Department of Radiology & Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands.
Department of Imaging, Monash Imaging, Clayton, Victoria, Australia.
Semin Musculoskelet Radiol. 2020 Aug;24(4):460-474. doi: 10.1055/s-0040-1710356. Epub 2020 Sep 29.
Musculoskeletal imaging is mainly based on the subjective and qualitative analysis of imaging examinations. However, integration of quantitative assessment of imaging data could increase the value of imaging in both research and clinical practice. Some imaging modalities, such as perfusion magnetic resonance imaging (MRI), diffusion MRI, or T2 mapping, are intrinsically quantitative. But conventional morphological imaging can also be analyzed through the quantification of various parameters. The quantitative data retrieved from imaging examinations can serve as biomarkers and be used to support diagnosis, determine patient prognosis, or monitor therapy.We focus on the value, or clinical utility, of quantitative imaging in the musculoskeletal field. There is currently a trend to move from volume- to value-based payments. This review contains definitions and examines the role that quantitative imaging may play in the implementation of value-based health care. The influence of artificial intelligence on the value of quantitative musculoskeletal imaging is also discussed.
肌肉骨骼影像学主要基于影像学检查的主观和定性分析。然而，影像学数据的定量评估的整合可以提高影像学在研究和临床实践中的价值。一些影像学方式，如灌注磁共振成像（MRI）、弥散 MRI 或 T2 映射，具有内在的定量性质。但是传统的形态影像学也可以通过对各种参数的定量分析来进行。从影像学检查中获得的定量数据可以作为生物标志物，用于支持诊断、确定患者预后或监测治疗效果。我们专注于定量成像在肌肉骨骼领域的价值，或者说临床应用。目前有一种从基于体积到基于价值的支付方式转变的趋势。本综述包含了定义，并探讨了定量成像在实施基于价值的医疗保健方面可能发挥的作用。人工智能对定量肌肉骨骼成像价值的影响也在讨论之中。
