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首页> 外文期刊>Open Journal of Modern Neurosurgery >Magnetic Resonance Imaging of the Spine at the Douala General Hospital (Cameroon)
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Magnetic Resonance Imaging of the Spine at the Douala General Hospital (Cameroon)

机译：杜阿拉综合医院（喀麦隆）的脊柱磁共振成像

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Objectives: The objective of this study was to evaluate the interest of MRI in the diagnosis of spinal disorders in our area. Method: It was a cross-sectional, descriptive and retrospective study during a nine-month period from January to September 2015 involving all patients who performed a spine MRI in the Imaging Department of Douala General Hospital. All the patients were scanned using an open-sided mid-field MRI APERTO LUCENT (0.4 T) using sagittal and axial slices in T1-weighted and T2-weighted FSE spin echo and STIR sagittal slices and T1 gado. Water-fat saturation (WFS) slices were obtained after injection of a contrast agent. All the data collected were analyzed using Microsoft Excel 2010 and Sphinx version 4.0. Results: 220 patients were recruited. The mean age was 46.34. There was male predominance with a sex ratio of 1.5. The main indication was lumbar spine pain (36.8%), followed by cervical spine pain, sensory and motor disorder. Neurosurgeon (33.6%), neurologist (23.1%) and rheumatologist (13.6%) were the main referring physicians. The lumbar spine was the most explored (53.2%). Discal hernia (46.6%), arthrosis (31.3%) and degenerative disc disease (25.5%) were the main observed lesion. Infectious disorders were mainly represented by spondylitis (5%); Traumatic disorders by spondylolisthesis (8.6%). Tumors were mainly metastasis (4%). 21.3% of MRI were normal. MRI-clinical concordance was 78.63%. Conclusion: MRI allows an accurate assessment of spinal and spinal cord pathologies without exposing patients to radiation. It helped to confirm or refute the diagnosis suspected by clinics. However, its availability is limited in our country.
机译：目的：本研究的目的是评估MRI对本地区脊柱疾病诊断的兴趣。方法：这是一项横断面，描述性和回顾性研究，时间为2015年1月至2015年9月，为期9个月，涉及在杜阿拉总医院影像部门进行了脊柱MRI检查的所有患者。使用开放侧中场MRI APERTO LUCENT（0.4 T）对所有患者进行扫描，使用T1加权和T2加权FSE自旋回波，STIR矢状切面和T1 gado的矢状和轴向切片。注射造影剂后获得水脂饱和度（WFS）切片。使用Microsoft Excel 2010和Sphinx 4.0版分析收集的所有数据。结果：招募了220例患者。平均年龄为46.34。男性占主导地位，性别比为1.5。主要指征是腰椎疼痛（36.8％），其次是颈椎疼痛，感觉和运动障碍。神经外科医生（33.6％），神经科医生（23.1％）和风湿病学家（13.6％）是主要的转诊医师。腰椎受累最多（53.2％）。观察到的主要病灶是椎间盘疝（46.6％），关节炎（31.3％）和退行性椎间盘疾病（25.5％）。感染性疾病主要表现为脊柱炎（5％）;脊椎滑脱引起的创伤性疾病（8.6％）。肿瘤主要是转移（4％）。 MRI的21.3％正常。 MRI-临床一致性为78.63％。结论：MRI可以准确评估脊髓和脊髓的病理状况，而无需将患者暴露在放射线下。它有助于确认或驳斥诊所怀疑的诊断。但是，它的可用性在我国有限。

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