论著-头颈部
3.0T MRI T2-mapping成像对膝关节软骨退变的临床价值
作者:龙 斌 董 进 宋少辉 马志娟 涂 茜 彭红芬 蒋宇宏
所属单位:湖北省武汉市第一医院放射科(湖北 武汉 430022)
PDF摘要
目的探讨3.0T MRI T2-mapping在膝关节软骨退变中的临床价值。材料和方法 对46例患者(男26例,女20,平均年龄56岁)膝关节行3.0T MRI常规序列平扫及T2-mapping成像,对膝关节软骨退变按ICRS标准分级,测量膝关节内外侧髁、髌软骨外侧、内侧软骨T2值。结果 轻度OA组、重度OA组膝关节软骨T2值高于正常组,差异有统计学意义(P<0.05);重度oa组关节软骨t2值高于轻度组,但差异无统计学意义(p>0.05)。结论 膝关节软骨退变随病变的严重程度T2值增加,MR T2-mapping成像对OA的诊疗具有较高的临床价值。
Objective The aim was to explore the clinical value of T2-mapping in the quantification of degenerative cartilage change at the knee. Methods The study group consisted of 46 patients (26 male and 20 female with average age of 56 years) who underwent MR imaging of knee joint. MR imaging was performed at 3.0 T by using a routine protocol with the addition of an axis T2-mapping sequence. The T2 values In four knee cartilage compartments (the medial and lateral femur and patella) was measured respectively. Results All cartilage compartments showed significant (P<0.05) increase in T2 values between OA group and normal group, but no significant (P>0.05) were found between mild OA group and severe OA group. Conclusion Femoral and patella cartilage T2 values increase with the severity of OA, MRI T2-mapping is valuable for diagnosis and monitoring osteoarthritis.
【关键词】骨关节炎;膝关节;关节软骨;磁共振成像;T2值
【中图分类号】R681.3;R445.2
【文献标识码】A
【DOI】 10.3969/j.issn.1672-5131.2015.01.28
前言
关节软骨退变是骨关节炎(osteoarthritis,OA)早期主要的病理 生理学变化,常规MRI可用于诊断OA,无创性显示其软骨缺损及其邻 近骨质结构变化。本研究对膝关节软骨病变PDWI表现按照ICRS标准分 级,测量膝关节软骨T2值,比较不同MRI分级软骨间T2值的差异。
中国CT和MRI杂志
第13卷, 第 1 期
2015年01月
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