青少年特发性脊柱侧凸影像学评估技术研究进展

Advances in imaging evaluation of adolescent idiopathic scoliosis

青少年特发性脊柱侧凸是一种三维脊柱畸形。目前的主要是使用Cobb方法在脊柱X线片上测量脊柱弯曲程度。然而这种方法大多数是手动测量,患者会暴露在电离辐射下,增加患癌症的风险。随着医学技术的发展,越来越多的影像技术可供选择。本文主要介绍了计算机辅助X线、超声、CT以及MRI检查,对每种方法的优缺点进行讨论。以期未来这些评估方法可为临床应用或研究提供一种新的思路。

Adolescent idiopathic scoliosis is a three-dimensional spinal deformity.The current mainstay is the measurement of the degree of spinal curvature on spinal X-rays using the Cobb method.However,most of this method is measured manually and patients are exposed to ionizing radiation,which increases the risk of cancer.As medical technology advances,more and more imaging techniques are available.This article focuses on computer-assisted X-ray,ultrasound,CT,and MRI examinations,discussing the advantages and disadvantages of each method.It is hoped that in the future these assessment methods may provide a new way of thinking for clinical application or research.