Lower back pain is a prevalent health issue that imposes a significant burden on individuals and society,and discogenic lower back pain caused by disc degeneration is one of the most common etiologic factors. MR techniques are widely used for the routine diagnosis of disc degeneration and its complications. In recent years,with the advancement of artificial intelligence and quantitative techniques,T2WI-based texture analysis as well as various quantitative MR techniques have gradually become important tools for the early diagnosis of discogenic low back pain,the identification of painful discs,and the decision-making of treatment plans,as well as the evaluation of the efficacy of disc regenerative medicine. Multimodal image fusion and artificial intelligence-assisted diagnosis are expected to play an irreplaceable role in the diagnosis and treatment of discogenic low back pain and in the development of new disc therapies,and the application of highly specific disc identification sequences such as CEST and MRS,as well as research on the association between discogenic low back pain and brain function,will also lead to the optimization of clinical treatment plans. In this paper,the current applications and developmental trends of MRI technologies such as T2WI and quantitative MRI in discogenic low back pain caused by lumbar intervertebral disc degenerative are reviewed,with the aim of providing more potential MRI technical support for its early diagnosis and the evaluation of the efficacy of disc regenerative medicine.
关键词
腰痛/椎间盘退变/椎间盘源性腰痛/磁共振成像/定量技术/早期诊断
Key words
low back pain/intervertebral disc degeneration/discogenic low back pain/magnetic resonance imaging/quantitative technique/early diagnosis
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