Application of short T1 inversion recovery sequence in increased signal intensity following cervical spondylotic myelopathy

医学 反演(地质) 序列(生物学) 核医学 放射科 地震学 遗传学 构造学 生物 地质学
作者
Haofan Wang,Ye Wu,Junjun Xiong,Yu Gao,Xuhui Ge,Jiaxing Wang,Zhu Yu-feng,Pengyu Tang,Yitong Zhou,Xiaokun Wang,Yao Gu,Wei Liu,Yongjun Luo,Weihua Cai
出处
期刊:World Neurosurgery [Elsevier BV]
卷期号:187: e1097-e1105
标识
DOI:10.1016/j.wneu.2024.05.063
摘要

To compare magnetic resonance (MR) short T1 inversion recovery (STIR) sequence with MR T2-weighted (T2W) sequence for detecting increased signal intensity (ISI) and assessing outcomes of ISI in cervical spondylotic myelopathy (CSM). Data of patients with CSM who showed ISI on MR imaging and had undergone cervical spine surgery were retrospectively reviewed. STIR and T2W images were examined to assess signal intensity ratio (SIR), length and grading of the ISI, maximal spinal cord compression (MSCC), canal narrowing ratio (CNR), and ligamentum flavum hypertrophy (LFH). The patients were divided into good and poor groups based on their outcomes. Chi-square tests and variance analysis were used to assess intergroup differences. Univariate and multivariate logistic regression analyses were performed to identify risk factors for poor outcomes, and receiver operating characteristic curves were plotted to detect prognostic effects. SIR and ISI lengths were significantly different between the STIR and T2 images. In the univariate logistic regression analysis, age, diabetes, SIRT2, SIRSTIR, and ISISTIR grading were significant factors. Accordingly, in the multivariate logistic regression analysis, age, diabetes, SIRT2, and SIRSTIR were included in the model. Among patients with diabetes, we observed a significant difference between SIRT2 and SIRSTIR. The STIR sequence demonstrated superior capability to the T2W sequence in detecting ISI; however, there was no obvious difference in predicted outcomes. STIR sequence has a better prognostic value than T2W sequence in patients with diabetes who have CSM. ISI grading based on the STIR sequence may be a clinically valuable indicator.
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