关节软骨、半月板和椎间盘的传统及超短回波时间磁共振成像
Conventional and ultrashort time-to-echo magnetic resonance imaging of articular cartilage, meniscus, and intervertebral disk.
作者信息
Bae Won C, Du Jiang, Bydder Graeme M, Chung Christine B
机构信息
Department of Radiology, University of California - San Diego, CA 92103-8226, USA.
出版信息
Top Magn Reson Imaging. 2010 Oct;21(5):275-89. doi: 10.1097/RMR.0b013e31823ccebc.
Abstract
Magnetic resonance imaging (MRI) examination of musculoskeletal tissues is being performed routinely for diagnoses of injury and diseases. Although conventional MRI using spin echo sequences has been effective, a number of important musculoskeletal soft tissues remain "magnetic resonance-invisible" because of their intrinsically short T2 values resulting in a rapid signal decay. This makes visualization and quantitative characterization difficult. With the advent and refinement of ultrashort time-to-echo (UTE) MRI techniques, it is now possible to directly visualize and quantitatively characterize these tissues. This review explores the anatomy, conventional MRI, and UTE MRI of articular cartilage, meniscus of the knee, and intervertebral disks and provides a survey of magnetic resonance studies used to better understand tissue structure, composition, and function, as well as subtle changes in diseases.
摘要
目前，磁共振成像（MRI）检查已常规用于肌肉骨骼组织损伤和疾病的诊断。尽管使用自旋回波序列的传统MRI已卓有成效，但由于许多重要的肌肉骨骼软组织本质上具有较短的T2值，导致信号快速衰减，因此这些组织在磁共振成像中仍“不可见”。这使得可视化和定量表征变得困难。随着超短回波时间（UTE）MRI技术的出现和完善，现在可以直接对这些组织进行可视化和定量表征。本文综述了关节软骨、膝关节半月板和椎间盘的解剖结构、传统MRI及UTE MRI，并对用于更好地理解组织结构、成分和功能以及疾病细微变化的磁共振研究进行了概述。
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本文引用的文献
1
Mechanical properties of articular cartilage and their relationship to matrix degradation and age.
Ann Rheum Dis. 1975 Dec;34 Suppl 2:Suppl 111-3.
2
Cartilage damage involving extrusion of mineralisable matrix from the articular calcified cartilage and subchondral bone.软骨损伤涉及可矿化基质从关节钙化软骨和软骨下骨挤出。
Eur Cell Mater. 2011 May 28;21:470-8; discussion 478. doi: 10.22203/ecm.v021a35.
3
Short T2 contrast with three-dimensional ultrashort echo time imaging.短 T2 对比三维超短回波时间成像。
Magn Reson Imaging. 2011 May;29(4):470-82. doi: 10.1016/j.mri.2010.11.003.
4
Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) in Femoacetabular impingement.髋关节撞击综合征的软骨磁共振增强延迟扫描（dGEMRIC）。
J Orthop Res. 2011 Sep;29(9):1305-11. doi: 10.1002/jor.21371. Epub 2011 Mar 15.
5
Mapping proteoglycan-bound water in cartilage: Improved specificity of matrix assessment using multiexponential transverse relaxation analysis.测绘软骨中蛋白聚糖结合水：使用多指数横向弛豫分析提高基质评估的特异性。
Magn Reson Med. 2011 Feb;65(2):377-84. doi: 10.1002/mrm.22673. Epub 2010 Nov 30.
6
Comparison of T1rho measurements in agarose phantoms and human patellar cartilage using 2D multislice spiral and 3D magnetization prepared partitioned k-space spoiled gradient-echo snapshot techniques at 3 T.在 3T 下使用 2D 多切片螺旋和 3D 磁化准备分区 K 空间spoiled 梯度回波快照技术在琼脂糖体模和人髌骨软骨中比较 T1rho 测量值。
AJR Am J Roentgenol. 2011 Feb;196(2):W174-9. doi: 10.2214/AJR.10.4570.
7
Quantitative MRI using T1ρ and T2 in human osteoarthritic cartilage specimens: correlation with biochemical measurements and histology.使用 T1ρ 和 T2 定量 MRI 检测人骨关节炎软骨标本：与生化测量和组织学的相关性。
Magn Reson Imaging. 2011 Apr;29(3):324-34. doi: 10.1016/j.mri.2010.09.004. Epub 2010 Dec 3.
8
Assessment of early cartilage degeneration after slipped capital femoral epiphysis using T2 and T2* mapping.使用T2和T2*成像评估股骨头骨骺滑脱后的早期软骨退变。
Acta Radiol. 2011 Feb 1;52(1):106-10. doi: 10.3109/02841851.2010.516015.
9
Dipolar anisotropy fiber imaging in a goat knee meniscus.双折射各向异性纤维成像在山羊膝关节半月板中的应用。
Magn Reson Med. 2011 Feb;65(2):463-70. doi: 10.1002/mrm.22645. Epub 2010 Oct 11.
10
Multicomponent T2* mapping of knee cartilage: technical feasibility ex vivo.膝关节软骨的多组份 T2* 映射：离体技术可行性。
Magn Reson Med. 2010 Nov;64(5):1426-31. doi: 10.1002/mrm.22450.
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