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首页> 外文期刊>Acta Radiologica >Underdiagnosis of vertebral collapse on routine multidetector computed tomography scan of the abdomen.
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Underdiagnosis of vertebral collapse on routine multidetector computed tomography scan of the abdomen.

机译：常规腹部多排计算机断层扫描对椎体塌陷的诊断不足。

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Background: Vertebral fractures are commonly associated with osteoporosis and have significant morbidity and mortality rates. Osteoporotic vertebral fractures are presently considered as a treatable and preventable condition, and early detection is vital for further management. The evaluation of vertebral compression on multidetector computed tomography (MDCT) scans of the abdomen has, to our knowledge, not been reported before. Purpose: To assess the prevalence of vertebral collapse on routine abdominal CT scans, and to evaluate the usefulness of the multiplanar reconstruction (MPR) capability of MDCT scans in accurately identifying vertebral abnormalities such as vertebral collapse, spondylolisthesis, and retrolisthesis. Material and Methods: A retrospective review of 307 MDCT scans of the abdomen was carried out at a university teaching hospital. Identifiable patient information was anonymized for data protection. All images were reviewed on a picture archiving and communications system (PACS) usingsagittal MPR and bone window for the assessment of the vertebrae. Data were collected from the Computerized Radiology Information System (CRIS). Results: Vertebral collapse was seen in 42 (13.6%) of the 307 patients undergoing routine MDCT of the abdomen. Multilevel and single-level collapses were seen in 24 and 18 patients, respectively. Spondylolisthesis was identified in 5.5% (n=17), and retrolisthesis was seen in 0.6% (n=2). All patients with vertebral fracture were older than 50 years. Women were more commonly affected than men. Conclusion: A significant number of patients with vertebral collapse were diagnosed using MPR on MDCT routine scans of the abdomen.
机译：背景：椎骨骨折通常与骨质疏松症相关，并且具有明显的发病率和死亡率。目前认为骨质疏松性脊椎骨折是可以治疗和预防的疾病，早期发现对于进一步治疗至关重要。据我们所知，以前在腹部的多探测器计算机断层扫描（MDCT）扫描中对椎骨压缩的评估尚无报道。目的：评估常规腹部CT扫描中椎体塌陷的患病率，并评估MDCT扫描的多平面重建（MPR）功能在准确识别椎体异常（例如椎体塌陷，脊椎滑脱和后弹道硬化）中的实用性。材料和方法：在一家大学教学医院对307例MDCT腹部扫描进行了回顾性回顾。可识别的患者信息被匿名用于数据保护。所有图像均在图像存档和通信系统（PACS）上使用矢状MPR和骨窗进行评估，以评估椎骨。数据是从计算机放射信息系统（CRIS）收集的。结果：307例接受常规腹部MDCT检查的患者中有42例（13.6％）出现椎体塌陷。分别有24例和18例患者出现多级和单级塌陷。腰椎滑脱症的检出率为5.5％（n = 17），而后视听筒的检出率为0.6％（n = 2）。所有椎骨骨折患者均年龄超过50岁。女人比男人更容易受到影响。结论：在腹部MDCT常规扫描中使用MPR诊断出大量椎体塌陷患者。

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