- 요추간판의 전산화단층촬영술 I.정상해부
- ㆍ 저자명
- 이재문
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1984년|20권 3호|pp.394-399 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
The cross-sectional anatomy of the intervertebral disc and spinal canal can be studied in detail by computed tomography (CT) which is not invasive and is much simpler than conventional myelography, The shape of the normal disc and distribution of epidural fat pad are varied at each disc level and CT findings of the normal disc and spina canal are essential in diagnosis of herniation or bulging. However, there has been no previous publications providing us with the detailed criteria of normal disc and neural canal cross-sectional anatomy. The present study has been carried out to investigate CT anatomy of the normal distribution of the epidural fat at each lumbar disc level to set up a baseline by which one will be able to judge disc herniation or bulging. The materials consisted of 30 adult volunteers. They were sampled randomly from the individual undergoing a CT Study for the reasons other than spinal disease and having no symptoms or signs of the lumbar spinal disease. CT scans were performed with a Siemens Somatom 2 Scanner. Technical factors involved were Tube voltage 125 kvp, exposure time 10 seconds. 460 mAs, 256x256 matrix, and pixel size 0.4mm. Contiguous 2-mm thick slice of each disc were obtained parallel to the disc plane at 3-mm interval for 5 lumbar discs. The results are follows: 1. The shape of the posterior disc margins at L1-2, L2-3, and L3-4 levels were concave anteriorly in over 90% of the cases compared with the disc margins at L4-5 and L5-S1 where they were convex or flat in over 85% 2. None of the convex discs showed focal nodular protrusion nor were more convex than the anterior margin of the disc.