中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (2): 185-188.

• 断层影像解剖 • 上一篇    下一篇

正常胎儿标本腰椎发育的磁共振研究

苗明明1, 林祥涛1,2, 刘树伟2, 张忠和2, 王光彬1   

  1. 1.山东大学医学院山东省医学影像研究所; 2.山东大学医学院断层影像解剖学研究中心,  济南   250012
  • 收稿日期:2011-04-23 出版日期:2012-03-25 发布日期:2012-04-17
  • 通讯作者: 林祥涛,副教授,硕士生导师,Tel:0531-85186789,E-mail:linxt@sdu.edu.cn E-mail:miaomingming2007@ 126.com
  • 作者简介:苗明明(1985- ),女,山东省滕州市人,在读硕士研究生,研究方向:影像诊断学,Tel:15153192530
  • 基金资助:

    山东省自然科学基金资助项目(ZR2009CM091)

The development of normal fetal lumbar spine: postmortem MRI study

MIAO Ming-ming1, LIN Xiang-tao 1,2, LIU Shu-wei2,ZHANG Zhong-he2, WANG Guang-bin1   

  1. 1.Shandong Medical Imaging Research Institute; 2.Research Center for Sectional and Imaging Anatomy, School of Medicine, Shandong University, Jinan 250012, China
  • Received:2011-04-23 Online:2012-03-25 Published:2012-04-17

摘要:

目的 研究正常胎儿标本椎体、椎管在不同孕周的发育表现及生长曲线。  方法 52例15~40孕周的胎儿标本接受3.0T磁共振T2WI腰椎横轴位和冠状位扫描;观察及测量内容: ①L1椎间盘信号及高度变化;②L2椎体、骨化中心高度和面积及其相应水平椎体、椎管前后径和面积。对上述测量结果和孕周间作回归分析。  结果 ①L1椎间盘在小于或等于21周时为低信号,21周后逐渐为高信号,其高度随孕周呈线性增长(P<0.01);②L2椎体及骨化中心的高度、面积随孕周呈线性增长(P<0.01),骨化中心与椎体面积比值随孕周增大(P<0.01);L2椎体前后径与相应水平椎管前后径比值范围为1:1.3到1:0.6。  结论 磁共振可明确显示胎儿椎体、椎间盘、椎管在不同孕周的发育表现及变化规律。

关键词: 胎儿标本, 脊柱, 生长发育, 磁共振成像

Abstract:

Objective To describe MR imaging features of normal fetal spine at different gestational ages. Methods Postmortem MR imaging was performed on 52 fetuses ranging from 15 to 40 gestational weeks. T2-weighted MR imaging of the lumbar spine was performed in the coronal, sagittal and axial planed. The following parameters were measured: signal and height of L1 disk, height and area of the L2 vertebral body and ossification center, area of vertebral canal, the ratio of ossification center to the overall size of the vertebral body, and the range of A-P vertebral body to vertebral canal. Results The L1 disk space increased linearly with gestational age (P<0.01). It appeared as a linear low-signal-intensity area in fetuses less than 21 weeks gestation but increasingly developed high signal intensity in the disk after 21weeks. The height and area of the vertebral body, ossification center, vertebral canal increased linearly with gestational age (P<0.01) .The ratio of ossification center to the overall size of the vertebral body increased with gestational age (P<0.01). The range of A-P vertebral body to vertebral canal was 1:1.3 to 1:0.6. Conclusions The normal growth and signal-intensity characteristics of the vertebral body, vertebral canal and spinal cord can be well described on Postmortem MR imaging.

Key words: Fetal specimen, Lumbar spine, Growth and development, Magnetic resonance imaging

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