Cervical MRI scan
Definition
颈椎MRI(磁共振成像)扫描使用来自强磁铁的能量来生成穿过颈部区域的脊柱部分(颈椎)的图像。.
MRI does not use radiation (x-rays).
Single
Alternative Names
MRI - cervical spine; MRI - neck
How the Test is Performed
你将穿着病号服或没有金属拉链或拉链的衣服(如运动裤和t恤). 一定要摘掉手表、珠宝和钱包. MRIs can pull on any metallic objects. Some types of metal can cause blurry images.
你将躺在一张狭窄的桌子上,桌子滑进一个隧道形状的扫描仪.
Some exams use a special dye (contrast). 大多数情况下,你会在测试前通过手臂或手的静脉注射染料. The dye can also be given through an injection. 这种染料可以帮助放射科十大赌博平台排行榜更清楚地看到某些区域.
在核磁共振过程中,操作机器的人会在另一个房间看着你. 测试通常持续30到60分钟,但也可能需要更长时间.
How to Prepare for the Test
你可能会被要求在扫描前4到6个小时不要吃或喝任何东西.
告诉你的十大赌博平台排行榜你是否害怕封闭的空间(有幽闭恐惧症). 十大赌博平台排行榜可能会给你开一种药,帮助你感到困倦和减少焦虑. 你的十大赌博平台排行榜可能会建议你做“开放式”核磁共振成像,这样机器就不会离身体那么近了.
Before the test, tell your provider if you have:
- Brain aneurysm clips
- Certain types of artificial heart valves
- Heart defibrillator or pacemaker
- Inner ear (cochlear) implants
- 肾脏疾病或透析(您可能无法接受对比)
- 最近植入人工关节或手术植入金属螺钉和钢板
- Certain types of vascular
stents - 过去曾接触过金属片(您可能需要检查眼睛中是否有金属片)
Because the MRI contains strong magnets, 金属物品不允许进入有核磁共振扫描仪的房间;
- 钢笔、小刀和眼镜可能会飞到房间的另一边.
- 珠宝、手表、信用卡和助听器等物品都可能被损坏.
- 别针、发夹、金属拉链和类似的金属物品会扭曲图像.
- 可拆卸的牙具应该在扫描前取出.
How the Test will Feel
An MRI exam causes no pain. You will need to lie still. 过多的运动可能会模糊MRI图像并导致错误.
桌子可能是硬的或冷的,但你可以要一条毯子或枕头. 这台机器开机时会发出巨大的砰砰声和嗡嗡声. You can wear ear plugs to help block out the noise.
房间里的对讲机可以让你随时和别人通话. 一些核磁共振成像有电视和特殊的耳机来帮助时间流逝.
没有恢复时间,除非你吃了药来放松. 核磁共振扫描后,你可以恢复正常的饮食、活动和药物.
Why the Test is Performed
The most common reasons for this test are:
- 严重的颈部、肩部或手臂疼痛,治疗后没有好转
- 颈部疼痛并伴有腿部无力、麻木或其他症状
A cervical MRI scan may also be done for:
- Birth defects of the spine
- Infection that involves your spine
- Injury or trauma to the spine
- Multiple sclerosis
- Severe scoliosis
- Tumor or cancer in the spine
- Arthritis in the spine
在大多数情况下,核磁共振成像比CT扫描更能诊断这些问题.
A cervical MRI may also be done before spinal surgery.
Normal Results
正常的结果意味着穿过你脖子的脊椎部分和附近的神经看起来正常.
What Abnormal Results Mean
The most common reasons for an abnormal result are:
Herniated or "slipped" disk (cervical radiculopathy)- Narrowing of the cervical spine (
spinal stenosis ) - 颈部骨骼和软骨的异常磨损(
cervical spondylosis )
Abnormal results may also be due to:
- Degenerative changes due to age
- Bone infection (
osteomyelitis ) - Disk inflammation (
diskitis ) - Infection of the spine
Multiple sclerosis Spinal cord injury or compression - Spinal fracture
Spinal tumor - Abnormality from growth
和你的十大赌博平台排行榜谈谈你的问题和担忧.
Risks
MRI uses no radiation. 目前还没有关于磁场和无线电波副作用的报道.
在怀孕期间做核磁共振也是安全的. No side effects or complications have been proven.
最常用的造影剂(染料)是钆. It is very safe. Allergic reactions to the substance are rare. 然而,钆可能对需要透析的肾病患者有害. 如果您有肾脏问题,请在检查前告知您的十大赌博平台排行榜.
核磁共振成像过程中产生的强磁场会导致心脏起搏器和其他植入物无法正常工作. 它还会导致你体内的一块金属移动或移位. 为了安全起见,请不要携带任何含金属的物品进入扫描室.
References
Chou R, Qaseem A, Owens DK, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. 下背痛的诊断成像:来自美国医师学会的高价值医疗保健建议. Ann Intern Med. 2011;154(3):181-189. PMID: 21282698
Gardocki RJ, Park AL. 胸椎和腰椎退行性疾病. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 39.
Koerner JD, Vaccaro AR. 颈椎下轴(C3-C7)损伤的评估、分类和治疗. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 340.
Shimer AL, Aghdasi B. 运动员颈椎的外伤. In: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopaedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 128.
Van Thielen T, Van den Hauwe L, Van Goethem JW, Parizel PM. 脊柱影像学现状及解剖特征. 见:Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM,编. Grainger & Allison's Diagnostic Radiology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 47.
Review Date: 04/24/2023