強直性脊柱炎累及脊柱的低場MRI表現_《華西醫學》

作者：

吳俊華 ¹ , 張德洲 ¹ , 李敏 ² , 鄧開鴻 ³

四川省骨科醫院（成都，610041）1放射科，2 風濕骨關節病科;3四川大學華西醫院放射科;

關鍵詞：

強直性脊柱炎脊柱低場強磁共振成像

DOI：

10.7507/1002-0179.20130441

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目的　采用低場MRI非增強掃描探討強直性脊柱炎（AS）累及脊柱的MRI表現。方法　從2010年3月－2013年3月間就診的76例AS患者的MRI圖像中選取19例脊柱受累者資料，對病變部位MRI圖像進行分析，評價AS累及脊柱在低場MRI非增強掃描狀態下的MRI表現特點。結果　19例患者中頸椎病變3例，胸椎病變9例，腰椎病變7例；MRI表現為椎體終板炎17例、椎間盤炎13例、脊柱滑膜關節炎15例、椎旁韌帶炎11例、韌帶骨化和骨性強直9例。結論　低場MRI非增強掃描能直觀顯示AS脊柱病變，主要表現為椎體終板炎、椎間盤炎、脊柱滑膜關節炎、椎旁韌帶炎、韌帶骨化和骨性強直，壓脂T2WI序列對活動性炎性病變顯示良好，T1WI、T2WI序列能較好顯示結構性病變。

引用本文： 吳俊華,張德洲,李敏,鄧開鴻. 強直性脊柱炎累及脊柱的低場MRI表現. 華西醫學, 2013, 28(9): 1402-1404. doi: 10.7507/1002-0179.20130441 復制

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1. 　Rudwaleit M, van der Heijde D, Landewé R, et al. The Assessment of SpondyloArthritis International Society classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general[J]. Ann Rheum Dis, 2011, 70(1): 25-31.
2. 　Rudwaleit M, van der Heijde D, Landewé R, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part Ⅱ): validation and final selection[J]. Ann Rheum Dis, 2009, 68(6): 777-783.
3. 　Puhakka KB, Jurik AG, Schiottz-Christensen B, et al. Magnetic resonance imaging of sacroiliitis in early seronegative spondylarthropathy.Abnormalities correlated to clinical and laboratory findings[J]. Rheumatology, 2004, 43(2): 234-237.
4. 　Naqi R, Ahsan H, Azeemuddin M. Spinal changes in patients with ankylosing spondylitis on MRI: case series[J]. J Pak Med Assoc, 2010, 60(10): 872-875.
5. 　Bennett AN, Rehman A, Hensor EM, et al. The fatty Romanus lesion: a non-inflammatory spinal MRI lesion specific for axial spondyloarthropathy[J]. Ann Rheum Dis, 2010, 69(5): 891-894.
6. 　鄭彬, 林星, 何愛梅, 等. 強直性脊柱炎脊柱MRI表現[J]. 實用醫技雜志, 2008, 15(1): 37-38.
7. 　Hermann KG, Althoff CE, Schneider U, et al. Spinal changes in patients with spondyloarthritis: comparison of Mr imaging and radiographic appearances[J]. Radiographics, 2005, 25(3): 559-569.
8. 　Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (andersson) lesions of the spine in ankylosing spondylitis revisited[J]. Clin Rheumatol, 2009, 28(8): 883-892.

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強直性脊柱炎累及脊柱的低場MRI表現

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強直性脊柱炎累及脊柱的低場MRI表現

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