974m57暂无昵称, createdTime=Tue Jul 09 13:29:00 CST 2019, time=2019-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369259, encodeId=853836925988, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Sun Jul 07 23:13:23 CST 2019, time=2019-07-07, status=1, ipAttribution=)]
    2019-07-09 anminleiryan

    #腰椎#

    0

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    2019-07-09 12498974m57暂无昵称

    #腰椎间盘#

    0

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    2019-07-07 orangesking

    好

    0

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