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磁共振成像在诊断和鉴别诊断腕关节疾病及损伤中的应用。

MRT in the diagnosis and differential diagnosis of radiocarpal diseases and injuries.

作者信息

Hosten N, Schneller A, Lemke A-J, Schröder R, Felix R

机构信息

Strahlen- und Poliklinik, Charité Campus Virchow, Berlin, Germany.

出版信息

Orthopade. 1999 Oct;28(10):833-839. doi: 10.1007/PL00003556.

Abstract

Advances in MRI technology have greatly improved visualization of the radio-carpal region. With todays high-resolution imaging, even very small anatomic structures like the triangular fibrocartilage may be seen. Established indications include the osteonecroses (scaphoid and lunate); however, MR images always should be evaluated in conjunction with plain radiographs. By delineating bone marrow edema, MRI is well suited for the detection of microfractures. Visualization of small soft tissue tumors, soft tissue extension of bone tumors and for staging of tumors in general may also be regarded as indications generally agreed upon. Promising indications include pathology of ligaments and similar structures.

摘要

磁共振成像(MRI)技术的进步极大地改善了桡腕区域的可视化效果。借助如今的高分辨率成像,即使是像三角纤维软骨这样非常小的解剖结构也能被看到。既定的适应症包括骨坏死(舟骨和月骨);然而,MR图像始终应结合X线平片进行评估。通过描绘骨髓水肿,MRI非常适合检测微骨折。小软组织肿瘤的可视化、骨肿瘤的软组织扩展以及一般肿瘤的分期也可被视为普遍认可的适应症。有前景的适应症包括韧带及类似结构的病变。

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