对比探究T2 Mapping与常规序列对早期软骨损伤的诊断价值
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摘要
目的:探讨对比探究T2 Mapping与常规序列对早期软骨损伤的诊断价值。方法:选取2017年10月-2018年10月本院收治的因膝关节炎或膝关节外伤需接受膝关节镜手术治疗的50例患者,分别采用核磁共振T2 Mapping以及常规序列对其膝关节软组织损伤情况进行诊断,并以膝关节镜手术观察结果作为金标准,分析两种诊断方式的临床应用价值。结果:常规序列、T2 Mapping序列与关节镜检查结果比较差异均无统计学意义(P>0.05);常规序列总体检查、Ⅰ级、Ⅱ级、Ⅲ级以及Ⅳ级软骨损伤检查灵敏度均明显低于T2 Mapping序列(P<0.05),0级软骨损伤检查灵敏度高于T2 Mapping序列(P<0.05);常规序列Ⅰ级、Ⅱ级、Ⅲ级以及Ⅳ级软骨损伤检查特异度方面与T2 Mapping序列检查比较差异均无统计学意义(P>0.05),0级软骨损伤特异度方面高于T2 Mapping序列(P<0.05)。结论:在针对膝关节软骨损伤诊断方面,T2 Mapping序列的灵敏度更高,因此在早期软骨损伤的诊断中可以广泛应用T2 Mapping序列。
Objective:To explore the diagnostic value of T2 Mapping and routine sequence for early cartilage injury.Method:A total of 50 patients with cartilage injury who should be treated with the arthroscopic surgery from October 2017 to October 2018 in our hospital were selected,MR T2 Mapping and routine sequence were used to diagnose soft tissue injury of knee joint,the results of arthroscopic knee surgery were used as the gold standard,the clinical application value of two diagnostic methods were analyzed.Result:There were no significant differences in routine sequence,T2 Mapping sequence and arthroscopy results(P>0.05).The sensitivity in general inspection,Ⅰ,Ⅱ,Ⅲ and Ⅳ cartilage damage of routine sequence were significantly lower than those of T2 Mapping sequence(P<0.05),the sensitivity in grade 0 cartilage damage inspection was higher than that of T2 Mapping sequence(P<0.05).The specific in Ⅰ,Ⅱ,Ⅲ and Ⅳ cartilage damage of routine sequence compared with T2 Mapping sequence had no obvious differences(P>0.05),the specific in grade 0 cartilage damage was higher than that of T2 Mapping sequence(P<0.05).Conclusion:T2 Mapping sequence is more sensitive to the diagnosis of cartilage injury in knee joint,so it can be widely used in the diagnosis of early cartilage injury.
Objective:To explore the diagnostic value of T2 Mapping and routine sequence for early cartilage injury.Method:A total of 50 patients with cartilage injury who should be treated with the arthroscopic surgery from October 2017 to October 2018 in our hospital were selected,MR T2 Mapping and routine sequence were used to diagnose soft tissue injury of knee joint,the results of arthroscopic knee surgery were used as the gold standard,the clinical application value of two diagnostic methods were analyzed.Result:There were no significant differences in routine sequence,T2 Mapping sequence and arthroscopy results(P>0.05).The sensitivity in general inspection,Ⅰ,Ⅱ,Ⅲ and Ⅳ cartilage damage of routine sequence were significantly lower than those of T2 Mapping sequence(P<0.05),the sensitivity in grade 0 cartilage damage inspection was higher than that of T2 Mapping sequence(P<0.05).The specific in Ⅰ,Ⅱ,Ⅲ and Ⅳ cartilage damage of routine sequence compared with T2 Mapping sequence had no obvious differences(P>0.05),the specific in grade 0 cartilage damage was higher than that of T2 Mapping sequence(P<0.05).Conclusion:T2 Mapping sequence is more sensitive to the diagnosis of cartilage injury in knee joint,so it can be widely used in the diagnosis of early cartilage injury.
引文
[1]韩晓蕊,洪郭驹,赵曼,等.磁共振T1ρ和T2-mapping定量技术对股骨头坏死软骨变性的对照研究[J].放射学实践,2017,26(8):92-95.
