Spinal Cord Motion in Degenerative Cervical Myelopathy: The Level of the Stenotic Segment and Gender Cause Altered Pathodynamics.

automated segmentation convolutional neural network degenerative cervical myelopathy gender phase-contrast MRI

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
25 Aug 2021
Historique:
received: 15 07 2021
revised: 18 08 2021
accepted: 20 08 2021
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 11 9 2021
Statut: epublish

Résumé

In degenerative cervical myelopathy (DCM), focally increased spinal cord motion has been observed for C5/C6, but whether stenoses at other cervical segments lead to similar pathodynamics and how severity of stenosis, age, and gender affect them is still unclear. We report a prospective matched-pair controlled trial on 65 DCM patients. A high-resolution 3D T2 sampling perfection with application-optimized contrasts using different flip angle evolution (SPACE) and a phase-contrast magnetic resonance imaging (MRI) sequence were performed and automatically segmented. Anatomical and spinal cord motion data were assessed per segment from C2/C3 to C7/T1. Spinal cord motion was focally increased at a level of stenosis among patients with stenosis at C4/C5 (

Identifiants

pubmed: 34501236
pii: jcm10173788
doi: 10.3390/jcm10173788
pmc: PMC8432264
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Deutsche Wirbelsäulenstiftung
ID : 12/2017
Organisme : "Clinical Studies 2019" of the Faculty of Medicine, University of Freiburg, Germany
ID : 3091331904

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Auteurs

Katharina Wolf (K)

Medical Center, Department of Neurology and Neurophysiology, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Marco Reisert (M)

Medical Center, Department of Radiology, Medical Physics, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Saúl Felipe Beltrán (SF)

Medical Center, Department of Neurology and Neurophysiology, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Jan-Helge Klingler (JH)

Medical Center, Department of Neurosurgery, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Ulrich Hubbe (U)

Medical Center, Department of Neurosurgery, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Axel J Krafft (AJ)

Medical Center, Department of Radiology, Medical Physics, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Nico Kremers (N)

Medical Center, Department of Neuroradiology, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Karl Egger (K)

Medical Center, Department of Neuroradiology, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.
Department of Radiology, Tauernklinikum Zell am See/Mittersill, 5700 Salzburg, Austria.

Marc Hohenhaus (M)

Medical Center, Department of Neurosurgery, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.

Classifications MeSH