Streif M, Hirschmann A
Klinik für Radiologie und Nuklearmedizin, Universitätsspital Basel, Universität Basel, Petersgraben 4, 4031, Basel, Schweiz.
Radiologe. 2020 Mar;60(3):273-284. doi: 10.1007/s00117-020-00648-8.
Magnetic resonance (MR) arthrography is a sensitive examination technique. In this institute the majority of MR arthrography examinations are carried out on the shoulder (57 %), followed by hand (24 %) and hip joints (16 %). The use of MR arthrography is superior to native MR imaging (MRI) particularly for detection of partial thickness tendon tears of the shoulder joint. Nevertheless, this technique is invasive, time-consuming and may be uncomfortable for patients. This article summarizes the indications, risks and contraindications of MR arthrography, highlights the puncture technique and illustrates possible pitfalls.
磁共振(MR)关节造影是一种敏感的检查技术。在本机构,大多数MR关节造影检查是针对肩部进行的(57%),其次是手部(24%)和髋关节(16%)。MR关节造影的应用优于普通磁共振成像(MRI),尤其在检测肩关节部分厚度肌腱撕裂方面。然而,该技术具有侵入性、耗时且可能会让患者感到不适。本文总结了MR关节造影的适应证、风险和禁忌证,重点介绍了穿刺技术并阐述了可能出现的问题。