摘要
目的:探讨磁共振3D-FIESTA序列对肩关节黏连性关节囊炎喙肱韧带增厚的诊断价值。方法:回顾性分析52例肩关节黏连性关节囊炎患者的MRI图像,比较斜冠状面3D-FIESTA序列与FSE T1WI不抑脂序列显示喙肱韧带的差异,并比较3D-FIESTA序列斜矢状面与斜冠状面显示喙肱韧带的差异。结果:斜冠状面3D-FIESTA序列对喙肱韧带的显示率为75.00%,高于斜冠状面FSE T1WI不抑脂序列57.69%的显示率,差异有统计学意义(χ^2值=17.754,P=0.000)。斜矢状面3DFIESTA序列对喙肱韧带的显示率为90.38%,高于斜冠状面3D-FIESTA序列75.00%的显示率,差异有统计学意义(χ^2值=5.974,P=0.015)。结论:斜矢状面3D-FIESTA序列是显示肩关节黏连性关节囊炎患者喙肱韧带的理想序列,当临床怀疑患者有肩关节黏连性关节囊炎时,加扫斜矢状面3D-FIESTA序列很有必要。
Objective:The purpose of this study was to explore the value of magnetic resonance(MR)3 D-FIESTA sequence in diagnosis of thickened coracohumeral ligament(CHL)in patients with adhesive capsulitis of the should joint.Methods:MR imaging data of 52 shoulders in 52 patients(28 females,24 males,with mean age of 59.2 years)with clinical confirmed adhesive capsulitis was retrospectively studied.The difference of visualization rate of CHL between oblique coronal reconstructed3 D-FIESTA sequence and conventional FSE T1 WI was compared.Also the oblique coronal and sagittal reconstructed views of 3 D-FIESTA were compared.Results:The visualization rate of CHL on the oblique coronal plane of 3 D-FIESTA(75.00%)was significantly higher than that on the oblique coronal plane of FSE T1 WI(57.69%)(P<0.05).In 3 D-FIESTA sequence,the visualization rate of CHL on the oblique sagittal plane(90.38%)was significantly higher than that on the oblique coronal plane(75.00%)(P<0.05).Conclusion:3 D-FIESTA is a satisfied sequence in displaying CHL,especially by oblique sagittal reconstruction,which has high clinical application value in the diagnosis of adhesive capsulitis.
作者
封云松
鄢摇
张帆
李晓凡
余红军
刘长华
FENG Yun-song;YAN Yao;ZHANG Fan(Department of MRI,the First Hospital of Kunming,Kunming 650011,China)
出处
《放射学实践》
北大核心
2020年第1期89-93,共5页
Radiologic Practice
基金
昆明市卫计委资助项目(No.2018-09-01-002).
关键词
黏连性关节囊炎
喙肱韧带
磁共振成像
三维真稳态快速成像序列
Adhesive capsulitis
Magnetic resonance imaging
Coracohumeral ligament
Three-dimensional fast imaging employing steady-state acquisition
