X线与CT影像学测量成人颈椎矢状面参数的差异

发布时间：2018-02-08 17:25

本文关键词： 颈椎矢状面参数影像测量　出处：《第三军医大学学报》2015年19期 　论文类型：期刊论文

【摘要】：目的分析成人颈椎X线与CT重建图像中矢状面参数的差异及相关性。方法收集67例因轻微头颈部症状在我院行颈椎X线及颈椎CT检查的患者资料,测量并比较两种检查方法中C2~C7的Cobb角、Gore角、颈椎曲率指数(CCI)、胸廓入口角(TIA)、T1倾斜角(T1S)及颈倾斜角(NT);利用Pearson相关检验进行各对应参数的相关性分析。结果颈椎X线测量的Cobb角、Gore角及T1S均大于CT图像中的数据,而NT小于CT的测量结果(P0.05);两种测量方法的CCI和TIA参数之间的差异无统计学意义(P0.05)。观察者间对各参数测量的一致性均为良好。各项参数所对应的两种影像学测量数据之间均呈正相关(P0.05)。结论成人颈椎X线与CT图像中所测量的矢状面参数存在一定差异,临床评估中应引起关注。
[Abstract]:Objective to analyze the difference and correlation of sagittal plane parameters between X-ray and CT reconstruction images of adult cervical vertebrae. Methods 67 patients with minor head and neck symptoms were examined by X-ray and CT in our hospital. The Cobb angle of C2C7 was measured and compared. Pearson correlation test was used to analyze the correlation of the corresponding parameters. Results the Cobb angle and T 1S measured by cervical X ray were higher than those of CT images, and the cervical spine curvature index (CCI), thoracic inlet angle T1S (T 1S) and cervical inclination angle (T 1S) were analyzed by Pearson correlation test, the results showed that the Cobb angle and T 1s of cervical spine X-ray were higher than those of CT images. The difference between the CCI and TIA parameters of the two measuring methods was not statistically significant. The consistency of each parameter between the observers was good. The two imaging measurements corresponding to each parameter were good. Conclusion the parameters of sagittal plane measured in X-ray and CT images of adult cervical vertebrae are different. Attention should be paid to clinical evaluation.
【作者单位】：中山大学附属第五医院骨外科;中山大学附属第五医院康复科;中山大学附属第一医院脊柱外科;
【基金】：广东省自然科学基金博士启动项目(S2011040002494)
【分类号】：R687.3;R816.8

【共引文献】