[1]侯俊成,张善华,周海伟,等.三维稳态采集快速成像序列在肩周炎患者喙肱韧带MRI扫描中的应用价值[J].中医正骨,2023,35(02):22-24.
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三维稳态采集快速成像序列在肩周炎患者喙肱韧带MRI扫描中的应用价值()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年02期
页码:
22-24
栏目:
影像诊断
出版日期:
2023-02-20

文章信息/Info

作者:
侯俊成; 张善华; 周海伟; 陈静娜; 徐金泽
(舟山医院,浙江 舟山 316021)
关键词:
肩关节;  关节周围炎;  肩凝症;  磁共振成像;  喙肱韧带
摘要:
目的:探讨三维稳态采集快速成像(three-dimensional fast imaging employing steady-state acquisition,3D-FIESTA)序列在肩周炎患者喙肱韧带MRI扫描中的应用价值。方法:回顾性分析2019年1月至2020年12月收集的100例肩周炎患者的MRI资料,比较MRI常规序列与3D-FIESTA序列对喙肱韧带的显示效果。男48例,女52例。年龄20～80岁,中位数53岁。病程1～9个月,中位数6个月。先进行常规序列扫描,即斜冠状位快速自旋回波(fast spin echo,FSE )T1加权像(T1 weighted image,T1WI)序列扫描; 再进行斜冠状位和斜矢状位3D-FIESTA序列扫描,并应用后处理软件对图像进行三维重建。由2位影像专业高年资医师分别独立分析MRI图像,并采用自拟标准评价喙肱韧带显示效果。结果:斜冠状位3D-FIESTA序列与FSE T1WI序列对喙肱韧带显示效果的一致性一般(Kappa=0.496,P=0.000)。斜冠状位3D-FIESTA序列对喙肱韧带的显示率为77%(77/100),斜冠状位FSE T1WI序列对喙肱韧带的显示率为58%(58/100),斜冠状位3D-FIESTA序列对喙肱韧带的显示率高于斜冠状位FSE T1WI序列(χ2=8.228,P=0.004)。斜矢状位3D-FIESTA序列与斜冠状位3D-FIESTA序列对喙肱韧带显示效果的一致性较差(Kappa=0.085,P=0.004)。斜矢状位3D-FIESTA序列对喙肱韧带的显示率为92%(92/100),斜冠状位3D-FIESTA序列对喙肱韧带的显示率为77%(77/100),斜矢状位3D-FIESTA序列对喙肱韧带的显示率高于斜冠状位3D-FIESTA序列(χ2=8.589,P=0.003)。结论:斜矢状位3D-FIESTA序列MRI扫描对喙肱韧带的显示效果良好,有助于肩周炎的诊断。

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(收稿日期:2022-08-02 本文编辑:郭毅曼)

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更新日期/Last Update: 1900-01-01