Gottsegen Christopher J, Merkle Alexander N, Bencardino Jenny T, Gyftopoulos Soterios
1 Department of Radiology, NYU Langone Medical Center, 660 First Ave, New York, NY 10016.
AJR Am J Roentgenol. 2017 Sep;209(3):544-551. doi: 10.2214/AJR.17.17945.
We are fortunate to live in a time when real advances in medicine are happening at an increasingly rapid pace. This is especially true in the field of radiology, and keeping abreast of these advances is one of the main challenges of clinical practice. Traditionally, cutting edge techniques in our field have been researched and validated at major academic medical centers before slowly making their way into the armamentarium of routine clinical practice. However, the improved ability to communicate and disseminate information in our modern age has facilitated more rapid implementation of new techniques to allow us to better serve our patients.
As such, this article aims to review the current standards for MRI of the shoulder used in routine practice. Furthermore, we will discuss some of the most recent advances in shoulder MRI, with particular emphasis on the applicability of an additional axial 3D T1-weighted FLASH sequence with Dixon-based water-fat separation in routine clinical practice that can be useful in characterizing several commonly encountered pathologic processes of the shoulder joint.
我们很幸运生活在一个医学取得真正进展且速度日益加快的时代。在放射学领域尤其如此,紧跟这些进展是临床实践的主要挑战之一。传统上,我们领域的前沿技术在主要学术医疗中心进行研究和验证,然后才缓慢进入常规临床实践的手段之中。然而,现代社会沟通和传播信息能力的提高促进了新技术更快地得到应用,使我们能够更好地为患者服务。
因此,本文旨在回顾常规实践中使用的肩部MRI的当前标准。此外,我们将讨论肩部MRI的一些最新进展,特别强调在常规临床实践中额外增加的基于狄克逊水脂分离的轴向3D T1加权快速小角度激发序列的适用性,该序列有助于对几种常见的肩关节病理过程进行特征描述。