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Методические аспекты магнитно-резонансно томографической диагностики метастатических компрессионных переломов позвоночника

Методические аспекты магнитно-резонансно томографической диагностики метастатических компрессионных переломов позвоночника

Abstract

Aim of the study – to define an information value of the different pulse patterns for a qualitative estimation of MR-signals in the body of compressed vertebras.Methods: 50 patients with metastatic compressive fractures (MCF) were examined using MRT. 30 (60%) mans and 20 (40%) woman, average age 60,8 +/- 12,5 years. Fractures in the different parts of spine were considered: cervical – 6 (12,0); thoracic – 25 (50,0 %); lumbar – 19 (38 %). Metastasis in the spine are more frequent at a cancer of mammary gland (20,0 %), kidneys (17,5 %) and prostate gland (15,0 %), less frequent at a cancer of lungs, thyroid gland and sarcomas (7,5 %).MRT was done for all patients using apparatus with magnetic force 0,2, 1,5 and 0,36Т (AIRIS Mate, ECHELON of "HitachimedicalCorp.", Japan, “I-Open 0, 36” Chine)in 3 projections receiving Т1-, Т2- weighted (Т1WI, Т2WI) and diffusion-weighted images (DWI)and also images with suppression of signals from an adipose tissue (STIR, Fat/sat).Results: the more obvious pulse patterns (PP) at MCF of spine are – STIR (97,8 %), Т1WI и DWI (80 %). DWI can be used as a screening and addition for above-listed PP. The more objective criterion for a judgment about MCF is abnormal uptake of CM (60 %) on diffuse type.Conclusions: for MRT visualization of MCF the most optimal are the next PP – STIR, Т1WI and DWI, with a sensitivity, respectively – 97,8 %, 80 %, and 80 %. DWI must supplement but not substitute all existing PP. On the post-contrast T1WI an objective criterion for MRT diagnostics of MCF is an abnormal uptake of CM on diffuse type. An alteration of signal characteristics in the body of compressed vertebras is an evidence of an alteration of structure, but for more precise definition of its character it is necessary to study its morphological alterations

Представлены результаты МРТ исследования с целью изучения информативности различных импульсных последовательностей для качественной оценки МР-сигналов в телах компримированных позвонков. Обследовано 50 больных с метастатическими компрессионными переломами. При качественной оценке сигнальных характеристик оптимальными являются импульсные последовательности STIR (97,8 %), Т1ВИ и ДВИ (80 %), а на постконтрастных Т1ВИ у 60 % больных отмечено накопление контрастного вещества по диффузному типу

Keywords

МРТ; метастатический компрессионный перелом; импульсные последовательности; сигнальные характеристики, МРТ; metastatic compressive fracture; pulse patterns; signal characteristics, УДК 616.711-001.5-073.763.5

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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