{"id":18166,"date":"2025-09-17T14:18:47","date_gmt":"2025-09-17T12:18:47","guid":{"rendered":"https:\/\/www.corsetdaum.be\/?p=18166"},"modified":"2025-09-17T14:22:54","modified_gmt":"2025-09-17T12:22:54","slug":"technologies-imagerie","status":"publish","type":"post","link":"https:\/\/www.corsetdaum.be\/nl\/technologies-imagerie\/","title":{"rendered":"L\u2019Essentiel du Rachis – Nouvelles technologies d\u2019imagerie"},"content":{"rendered":"
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Depuis 2023, Corset Daum rassemble chaque mois les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des pathologies qui l’affectent.<\/p>\n

Ce mois-ci, nous explorons un domaine en pleine mutation : les nouvelles technologies d\u2019imagerie appliqu\u00e9es au rachis<\/strong>.<\/p>\n

Longtemps limit\u00e9es \u00e0 l\u2019IRM conventionnelle et aux \u00e9valuations qualitatives, l\u2019imagerie du rachis \u00e9volue aujourd\u2019hui vers des approches quantitatives et assist\u00e9es par l\u2019intelligence artificielle<\/strong>, capables d\u2019objectiver la d\u00e9g\u00e9n\u00e9rescence discale, musculaire et fasciale avec une pr\u00e9cision in\u00e9dite.<\/p>\n

\u00c0 travers plusieurs \u00e9tudes r\u00e9centes, d\u00e9couvrons comment ces innovations, de l\u2019IRM quantitative au photon-counting CT, en passant par l\u2019\u00e9chographie avanc\u00e9e et les radiomics, ouvrent la voie \u00e0 des diagnostics plus fiables, un suivi personnalis\u00e9 et une meilleure stratification des patients.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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1.\u00a0<\/a> \ud83e\udde0 Progr\u00e8s et d\u00e9fis de l’IRM assist\u00e9e par l’IA pour la d\u00e9tection et la classification de la d\u00e9g\u00e9n\u00e9rescence discale lombaire<\/span><\/a><\/p>\n

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2. \ud83e\uddf5 <\/span>Microstructure du fascia thoraco-lombaire et lombalgie : aper\u00e7u \u00e0 partir d’une \u00e9chographie quantitative<\/span><\/a><\/p>\n

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3. \ud83d\udcca <\/span>Validation multicentrique de la segmentation automatis\u00e9e des muscles paravert\u00e9braux lombaires en IRM<\/span><\/a><\/p>\n

<\/span><\/a>4. \ud83d\udd2c Signatures radiomiques robustes de la d\u00e9g\u00e9n\u00e9rescence discale intervert\u00e9brale \u00e0 partir de l’IRM<\/span><\/span><\/a><\/p>\n

<\/span><\/span><\/a>Bonne lecture !<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\nProgr\u00e8s et d\u00e9fis de l'IRM assist\u00e9e par l'IA pour la d\u00e9tection et la classification de la d\u00e9g\u00e9n\u00e9rescence discale lombaire<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Peng Zhao, Shan Zhu<\/em>
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Cet article de revue s\u2019int\u00e9resse aux applications de l\u2019intelligence artificielle<\/strong> pour analyser les IRM du rachis et diagnostiquer la d\u00e9g\u00e9n\u00e9rescence discale.<\/p>\n

Il d\u00e9crit les approches actuelles (r\u00e9seaux de neurones, U-Net, ResNet, mod\u00e8les hybrides avec transformers) et leur pr\u00e9cision pour classer la s\u00e9v\u00e9rit\u00e9 des l\u00e9sions.<\/p>\n

Les auteurs concluent que l\u2019IA peut \u00e9galer, voire d\u00e9passer, l\u2019\u00e9valuation manuelle des radiologues.<\/p>\n

Cependant, ils soulignent aussi les limites : manque de diversit\u00e9 des bases de donn\u00e9es, difficult\u00e9s d\u2019interpr\u00e9tation et contraintes r\u00e9glementaires.<\/p>\n

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Disponible sur European Spine Journal<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\nMicrostructure du fascia thoraco-lombaire et lombalgie : aper\u00e7u \u00e0 partir d'une \u00e9chographie quantitative<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Norio Tomita, Fran\u00e7ois Destrempes, Marie-H\u00e9l\u00e8ne Roy Cardinal, Aline Boulanger, Nathaly Gaudreault, Guy Cloutier, Nathalie J Bureau<\/em>
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Cette \u00e9tude a utilis\u00e9 l\u2019\u00e9chographie quantitative<\/strong> pour examiner la microstructure du fascia thoracolombaire chez des patients lombalgiques chroniques et des sujets t\u00e9moins.<\/p>\n

