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[肌肉疾病的放射诊断]

[Radiological diagnostics of muscle diseases].

作者信息

Weber M-A, Essig M, Kauczor H-U

机构信息

Abteilung Radiologie, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 280, 69123 Heidelberg.

出版信息

Rofo. 2007 Jul;179(7):712-20. doi: 10.1055/s-2007-962925. Epub 2007 May 9.

Abstract

Muscular diseases are a heterogeneous group of diseases with difficult differential diagnosis. This article reviews morphological and functional radiological techniques for assessment of muscular diseases. Morphological techniques can describe edema-like changes, lipomatous and atrophic changes of muscular tissue. However, these imaging signs are often not disease-specific. As a result, clinicians assign radiology a secondary role in the management of muscular diseases. Meanwhile, functional radiological techniques allow the assessment of muscle fiber architecture, skeletal muscle perfusion, myocellular sodium-homoeostasis, lipid- and energy-phosphate metabolism, etc. By detecting and spatially localizing pathophysiological phenomena, these new techniques can increase the role of radiology in muscular diseases.

摘要

肌肉疾病是一组异质性疾病,鉴别诊断困难。本文综述了用于评估肌肉疾病的形态学和功能影像学技术。形态学技术可以描述肌肉组织的水肿样改变、脂肪瘤样改变和萎缩性改变。然而,这些影像学表现通常并非疾病特异性的。因此,临床医生在肌肉疾病的管理中认为放射学起次要作用。同时,功能影像学技术能够评估肌纤维结构、骨骼肌灌注、肌细胞钠稳态、脂质和能量磷酸盐代谢等。通过检测病理生理现象并进行空间定位,这些新技术可以提高放射学在肌肉疾病中的作用。

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