Observation of herniated
cervical intervertebral disc volume based on quantitative volume measurement “monitoring” based on PACS software

doi:10.3969/j.issn.2095-4344.2633

Abstract

Abstract:

BACKGROUND: Herniated cervical intervertebral disc volume measurement is an important parameter for quantitative evaluation of cervical disc degeneration, but it faces a lot of problems such as different measurement standards and the undefined measurement error range.

OBJECTIVE: To investigate the accuracy of PACS software in measuring cervical disc volume, provide reliable measurement methods and accurate data support for clinical observation and research on cervical disc volume change and degeneration.

METHODS: The error rate was obtained by repeated measurements of the normal saline with a known volume of 5.0 mL by means of PACS software. With reference to this error rate, volume changes of cervical disc herniation before and after cervical microendoscopic laminoplasty were “monitored” and analyzed in 30 cases. This study was approved by the Ethics Committee of the First Affiliated Hospital of Zhengzhou University (approval No. 2019-KY-274) on September 26, 2019.

RESULTS AND CONCLUSION: (1) For the measurement of normal saline with known volume, it was found that the error rate of measurement by PACS software was ±5%, suggesting that the measurement of cervical disc volume by PACS software is a simple and accurate method. (2) After cervical microendoscopic laminoplasty, there were 70 patients with reduced cervical disc volume reduction absorption rate of 5%-100%, and the absorption ratio was 76.1% (70/92). The volume increased by 11, but the increase was not more than 5% in the patients with cervical disc herniation after treatment. (3) The spontaneous disappearance or reduction of the herniated cervical disc after cervical microendoscopic laminoplasty was as early as 7 days, and the longest was 76 months. (4) The effects were excellent in 11 cases, good in 15 cases, and fair in 4 cases. The excellent and good rate was 86.7%.

Key words: cervical disc herniation, cervical microendoscopic laminoplasty, quantitative volume object measurement, PACS software, resorption of herniated nucleus pulposus, clinical efficacy

CLC Number:

Zhang Chunlin, Liu Yang, Shang Lijie, Yan Xu, Ning Yongming, Li Dongzhe, Dong Chao, Cao Zhengming.

Observation of herniated cervical intervertebral disc volume based on quantitative volume measurement “monitoring” based on PACS software [J]. Chinese Journal of Tissue Engineering Research, 2020, 24(18): 2888-2892.

