Systematic review of radiological cervical foraminal grading systems
Systematic review of radiological cervical foraminal grading systems
复制标题
放射学颈椎间孔分级系统的系统评价
DOI：
10.1007/s00234-020-02596-5
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发表时间：
2021
期刊：
影响因子：
2.8
通讯作者：
S. Thomson
中科院分区：
文献类型：
--
作者：
J. Meacock;M. Schramm;S. Selvanathan;S. Currie;D. Stocken;D. Jayne;S. Thomson
本文的研究设计为系统综述。本综述的目的是评价现有的用于评估颈椎椎间孔狭窄的放射学分级系统。颈椎CT或MRI在评估颈椎椎间孔狭窄中的重要性已被广泛接受；然而，对于评估颈神经根压迫的标准化方法尚无共识。系统检索Ovid Medline数据库、Embase 1947年至今、Cinahl、Web of Science、Cochrane Library、ISRCTN和WHO国际临床试验，检索2020年2月1日之前发表的颈椎椎间孔狭窄报告。与利兹大学合作，制定了一项搜索策略。共鉴定出6952件物品，其中包括59件。大多数报告涉及多种成像方式，其中标准轴位和矢状位成像使用最多。来自本系统综述的分级主题显示，（Kim等人）描述了最成熟的颈椎椎间孔狭窄。韩国放射学杂志，2015)and （Park et .）[J] .放射学杂志，2013(6):555 - 557。颈椎神经根管的成像主要使用MRI进行，并且使用主观术语进行报道。Park， Kim和改良的Kim系统分类神经根管狭窄的程度已被描述。这些评分系统的临床应用受到其依赖非标准成像（Park）、对临床症状和手术结果数据的有限验证的限制。从三维MRI数据集获得的斜向细切图像可能产生更多的一致性，更好的临床相关性，增强手术决策和结果。
The study design of this paper is systematic review. The purpose of this review is to evaluate the existing radiological grading systems that are used to assess cervical foraminal stenosis. The importance of imaging the cervical spine using CT or MRI in evaluating cervical foraminal stenosis is widely accepted; however, there is no consensus for standardized methodology to assess the compression of the cervical nerve roots. A systematic search of Ovid Medline databases, Embase 1947 to present, Cinahl, Web of Science, Cochrane Library, ISRCTN and WHO international clinical trials was performed for reports of cervical foraminal stenosis published before 01 February 2020. In collaboration with the University of Leeds, a search strategy was developed. A total of 6952 articles were identified with 59 included. Most of the reports involved multiple imaging modalities with standard axial and sagittal imaging used most. The grading themes that came from this systematic review show that the most mature for cervical foraminal stenosis is described by (Kim et al. Korean J Radiol 16:1294, 2015 ) and (Park et al. Br J Radiol 86:20120515, 2013 ). Imaging of the cervical nerve root canals is mostly performed using MRI and is reported using subjective terminology. The Park, Kim and Modified Kim systems for classifying the degree of stenosis of the nerve root canal have been described. Clinical application of these scoring systems is limited by their reliance on nonstandard imaging (Park), limited validation against clinical symptoms and surgical outcome data. Oblique fine cut images derived from three dimensional MRI datasets may yield more consistency, better clinical correlation, enhanced surgical decision-making and outcomes.