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[肩部手术后的磁共振成像表现:放射科医生需要了解的内容]

[Magnetic resonance imaging findings after shoulder surgery: What the radiologist needs to know].

作者信息

Fahlenkamp U L, Gerhardt C, Hermann K-G A

机构信息

Institut für Radiologie, Universitätsklinikum Charité - Campus Mitte, Charitéplatz 1, 10117, Berlin, Deutschland.

Centrum für muskuloskeletale Chirurgie, Universitätsklinikum Charité - Campus Mitte, Berlin, Deutschland.

出版信息

Radiologe. 2017 Nov;57(11):915-922. doi: 10.1007/s00117-017-0313-0.

Abstract

Even primary diagnostic evaluation of the shoulder is a challenge for radiologists. Many imaging findings that definitely indicate abnormal findings in the untreated shoulder should be evaluated carefully in postoperative patients. Artifacts caused by implants or metal abrasion pose considerable problems in postoperative magnetic resonance imaging (MRI). Classic approaches to minimizing artifacts caused by foreign bodies include using turbo spin echo sequences, increasing bandwidth, and reducing voxel size. In recent years, several vendors have developed dedicated pulse sequences for reducing metal artifacts. Different postoperative imaging findings will be encountered, depending on the kind of surgery done. This review article describes typical postoperative MRI findings, focusing on subacromial decompression, reconstruction of the rotator cuff, labrum procedures, and biceps tenodesis.

摘要

即使是对肩部进行初步诊断评估,对放射科医生来说也是一项挑战。许多在未治疗的肩部明确表明存在异常发现的影像学表现,在术后患者中应仔细评估。植入物或金属磨损引起的伪影在术后磁共振成像(MRI)中带来了相当大的问题。减少异物引起伪影的经典方法包括使用快速自旋回波序列、增加带宽和减小体素大小。近年来,几家供应商已经开发出了用于减少金属伪影的专用脉冲序列。根据所进行的手术类型,会遇到不同的术后影像学表现。这篇综述文章描述了典型的术后MRI表现,重点关注肩峰下减压、肩袖重建、盂唇手术和肱二头肌固定术。

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