Lee Koeun, Park Ho Young, Kim Kyung Won, Lee Amy Junghyun, Yoon Min A, Chae Eun Jin, Lee Jeong Hyun, Chung Hye Won
Asan Image Metrics, Clinical Trial Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):680-686. doi: 10.1016/j.jcot.2019.05.018. Epub 2019 May 29.
Recent advances in imaging technology have enabled the acquisition of anatomical and functional imaging from head to toe in a reasonably short scan time. Accordingly, whole body magnetic resonance imaging (WB-MRI) and diffusion-weighted imaging (WB-DWI) have gained recent attention for the management of musculoskeletal problems such as bone tumors and rheumatologic diseases. WB-MRI is especially useful in diagnosing systemic or widespread disease requiring whole body evaluation, such as bone metastases, multiple myeloma, lymphoma, neurofibromatosis, and spondyloarthropathies. Among WB-MRI sequences, the WB-DWI technique greatly increases the value of WB-MRI in the evaluation of disease extent and characterization as well as treatment monitoring. In support of the utilization of WB-MRI and WB-DWI in orthopedic clinics for various musculoskeletal diseases, we provide an overview of the technical aspects of WB-MRI and WB-DWI and their clinical applications in musculoskeletal tumors and rheumatic diseases.
成像技术的最新进展使得在相当短的扫描时间内就能从头至脚获取解剖学和功能成像。因此，全身磁共振成像（WB-MRI）和扩散加权成像（WB-DWI）最近在骨肿瘤和风湿性疾病等肌肉骨骼问题的管理中受到了关注。WB-MRI在诊断需要全身评估的系统性或广泛性疾病方面特别有用，如骨转移瘤、多发性骨髓瘤、淋巴瘤、神经纤维瘤病和脊柱关节病。在WB-MRI序列中，WB-DWI技术极大地提高了WB-MRI在疾病范围评估、特征描述以及治疗监测方面的价值。为了支持在骨科诊所将WB-MRI和WB-DWI用于各种肌肉骨骼疾病，我们概述了WB-MRI和WB-DWI的技术方面及其在肌肉骨骼肿瘤和风湿性疾病中的临床应用。