Figures/Tables 3

References

[1] SCHOENFELD AJ, GEORGE AA, BADER JO, et al. Incidence and epidemiology of cervical radiculopathy in the United States military: 2000 to 2009. J Spinal Disord Tech. 2012;25(1):17-22.
[2] CARETTE S, FEHLINGS MG. Clinical practice. Cervical radiculopathy. N Engl J Med. 2005;353(4):392-399.
[3] KARLBERG M, MAGNUSSON M, MALMSTRÖM EM, et al. Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin. Arch Phys Med Rehabil. 1996;77(9):874-882.
[4] GRUBER HE, HANLEY EN JR. Ultrastructure of the human intervertebral disc during aging and degeneration: comparison of surgical and control specimens. Spine (Phila Pa 1976). 2002; 27(8):798-805.
[5] NAKASHIMA H, YUKAWA Y, SUDA K, et al. Cervical Disc Protrusion Correlates With the Severity of Cervical Disc Degeneration: A Cross-Sectional Study of 1211 Relatively Healthy Volunteers [published correction appears in Spine (Phila Pa 1976). 2015 Dec;40(24):E1347]. Spine (Phila Pa 1976). 2015;40(13): E774-E779.
[6] AL-RYALAT NT, SALEH SA, MAHAFZA WS, et al. Myelopathy associated with age-related cervical disc herniation: a retrospective review of magnetic resonance images. Ann Saudi Med. 2017;37(2):130-137.
[7] ZHANG C, LI D, WANG C, et al. Cervical Endoscopic Laminoplasty for Cervical Myelopathy. Spine (Phila Pa 1976). 2016;41 Suppl 19: B44-B51.
[8] 张春霖,张银鹤,严旭,等.内镜下颈椎管成形术治疗脊髓型颈椎病[J].中华骨科杂志,2017,37(2):89-95.
[9] 王经宇,张春霖,翟福英,等.微型钛板置入颈椎管成形与单开门椎管扩大治疗脊髓型颈椎病的对比[J].中国组织工程研究, 2014,18(9): 1380-1385.
[10] KATO T, HARO H, KOMORI H, et al. Sequential dynamics of inflammatory cytokine, angiogenesis inducing factor and matrix degrading enzymes during spontaneous resorption of the herniated disc. J Orthop Res. 2004;22(4):895-900.
[11] BROEKEMA AEH, MOLENBERG R, KUIJLEN JMA, et al. The Odom Criteria: Validated at Last: A Clinimetric Evaluation in Cervical Spine Surgery. J Bone Joint Surg Am. 2019;101(14): 1301-1308.
[12] PILLING JR. Picture archiving and communication systems: the users' view. Br J Radiol. 2003;76(908):519-524.
[13] LANGER SG. PACS and Digital Medicine: Essential Principles and Modern Practice. Med Phys. 2012;39(10):6526.
[14] KALSI-RYAN S, KARADIMAS SK, FEHLINGS MG. Cervical spondylotic myelopathy: the clinical phenomenon and the current pathobiology of an increasingly prevalent and devastating disorder. Neuroscientist. 2013;19(4):409-421.
[15] LIU BJ, CAO F, ZHOU MZ, et al. Trends in PACS image storage and archive. Comput Med Imaging Graph. 2003;27(2-3):165-174.
[16] COSTA C, OLIVEIRA JL, SILVA A, et al. Design, development, exploitation and assessment of a Cardiology Web PACS. Comput Methods Programs Biomed. 2009;93(3):273-282.
[17] PYNOO B, DEVOLDER P, DUYCK W, VAN BRAAK J, SIJNAVE B, DUYCK P. Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. Int J Med Inform. 2012;81(2):88-97.
[18] BERNHARDT M, GURGANIOUS LR, BLOOM DL, et al. Magnetic resonance imaging analysis of percutaneous discectomy. A preliminary report. Spine (Phila Pa 1976). 1993;18(2):211-217.
[19] 刘延青,张凤山,孙宇.颈椎病患者突出椎间盘的MRI测量及临床意义[J].中国脊柱脊髓杂志,2004(3):19-21.
[20] THELANDER U, FAGERLUND M, FRIBERG S, et al. Describing the size of lumbar disc herniations using computed tomography. A comparison of different size index calculations and their relation to sciatica. Spine (Phila Pa 1976). 1994;19(17):1979-1984.
[21] 富田庄司,古府照男,阪元正郎,等.腰椎椎间盘保守治疗与手术治疗MRI结果的比较[J].整形外科,1997,48(10):1323-1325.
[22] HONG J, BALL PA. Images in clinical medicine. Resolution of Lumbar Disk Herniation without Surgery. N Engl J Med. 2016;374 (16):1564.
[23] KARAVELIOGLU E, ESER O, SÖNMEZ MA. Spontaneous resorption of sequestrated lumbar disc fragment. Spine J. 2013;13(9):1160.
[24] BOROTA L, JONASSON P, AGOLLI A. Spontaneous resorption of intradural lumbar disc fragments. Spine J. 2008;8(2):397-403.
[25] TURK O, YALDIZ C. Spontaneous regression of cervical discs: Retrospective analysis of 14 cases. Medicine (Baltimore). 2019; 98(7):e14521.
[26] ORIEF T, ORZ Y, ATTIA W, et al. Spontaneous resorption of sequestrated intervertebral disc herniation. World Neurosurg. 2012;77(1):146-152.
[27] HARO H, CRAWFORD HC, FINGLETON B, et al. Matrix metalloproteinase-3-dependent generation of a macrophage chemoattractant in a model of herniated disc resorption. J Clin Invest. 2000;105(2):133-141.
[28] AUTIO RA, KARPPINEN J, NIINIMÄKI J, et al. Determinants of spontaneous resorption of intervertebral disc herniations. Spine (Phila Pa 1976). 2006;31(11):1247-1252.
[29] KATO T, HARO H, KOMORI H, et al. Sequential dynamics of inflammatory cytokine, angiogenesis inducing factor and matrix degrading enzymes during spontaneous resorption of the herniated disc. J Orthop Res. 2004;22(4):895-900.