Des diff\u00e9rences nettes ont \u00e9t\u00e9 observ\u00e9es entre les deux groupes, notamment dans certains param\u00e8tres statistiques du signal \u00e9chographique.<\/p>\n

Ces r\u00e9sultats sugg\u00e8rent que l\u2019\u00e9chographie pourrait devenir un outil compl\u00e9mentaire \u00e0 l\u2019IRM, capable de r\u00e9v\u00e9ler des alt\u00e9rations tissulaires invisibles autrement, et ouvrant la voie \u00e0 une meilleure \u00e9valuation des lombalgies non sp\u00e9cifiques.<\/p>\n

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Disponible sur Ultrasound in Medicine & Biology<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\nValidation multicentrique de la segmentation automatis\u00e9e et de l'analyse de la composition des muscles paravert\u00e9braux lombaires \u00e0 l'aide d'une IRM multis\u00e9quence<\/h2><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Zhongyi Zhang, Julie A. Hides, Enrico De Martino, Janet Millner, Gervase Tuxworth<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Cette \u00e9tude multicentrique (641 participants, >1300 IRM) a valid\u00e9 un algorithme de deep learning pour mesurer automatiquement le volume musculaire et l\u2019infiltration graisseuse<\/strong> des muscles paravert\u00e9braux.<\/p>\n

Les r\u00e9sultats montrent une excellente concordance avec les mesures manuelles des radiologues (ICC > 0,92).<\/p>\n

L\u2019automatisation permet un suivi rapide, reproductible et standardis\u00e9 de la d\u00e9g\u00e9n\u00e9rescence musculaire, utile dans l\u2019\u00e9valuation des patients lombalgiques chroniques.<\/p>\n

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Disponible sur Radiological Society of North America<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\nSignatures radiomiques robustes de la d\u00e9g\u00e9n\u00e9rescence discale intervert\u00e9brale \u00e0 partir de l'IRM<\/h2><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Terence McSweeney, Aleksei Tiulpin, Narasimharao Kowlagi, Juhani M\u00e4\u00e4tt\u00e4, Jaro Karppinen, Simo Saarakkala<\/em>
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Cette recherche a analys\u00e9 plus de 1300 IRM lombaires<\/strong> pour identifier des radiomic signatures<\/strong> de la d\u00e9g\u00e9n\u00e9rescence discale, c\u2019est-\u00e0-dire des motifs d\u2019imagerie invisibles \u00e0 l\u2019\u0153il nu mais d\u00e9tectables par algorithmes.<\/p>\n

Les mod\u00e8les radiomiques se sont r\u00e9v\u00e9l\u00e9s plus performants que les indices conventionnels (tels que la hauteur du disque) pour classer les stades de d\u00e9g\u00e9n\u00e9rescence selon Pfirrmann.<\/p>\n

Cela ouvre la voie \u00e0 un ph\u00e9notypage plus pr\u00e9cis des patients lombalgiques<\/strong> et \u00e0 une stratification plus fine pour la recherche et la clinique.<\/p>\n

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Disponible sur Spine Journal<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Nous nous retrouvons le mois prochain pour de nouvelles avanc\u00e9es sur le rachis !<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Ce mois-ci, nous explorons des th\u00e9matiques aussi vari\u00e9es que l\u2019influence des asym\u00e9tries musculaires sur la lombalgie, l\u2019implication de la sensibilisation centrale dans les douleurs chroniques, ainsi que les bienfaits de l\u2019exercice physique \u2013 notamment l\u2019entra\u00eenement en extension lombaire isol\u00e9e \u2013 pour am\u00e9liorer la prise en charge des patients.<\/p>","protected":false},"author":9,"featured_media":18167,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[],"class_list":["post-18166","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-edr","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50"],"yoast_head":"\nL\u2019Essentiel du Rachis - Nouvelles technologies d\u2019imagerie - Corset DAUM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.corsetdaum.be\/nl\/technologies-imagerie\/\" \/>\n<meta property=\"og:locale\" content=\"nl_BE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u2019Essentiel du Rachis - 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