Utilization of MR imaging in myodural bridge complex with relevant muscles: current status and future perspectives

Utilization of MR imaging in myodural bridge complex with relevant muscles: current status and future perspectives
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MR 成像在肌硬膜桥复合体及相关肌肉中的应用:现状和未来展望

DOI:
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发表时间:
2020-09
影响因子:
1.9
通讯作者:
Jia-Ni Hu
Jia-Ni Hu
中科院分区:
医学4区
文献类型:
--
作者:
Mei-Yu Sun;Hong-Jin Sui;Khalid Eteer;Sheng-Bo Yu;Jia-Ni Hu

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本研究的目的是回顾和讨论有关利用磁共振成像(MRI)研究肌硬膜桥复合体(MDBC)及其相关肌肉的结构和可能功能的文献,这将有助于理解肌硬膜桥(MDB)的功能。肌硬膜桥是一种软组织连接桥,在枕下区域的肌肉/韧带与颈脊髓硬膜(SDM)之间提供筋膜连续性。所有这些相关结构都被称为肌硬膜桥复合体。在头部运动过程中,它能有效地将拉力从相关的枕下肌肉/韧带传递到硬膜。尽管目前已有一些成果,但其解剖学和功能作用仍不清楚。MRI不仅能够通过常规的T1加权像、T2加权像和质子密度加权像对韧带、肌肉和脊髓硬膜进行体内可视化,还能对肌硬膜桥复合体及其相关肌肉进行功能评估,例如肌肉的脂肪浸润、横截面积变化和损伤。尽管一些功能磁共振成像技术目前尚未用于肌硬膜桥复合体及其相关肌肉,但这些技术在更好地理解肌硬膜桥复合体的功能(包括其疑似的临床作用)方面具有很大潜力。到目前为止,MRI可能是研究肌硬膜桥复合体及相关肌肉最有力的工具,但相关探索还很有限。
The aim of this study is to review and discuss the literature on the utilization of magnetic resonance imaging (MRI) in investigating the structure and feasible function of the myodural bridge complex (MDBC) with relevant muscles, which will be useful to understand the function of the MDB. The myodural bridge (MDB) is a soft tissue connective bridge that provides a fascial continuity between the musculature/ligament and cervical spinal dura mater (SDM) in the suboccipital areas. All of these involved structures are referred to as the MDBC. It would transfer tensile forces effectively from involved suboccipital muscles/ligament to SDM during head movement. Despite present achievements, its anatomic and functional role is still unclear. MRI enables not only in vivo visualization of ligaments, musculature and spinal dura with conventional T1W, T2W and PDW imaging, but also functional evaluation of MDBC with relevant muscles, such as muscles’ fatty infiltration, cross-sectional area changes and injuries. Though some functional MRI techniques have not been used for the MDBC with relevant muscles now, these techniques have great potential to better understand function of MDBC including its suspected clinical role. MRI is likely the most powerful tool to study MDBC and relevant muscles with only limited exploration so far.
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