[2]张堃,朱克俭,谭旭仪,等.MR T2 mapping成像评估止痛健骨方治疗膝骨性关节炎关节软骨损伤疗效的实验研究[J].中国介入影像与治疗学,2017,25(11):49-53.
[3]Wang X,Wang Y,Bennell K L,et al.Cartilage morphology at 2-3 years following anterior cruciate ligament reconstruction with or without concomitant meniscal pathology[J].Knee Surgery,Sports Traumatology,Arthroscopy,2017,25(2):426-436.
[4]武春雪,马军,金鹤,等.T2FLAIR与GRE-T2WI对诊断创伤性颅内脑外出血的比较研究[J].实用放射学杂志,2016,32(3):331-334.
[5]Danieli M V,Guerreiro J P F,Queiroz A D,et al.Diagnosis and classification of chondral knee injuries:comparison between magnetic resonance imaging and arthroscopy[J].Knee Surgery,Sports Traumatology,Arthroscopy,2016,24(5):1627-1633.
[6]张有来,杨超群,蒋军健,等.磁共振T2反转恢复压脂序列对骶丛神经损伤诊断价值的初步探讨[J].中华显微外科杂志,2016,39(3):246-250.
[7]冯松,周盟,余光银,等.股骨髁软骨损伤的超声和组织学检查研究[J].中国超声医学杂志,2017,14(5):94-96.
[8]Bowes M A,Mclure S W,Wolstenholme C B,et al.Osteoarthritic bone marrow lesions almost exclusively colocate with denuded cartilage:a 3D study using data from the Osteoarthritis Initiative[J].Annals of the Rheumatic Diseases,2016,75(10):1852-1857.
[9]冯松,康斌,韦良臣,等.超声诊断股骨髁软骨损伤的价值[J].中国超声医学杂志,2017,24(4):59-61.
[10]蒋元明,周家龙,黄益龙,等.T2-mapping成像评估腰部背伸肌群运动前后功能状态[J].中国医学影像技术,2018,34(5):755-759.
[11]张翀达,张红梅,孟闫凯,等.T2加权成像和扩散加权成像在直肠癌分期中的应用[J].中华肿瘤杂志,2018,35(1):46-51.
[12]Wong K P,Han A X,Wong J L,et al.Reliability of magnetic resonance imaging in evaluating meniscal and cartilage injuries in anterior cruciate ligament-deficient knees[J].Knee Surgery,Sports Traumatology,Arthroscopy,2017,25(2):411-417.
[13]刘新峰,魏琳,牟俊,等.T2 mapping定量分析健康青年人肩关节软骨T2值[J].中国医学影像技术,2017,33(11):1688-1691.
[14]熊婧彤,张竞文,伍建林,等.采用多回波采集T2*WI三维梯度回波序列测量兔脑损伤模型静脉血相位值及与神经功能损伤评分的相关性[J].中华放射学杂志,2016,50(2):132-137.
[15]Rousseau R,Makridis K G,Pasquier G,et al.Recurrent posterior knee laxity:diagnosis,technical aspects and treatment algorithm[J].Knee Surgery Sports Traumatology Arthroscopy,2016,25(10):1-7.
[16]李樑,余剑峰,刘书奇.CT与MRI诊断膝半月板和关节软骨损伤临床价值对比[J].重庆医学,2016,45(4):522-524.
[17]高平,周佩洋,李光,等.多回波采集T2*WI三维梯度回波序列测量黑质小体形态特征及与帕金森病的关系探讨[J].中华放射学杂志,2016,50(1):3-7.
[18]周津如,李咏梅,尹平,等.7.0T磁共振T2*-mapping在实验性自身免疫性脑脊髓炎脊髓病变中的应用[J].中国医学影像技术,2016,35(6):819-823.
[19]席智杰,王斌,梁倩倩,等.关节镜辅助下自体髌股关节面骨软骨移植治疗HeppleⅢ~Ⅴ期距骨骨软骨损伤[J].中国医学创新,2016,13(35):1-6.
[20]解光越,陈阳,候晓华,等.透明质酸与兔滑膜间充质干细胞联合作用促进膝关节软骨损伤修复[J].中华实验外科杂志,2016,33(12):2741-2744.
