Application progress of diffusion imaging technology in the diagnosis and treatment of lumbar disc herniation
10.3760/cma.j.cn121113-20231102-00273
- VernacularTitle:弥散成像技术在腰椎间盘突出症诊疗中的应用进展
- Author:
Zhenghui YANG
1
;
Yuhang YANG
;
Bifeng FU
;
Ping WANG
Author Information
1. 天津中医药大学第一附属医院骨伤科（国家中医针灸临床医学研究中心），天津 300193
- Keywords:
Lumbar vertebrae;
Intervertebral disc degeneration;
Magnetic resonance imaging;
Review
- From:
Chinese Journal of Orthopaedics
2024;44(2):126-130
- CountryChina
- Language:Chinese
-
Abstract:
Lumbar disc herniation (LDH) is a common clinical spine disease, which can lead to lower limb pain, weakness, numbness and even tingling and burning nerve paraesthesia, seriously affecting the quality of life of the patients. At present, X-ray, CT and MRI are commonly used in clinical imaging. However, in the process of diagnosis and treatment of LDH, clinical symptoms often do not coincide with imaging results, and MRI cannot show the degree of nerve injury. MRI diffusion imaging technique is currently the only method to measure the diffusion motion and imaging of water molecules in vivo, mainly including diffusion weighted imaging (DWI) and diffusion tensor imaging (DTI). In recent years, with the improvement of pulse sequence technology and the application of high-intensity magnetic field, MRI diffusion imaging technology has been gradually applied to the diagnosis and treatment of lumbar nerve injury, which can obtain non-invasive images of the stenosis or interruption of the involved nerve fibers. Based on the principle of diffusion imaging technology, this article analyzes the current status of its application in the diagnosis and treatment of LDH, and analyzes its limitations and discusses the future development direction, in order to provide basis and ideas for the realization of accurate diagnosis and treatment of LDH.
