[1]丁有泉.MAGiC短时反转恢复序列磁共振扫描在骶髂关节炎骨髓水肿诊断中的应用价值[J].中医正骨,2021,33(10):44-46.
点击复制

MAGiC短时反转恢复序列磁共振扫描在骶髂关节炎骨髓水肿诊断中的应用价值()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年10期
页码:
44-46
栏目:
影像诊断
出版日期:
2021-10-20

文章信息/Info

作者:
丁有泉
(温岭市第一人民医院,浙江 温岭 317500)
关键词:
骶髂关节炎;  脊柱炎; 强直性;  骨髓水肿;  磁共振成像;  MAGiC短时反转恢复序列
摘要:
目的:探讨MAGiC短时反转恢复(short time in version recovery,STIR)序列磁共振扫描在骶髂关节炎骨髓水肿诊断中的应用价值。方法:纳入95例强直性脊柱炎患者,分别采用T1WI、T2WI、T2加权脂肪抑制(T2 weight image fat suppression,T2WI FS)及MAGiC STIR序列进行骶髂关节斜冠状面磁共振扫描。由2名放射科副主任医师分别独立分析扫描结果,将单侧骶髂关节分为4个区域,采用国际脊柱关节炎评估协会制定的相关诊断标准诊断骨髓水肿,统计分析T2WI FS和MAGiC STIR序列诊断骶髂关节存在骨髓水肿区域的数量; 采用Hermann-Braun评分系统评价各区域的炎症严重程度,统计分析这2种序列不同Hermann-Braun评分的区域数量; 并以T2WI FS序列诊断结果为标准,采用受试者操作特征曲线评价MAGiC STIR序列对骶髂关节炎骨髓水肿的诊断价值。结果:2名医师对强直性脊柱炎患者骶髂关节各区域的炎症严重程度的评价,一致性为优(ICC=0.935,P=0.000)。T2WI FS序列和MAGiC STIR序列均诊断骨髓水肿患者60例,前者诊断存在骨髓水肿区域250个,后者诊断存在骨髓水肿区域230个,二者诊断存在骨髓水肿区域数量的比较,差异无统计学意义(χ2=1.218,P=0.270); 2种序列诊断结果中不同Hermann-Braun评分的区域数量的分布不同,差异有统计学意义(Z=-4.296,P=0.002)。MAGiC STIR序列诊断骶髂关节炎骨髓水肿的敏感度为86.92%、特异度为96.60%、阳性预测值为90.76%、阴性预测值为93.35%,MAGiC STIR序列诊断骶髂关节炎骨髓水肿的受试者操作特征曲线下面积为0.963(P=0.000)。结论:应用MAGiC STIR序列磁共振扫描诊断骶髂关节炎骨髓水肿具有较高的应用价值。

参考文献/References:

[1] CHEN M,HERREGODS N,JAREMKO J L,et al.Bone marrow edema in sacroiliitis:detection with dual-energy CT[J].Eur Radiol,2020,30(6):3393-3400.
[2] DE WINTER J,DE HOOGE M,VAN DE SANDE M,et al.Magnetic resonance imaging of the sacroiliac joints indicating sacroiliitis according to the Assessment of Spondyloarthritis International Society definition in healthy individuals,runners,and women with postpartum back pain[J].Arthritis Rheumatol,2018,70(7):1042-1048.
[3] AGTEN C A,ZUBLER V,ZANETTI M,et al.Postpartum bone marrow edema at the sacroiliac joints may mimic sacro-iliitis of axial spondyloarthritis on MRI[J].AJR Am J Roentgenol,2018,211(6):1306-1312.
[4] MAKSYMOWYCH W P,LAMBERT RG,?STERGAARD M,et al.MRI lesions in the sacroiliac joints of patients with spondyloarthritis:an update of definitions and validation by the ASAS MRI working group[J].Ann Rheum Dis,2019,78(11):1550-1558.
[5] 汪年松,薛勤.强直性脊柱炎[M].2版.上海:上海交通大学出版社,2015:297-305.
[6] HERMANN K G,BRAUN J,FISCHER T,et al.Magnetic resonance tomography of sacroiliitis:anatomy,histological pathology,MR-morphology,and grading[J].Radiologe,2004,44(3):217-228.
[7] ALTHOFF C E,FEIST E,BUROVA E,et al.Magnetic resonance imaging of active sacroiliitis:do we really need gadolinium?[J].Eur J Radiol,2009,71(2):232-236.
[8] BOUDABBOUS S,NEROLADAKI A,BAGETAKOS I,et al.Feasibility of synthetic MRI in knee imaging in routine practice[J/OL].Acta Radiol Open,2018,7(5)[2021-05-09].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5952291/.DOI:10.1177/2058460118769686.
[9] KUMAR N M,FRITZ B,STERN S E,et al.Synthetic MRI of the knee:phantom validation and comparison with conventional MRI[J].Radiology,2018,289(2):465-477.
[10] 徐良洲,徐霖,贺梦吟,等.集成MR序列T1、T2弛豫定量的可重复性研究[J].放射学实践,2019,34(11):1178-1181.
[11] GREESE J,DIEKHOFF T,SIEPER J,et al.Detection of sacroiliitis by short-tau inversion recovery and T2-weighted turbo spin echo sequences:results from the SIMACT study[J].J Rheumatol,2019,46(4):376-383.
[12] BRAY T J P,SAKAI N,DUDEK A,et al.Histographic analysis of oedema and fat in inflamed bone marrow based on quantitative MRI[J].Eur Radiol,2020,30(9):5099-5109.
[13] WEBER U,JURIK A G,ZEJDEN A,et al.MRI of the sacroiliac joints in athletes:recognition of non-specific bone marrow oedema by semi-axial added to standard semi-coronal scans[J].Rheumatology(Oxford),2020,59(6):1381-1390.
[14] WANG D,YIN H,LIU W,et al.Comparative analysis of the diagnostic values of T2 mapping and diffusion-weighted imaging for sacroiliitis in ankylosing spondylitis[J].Skeletal Radiol,2020,49(10):1597-1606.
[15] KUCYBALA I,TABOR Z,POLAK J,et al.The semi-automated algorithm for the detection of bone marrow oedema lesions in patients with axial spondyloarthritis[J].Rheumatol Int,2020,40(4):625-633.

相似文献/References:

[1]赵伟光,刘振武,刘利,等.强直性脊柱炎合并右侧股骨头和股骨颈骨溶解症1例[J].中医正骨,2015,27(01):75.
[2]赵明明,蔡一强,丁永利,等.无柄人工全髋关节置换术治疗髋关节疾患的临床研究[J].中医正骨,2016,28(04):37.
[3]柯伟杰,王海彬,何伟,等.全髋关节置换术治疗强直性脊柱炎髋关节骨性强直[J].中医正骨,2017,29(10):69.
[4]陆贵乾,田维,贾健.强直性脊柱炎患者创伤后多发骨折1例[J].中医正骨,2018,30(07):76.
[5]林晴,林炜,付长龙,等.细胞焦亡与关节炎的研究进展[J].中医正骨,2018,30(11):43.

备注/Memo

备注/Memo:
通讯作者:丁有泉 E-mail:309945604@qq.com
更新日期/Last Update: 1900-01-01