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[与标准程序相比,高分辨率CT和核磁共振断层扫描在半月板损伤诊断中的价值]

[Value of high-resolution CT and nuclear magnetic resonance tomography compared to the standard procedures in the diagnosis of meniscal lesions].

作者信息

Schuler M, Naegele M, Lienemann A, Münch O, Siuda S, Hahn D, Lissner J

出版信息

Rofo. 1987 Apr;146(4):391-7. doi: 10.1055/s-2008-1048507.

DOI:10.1055/s-2008-1048507
PMID:3033759
Abstract

The knees of 20 patients with evidence of meniscal tears were examined via high-resolution computed tomography (HRCT); 10 of these were studied by MRI. The HRCT study was performed directly after double-contrast arthrography (AG). For comparison with HRCT, slice orientation for MRI examination was in transverse view; gradient echo sequences using the FISP technique were applied instead of spin echo sequences. All results were correlated to the arthroscopy (AS) findings. In 95% of the cases AG and AS results agreed, HRCT/AS in 85% and MRI/AS in 70%. In certain cases HRCT provided additional information which influenced appropriate surgical treatment. MRI is a noninvasive nonionising method but gives a less exact documentation of the lesion than AG and HRCT. The gradient echo mode is superior to the SE mode in respect of outlining meniscal structures, at least in transverse view.

摘要

对20例有半月板撕裂证据的患者的膝关节进行了高分辨率计算机断层扫描(HRCT)检查;其中10例还进行了磁共振成像(MRI)研究。HRCT研究在双对比关节造影(AG)后立即进行。为了与HRCT进行比较,MRI检查的切片方向为横断位;采用FISP技术的梯度回波序列而非自旋回波序列。所有结果均与关节镜检查(AS)结果相关。在95%的病例中,AG和AS结果一致,HRCT/AS一致率为85%,MRI/AS一致率为70%。在某些情况下,HRCT提供了影响适当手术治疗的额外信息。MRI是一种非侵入性、非电离的方法,但对病变的记录不如AG和HRCT精确。至少在横断位上,梯度回波模式在勾勒半月板结构方面优于自旋回波模式。

相似文献

1
[Value of high-resolution CT and nuclear magnetic resonance tomography compared to the standard procedures in the diagnosis of meniscal lesions].[与标准程序相比,高分辨率CT和核磁共振断层扫描在半月板损伤诊断中的价值]
Rofo. 1987 Apr;146(4):391-7. doi: 10.1055/s-2008-1048507.
2
Meniscal tears--comparison of arthrography, CT, and MRI.半月板撕裂——关节造影、CT与MRI的比较
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Meniscal tears of the knee: evaluation by high-resolution CT combined with arthrography.
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[Meniscus imaging in MR tomography using surface coils. Anatomy, areas of degeneration, laceration formation].[使用表面线圈在磁共振断层成像中进行半月板成像。解剖结构、退变区域、撕裂形成]
Rofo. 1987 Jun;146(6):617-22. doi: 10.1055/s-2008-1048553.
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Diagnosis of meniscal tears using high-resolution computed tomography. Correlation with arthroscopy.
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Diagnosing Meniscal Pathology and Understanding How to Evaluate a Postoperative Meniscus Based on the Operative Procedure.诊断半月板病变并了解如何根据手术操作评估术后半月板。
J Knee Surg. 2018 Feb;31(2):166-183. doi: 10.1055/s-0037-1620251. Epub 2018 Jan 12.
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Meniscal tears of the knee: accuracy of MR imaging.膝关节半月板撕裂:磁共振成像的准确性
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Dual-detector spiral CT arthrography of the knee: accuracy for detection of meniscal abnormalities and unstable meniscal tears.膝关节双探测器螺旋CT关节造影:检测半月板异常和不稳定半月板撕裂的准确性
Radiology. 2000 Sep;216(3):851-7. doi: 10.1148/radiology.216.3.r00au08851.
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引用本文的文献

1
Current evaluation of sonography of the meniscus. Results of a comparative study of sonographic and arthroscopic findings.
Arch Orthop Trauma Surg. 1990;109(3):150-4. doi: 10.1007/BF00440576.
2
MRI of the knee joint with a 3-D gradient echo sequence. Equivalent to diagnostic arthroscopy?
Arch Orthop Trauma Surg. 1992;112(1):5-14. doi: 10.1007/BF00431036.