摘要
目的分析磁共振GRE-T2*序列在 膝关节半月板撕裂成像中的诊断价值。方 法 收集我院2012年01月-2014年06月收治 的310例膝关节半月板撕裂患者的临床资 料,所有患者均接受1.5T超导磁共振扫描 仪作矢状位FSE-T2WI-FS、GRE-T2*、FSEPDWI-FS及FSE-T1WI序列扫描,比较不同 序列扫描在诊断膝关节半月板撕裂中的应 用价值。结果 GRE-T2*序列,膝关节半月 板损伤清晰评级2级297例,图像清晰显示 率占95.81%,与其他三种序列图像质量 对比差异有统计学意义(P<0.05);GRET2*序列共检出膝关节半月板撕裂损伤309 例,检出率为99.68%;与其他三种序列检 出率对比差异有统计学意义(P<0.05)。结 论 在膝关节半月板撕裂损伤的临床诊断 中,应用MRI扰相GRE-T2*序列,可清晰显 示患者膝关节半月板撕裂损伤的结构类 型,提高半月板病变的检出率,可作为膝 关节MRI检查的常规序列。
Objective To analyze the diagnostic value of magnetic resonance GRE-T2* sequence in knee meniscus tear. Methods The clinical datum of 310 patients with knee joint meniscus tear admitted into the hospital from January 2012 to June 2014 were collected. All patients received FSE-T2WI-FS, GRE-T2*, FSE-PDWI-FS and FSET1WI sequence scanning of 1.5T superconducting magnetic resonance scanner sagittal view. The application value of different sequences scanning in the diagnosis of knee meniscus tear was compared. Results GRE-T2* sequence, there were 297 cases with class 2 in clarity rating of knee meniscus tear and clear image display accounted for 95.81%. Compared with the image quality of other three kinds of sequence, the difference was statistically significant (P<0.05); There were 309 cases with knee meniscus tear detected by GRE-T2* sequence in total and the detection rate was 99.68%; Compared with that of the other three sequences, the difference was statistically significant (P<0.05). Conclusion In the clinical diagnosis of knee meniscus tear, to adopt MRI to spoiled GRE-T2* sequence can clearly show the structure type of knee meniscus tear and improve the detection rate of meniscus lesions and can be taken as the conventional sequence for MRI detection of knees.
【关键词】膝关节;半月板撕裂损伤;磁共振;矢状位
【中图分类号】R322.7+2
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.12.036
前言
膝关节为人体最大且复杂性较高的关节,半月板损伤是其常见疾 患。半月板撕裂损伤归于半月板损伤范畴,可引起膝关节功能障碍及 疼痛表现,临床病史有其非特异性特点,常规诊断存在一定的困难 [1]。磁共振属于多方位、多参数成像的诊断方式,其具备无创、组织 分辨率高等优势[2],在膝关节半月板损伤诊断中应用MRI诊断,可清晰 显示患者膝关节内解剖结构,明确半月板撕裂范围、方向及部位,对 指导临床治疗及预后评估有积极的价值[3]。但临床上对MRI不同序列诊 断膝关节半月板撕裂损伤的准确性尚且存在一定的争议[4]。鉴于此, 为分析FSE-T2WI-FS、GRE-T2*、FSE-PDWI-FS及FSE-T1WI四种序列扫描 在膝关节半月板撕裂损伤成像中的应用价值,我院对近年来收治的310 例患者进行了研究分析,现报告如下。
中国CT和MRI杂志
第13卷, 第 12 期
2015年12月
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