Application value of MR T2WI-spectral attenuated inversion recovery sequence and diffusion tensor imaging in the recovery process of vertebral compression fractures
10.3969/j.issn.1002-1671.2025.03.023
- VernacularTitle:MR T2WI-频率衰减反转恢复序列和扩散张量成像在椎体压缩性骨折恢复过程中的应用价值
- Author:
Shunling HE
1
;
Cunqiang WANG
1
;
Ziyang YUAN
1
;
Anqi XU
1
;
Yunze GU
1
Author Information
1. 新乡医学院第五临床学院 新乡市第一人民医院磁共振科,河南 新乡 453000
- Publication Type:Journal Article
- Keywords:
vertebral compression fracture;
magnetic reso-nance imaging;
spectral attenuated inversion recovery;
diffusion tensor imaging
- From:
Journal of Practical Radiology
2025;41(3):462-466
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of MR T2WI-spectral attenuated inversion recovery(T2WI-SPAIR)sequence and dif-fusion tensor imaging(DTI)in the recovery process of vertebral compression fractures over time.Methods Three patients aged 60-75 years with a clear time and mechanism of injury were selected.They underwent conventional MR sequences and DTI scans at eight time points.The morphological and signal changes of the fractured vertebrae on T2WI-SPAIR sequences were dynamically observed.Statistical analysis was performed on the apparent diffusion coefficient(ADC)and fractional anisotropy(FA)of the fractured verte-brae and adjacent normal vertebrae.Results T2WI-SPAIR sequence showed that the vertebral morphology gradually worsened from the initial mild compression changes over time after vertebral fracture.Local bone collapse occurred at the upper edge of the verte-brae at>7-9 weeks,followed by stabilization.The initially diffuse and uniform high signal of the fractured vertebrae gradually changed a mixed signal,stabilizing around>9-12 weeks.Statistical analysis results revealed significant differences in ADC values between>1-2 weeks,>3-5 weeks,and>9-12 weeks post-fracture(P<0.05).Significant differences in FA values were also observed between≤1 week,>1-2 weeks,>3-5 weeks,>12 weeks,and>9-12 weeks post-fracture(P<0.05).Furthermore,ADC and FA values between the fractured and normal vertebrae also showed significant differences within the first 12 weeks post-fracture(P<0.05).Conclusion The T2WI-SPAIR sequence demonstrates specific patterns of morphological and signal changes dur-ing the recovery process of fractured vertebrae.Changes in DTI parameters,including ADC and FA values,in self-comparison within the fracture zone and comparison with normal regions,follow certain patterns.These findings can provide reliable imaging evidence for clinicians to make treatment decisions and estimate the time of vertebral injury.
