Clinical Application of MRI Apparent Diffusion Coefficient in Early Cervical Spinal Cord Injury
10.3969/j.issn.1006-9771.2014.08.005
- VernacularTitle:磁共振表观弥散系数在早期颈髓损伤诊断中的临床应用
- Author:
Bo WEI
;
Hongjun ZHOU
;
Jianmin XU
;
Genlin LIU
;
Ying ZHENG
;
Chunxia HAO
;
Ying ZHANG
;
Yiji WANG
;
Haiqiong KANG
;
Xiaolei LU
;
Yuan YUAN
- Publication Type:Journal Article
- Keywords:
spinal cord injuries, apparent diffusion coefficient, spinal cord cystic degeneration, motor function, magnetic resonance imaging
- From:
Chinese Journal of Rehabilitation Theory and Practice
2014;(8):723-727
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the relationship between spinal cord cystic degeneration, spinal cord movement improvement and apparent diffusion coefficient (ADC) values after early cervical spinal cord injury. Methods 18 patients with early cervical spinal cord injury were examined with MRI T1WI, T2WI and diffusion weighted imaging (DWI). Then ADC values and ADC maps were obtained. Their ASIA motor scores were also recorded. The relationship between spinal cord cystic degeneration and spinal cord movement improvement and ADC values was analyzed. Results ADC values were lower in those with cystic degeneration than without cystic degeneration in early cervical spinal cord injury, and the cut-off point was 700×10-6 mm2/s. ADC values were positively correlated with age. The movement improvement did not obviously correlate with ADC values. Conclusion ADC values of early cervical spinal cord injury are less than 700×10-6 mm2/s when cystic degeneration happened. Motor function recovery of patients with early cervical spinal cord injury cannot be estimated by measuring ADC values.