摘要
目的探讨磁共振三维快速自旋回波CUBE(3D-FSE-CUBE)序列在踝关节软骨损伤中的诊断价值。方法回顾性收集我院2019年7月至2021年5月接受的96例踝关节软骨损伤患者的临床资料,入组患者均进行磁共振3D-FSE-CUBE序列与常规二维序列扫描,以关节镜诊断为“金标准”,比较两种检查方式在踝关节软骨损伤中的检出率、诊断符合率及图像质量,并分析踝关节软骨损伤3D-FSE-CUBE序列特征。结果3D-FSE-CUBE序列在踝关节软骨损伤中的检出率及诊断符合率均高于常规二维序列,比较差异有统计学意义(P<0.05);3D-FSE-CUBE序列图像质量评分明显高于常规二维序列(P<0.05);3D-FSE-CUBE序列图像可见边缘毛躁,内部信号分布不均,软骨厚度不一,骨质信号异常,且伴有明显关节腔积液。结论3D-FSE-CUBE序列用于诊断踝关节软骨损伤诊断中,其检出率及诊断符合率较常规二维序列扫描更高,图像质量更清晰,还能发现常规扫描不确定甚至漏诊的情况,为临床提供客观的诊断依据,有助于临床医生及时进行相关诊治。
Objective To explore the diagnostic value of magnetic resonance(MR)three-dimensional fast spin echo CUBE(3D-FSE-CUBE)sequence for ankle cartilage injury.Methods A retrospective collection was performed on the clinical data of 96 patients with ankle cartilage injury admitted to the hospital between July 2019 and May 2021.All underwent scans of MR 3D-FSE-CUBE sequence and routine two-dimensional sequence.Taking arthroscopy as the golden standard,the detection rate,diagnostic coincidence rate and image quality of the two methods for ankle cartilage injury were compared.3D-FSE-CUBE sequence characteristics of ankle cartilage injury were analyzed.Results The detection rate and diagnostic coincidence rate of 3D-FSE-CUBE sequence for ankle cartilage injury were higher than those of routine two-dimensional sequence(P<0.05),and scores of images quality were significantly higher than those of routine two-dimensional sequence(P<0.05).In images by 3D-FSE-CUBE sequence,there were frizzy edges,uneven distribution of internal signals,inconsistent cartilage thickness,abnormal bone signals and significant joint effusion.Conclusion The detection rate and diagnostic coincidence rate of 3D-FSE-CUBE sequence for ankle cartilage injury are higher than those of routine two-dimensional sequence,and images quality is clearer.It can also find out uncertainty or missed diagnosis by routine scan,and provides objective diagnosis basis for the clinic,which is beneficial for clinicians to conduct relevant diagnosis and treatment in time.
作者
殷书泰
梁凯轶
陈芙蓉
张铭
YIN Shu-tai;LIANG Kai-yi;CHEN Fu-rong;ZHANG Ming(Department of Radiology,Key Laboratory of Intelligent Imaging,Shanghai Health Commission,Jiading District Central Hospital Affiliated to Shanghai Health Medical College,Shanghai 201800,China)
出处
《中国CT和MRI杂志》
2022年第10期160-161,共2页
Chinese Journal of CT and MRI
基金
上海市嘉定区卫健委科研项目(2020-ZD-04)
上海市卫健委科研项目(201940315)
上海市嘉定区医学重点专科(2020-jdyxzdzk-02)。
关键词
磁共振
三维快速自旋回波序列
踝关节软骨损伤
Magnetic Resonance
Three-Dimensional Fast Spin Echo Sequence
Ankle Cartilage Injury
