Diagnostic utility of 3D MRI sequences in the assessment of central, recess and foraminal stenoses of the spine: a systematic review.

IF 1.9 3区医学 Q2 ORTHOPEDICS

Skeletal Radiology Pub Date : 2024-12-01 Epub Date: 2024-04-27 DOI:10.1007/s00256-024-04689-1

Mika T Nevalainen, Juho Vähä, Lasse Räsänen, Michaela K Bode

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引用次数: 0

Abstract

Objective: To perform a systematic literature review on the diagnostic utility of 3D MRI sequences in the assessment of central canal, recess and foraminal stenosis in the spine.

Methods: The databases PubMed, MEDLINE (via OVID) and The Cochrane Central Register of Controlled Trials, were searched for studies that investigated the diagnostic use of 3D MRI to evaluate stenoses in various parts of the spine in humans. Three reviewers examined the literature and conducted systematic review according to PRISMA 2020 guidelines.

Results: Thirty studies were retrieved from 2 595 publications for this systematic review. The overall diagnostic performance of 3D MRI outperformed the conventional 2D MRI with reported sensitivities ranging from 79 to 100% and specificities ranging from 86 to 100% regarding the evaluation of central, recess and foraminal stenoses. In general, high level of agreement (both intra- and interrater) regarding visibility and pathology on 3D sequences was reported. Studies show that well-optimized 3D sequences allow the use of higher spatial resolution, similar scan time and increased SNR and CNR when compared to corresponding 2D sequences. However, the benefit of 3D sequences is in the additional information provided by them and in the possibility to save total protocol scan times.

Conclusion: The literature on the spine 3D MRI assessment of stenoses is heterogeneous with varying MRI protocols and diagnostic results. However, the 3D sequences offer similar or superior detection of stenoses with high reliability. Especially, the advantage of 3D MRI seems to be the better evaluation of recess stenoses.

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三维核磁共振成像序列在评估脊柱中央、凹陷和椎间孔狭窄中的诊断效用：系统性综述。

目的就三维核磁共振成像序列在评估脊柱中央管、凹陷和椎孔狭窄方面的诊断效用进行系统性文献综述：方法：在 PubMed、MEDLINE（通过 OVID）和 Cochrane Central Register of Controlled Trials 等数据库中搜索有关使用三维 MRI 诊断评估人体脊柱各部位狭窄的研究。三位审稿人根据 PRISMA 2020 指南对文献进行了审查，并进行了系统综述：本系统综述从 2 595 篇文献中检索到 30 项研究。三维核磁共振成像的总体诊断性能优于传统的二维核磁共振成像，在评估中心性、凹陷性和椎管狭窄方面，报告的灵敏度从 79% 到 100% 不等，特异度从 86% 到 100% 不等。一般来说，三维序列的能见度和病理检查结果具有高度的一致性（包括内部和相互之间的一致性）。研究表明，与相应的二维序列相比，经过优化的三维序列可以使用更高的空间分辨率、相似的扫描时间以及更高的信噪比（SNR）和有线信噪比（CNR）。然而，三维序列的优势在于其提供的额外信息以及节省方案总扫描时间的可能性：有关脊柱三维核磁共振成像评估狭窄的文献各不相同，核磁共振成像方案和诊断结果也不尽相同。然而，三维序列对狭窄的检测效果相似或更优，可靠性高。尤其是，三维核磁共振成像的优势似乎在于能更好地评估凹陷性狭窄。

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来源期刊

Skeletal Radiology 医学-核医学

CiteScore

4.40

自引率

9.50%

发文量

253

审稿时长

3-8 weeks

期刊介绍： Skeletal Radiology provides a forum for the dissemination of current knowledge and information dealing with disorders of the musculoskeletal system including the spine. While emphasizing the radiological aspects of the many varied skeletal abnormalities, the journal also adopts an interdisciplinary approach, reflecting the membership of the International Skeletal Society. Thus, the anatomical, pathological, physiological, clinical, metabolic and epidemiological aspects of the many entities affecting the skeleton receive appropriate consideration. This is the Journal of the International Skeletal Society and the Official Journal of the Society of Skeletal Radiology and the Australasian Musculoskelelal Imaging Group.