[2]张堃,朱克俭,谭旭仪,等.MR T2 mapping成像评估止痛健骨方治疗膝骨性关节炎关节软骨损伤疗效的实验研究[J].中国介入影像与治疗学,2017,25(11):49-53.
[3]Wang X,Wang Y,Bennell K L,et al.Cartilage morphology at 2-3 years following anterior cruciate ligament reconstruction with or without concomitant meniscal pathology[J].Knee Surgery,Sports Traumatology,Arthroscopy,2017,25(2):426-436.
[4]武春雪,马军,金鹤,等.T2FLAIR与GRE-T2WI对诊断创伤性颅内脑外出血的比较研究[J].实用放射学杂志,2016,32(3):331-334.
[5]Danieli M V,Guerreiro J P F,Queiroz A D,et al.Diagnosis and classification of chondral knee injuries:comparison between magnetic resonance imaging and arthroscopy[J].Knee Surgery,Sports Traumatology,Arthroscopy,2016,24(5):1627-1633.
[6]张有来,杨超群,蒋军健,等.磁共振T2反转恢复压脂序列对骶丛神经损伤诊断价值的初步探讨[J].中华显微外科杂志,2016,39(3):246-250.
[7]冯松,周盟,余光银,等.股骨髁软骨损伤的超声和组织学检查研究[J].中国超声医学杂志,2017,14(5):94-96.
[8]Bowes M A,Mclure S W,Wolstenholme C B,et al.Osteoarthritic bone marrow lesions almost exclusively colocate with denuded cartilage:a 3D study using data from the Osteoarthritis Initiative[J].Annals of the Rheumatic Diseases,2016,75(10):1852-1857.
[9]冯松,康斌,韦良臣,等.超声诊断股骨髁软骨损伤的价值[J].中国超声医学杂志,2017,24(4):59-61.
[10]蒋元明,周家龙,黄益龙,等.T2-mapping成像评估腰部背伸肌群运动前后功能状态[J].中国医学影像技术,2018,34(5):755-759.
[11]张翀达,张红梅,孟闫凯,等.T2加权成像和扩散加权成像在直肠癌分期中的应用[J].中华肿瘤杂志,2018,35(1):46-51.
[12]Wong K P,Han A X,Wong J L,et al.Reliability of magnetic resonance imaging in evaluating meniscal and cartilage injuries in anterior cruciate ligament-deficient knees[J].Knee Surgery,Sports Traumatology,Arthroscopy,2017,25(2):411-417.
[13]刘新峰,魏琳,牟俊,等.T2 mapping定量分析健康青年人肩关节软骨T2值[J].中国医学影像技术,2017,33(11):1688-1691.
[14]熊婧彤,张竞文,伍建林,等.采用多回波采集T2*WI三维梯度回波序列测量兔脑损伤模型静脉血相位值及与神经功能损伤评分的相关性[J].中华放射学杂志,2016,50(2):132-137.
[15]Rousseau R,Makridis K G,Pasquier G,et al.Recurrent posterior knee laxity:diagnosis,technical aspects and treatment algorithm[J].Knee Surgery Sports Traumatology Arthroscopy,2016,25(10):1-7.
[16]李樑,余剑峰,刘书奇.CT与MRI诊断膝半月板和关节软骨损伤临床价值对比[J].重庆医学,2016,45(4):522-524.
[17]高平,周佩洋,李光,等.多回波采集T2*WI三维梯度回波序列测量黑质小体形态特征及与帕金森病的关系探讨[J].中华放射学杂志,2016,50(1):3-7.
[18]周津如,李咏梅,尹平,等.7.0T磁共振T2*-mapping在实验性自身免疫性脑脊髓炎脊髓病变中的应用[J].中国医学影像技术,2016,35(6):819-823.
[19]席智杰,王斌,梁倩倩,等.关节镜辅助下自体髌股关节面骨软骨移植治疗HeppleⅢ~Ⅴ期距骨骨软骨损伤[J].中国医学创新,2016,13(35):1-6.
[20]解光越,陈阳,候晓华,等.透明质酸与兔滑膜间充质干细胞联合作用促进膝关节软骨损伤修复[J].中华实验外科杂志,2016,33(12):2741-2744.