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18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描与磁共振成像在检测全髋关节置换术后髂腰肌肌腱炎中的有效性:病例报告

Effectiveness of 18F-fluoro-deoxyglucose Positron Emission Tomography/Computed Tomography and Magnetic Resonance Imaging to Detect Iliopsoas Tendonitis after Total Hip Arthroplasty: A Case Report.

作者信息

Kimura Makoto, Kaku Nobuhiro, Tagomori Hiroaki, Tsumura Hiroshi

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, Oita University, Yufu City, Japan.

出版信息

Hip Pelvis. 2020 Dec;32(4):223-229. doi: 10.5371/hp.2020.32.4.223. Epub 2020 Dec 3.

DOI:10.5371/hp.2020.32.4.223
PMID:33335871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7724025/
Abstract

Disorders involving artificial joints are difficult to evaluate due to metal artifacts hindering plain computed tomography (CT) or magnetic resonance imaging (MRI). In the current case study 18F-fluoro-deoxyglucose positron emission tomography (18F-FDG-PET)/CT and MRI were used to confirm iliopsoas tendonitis within the metal artifact area following total hip arthroplasty (THA). The patient was a 61-year-old woman who developed hip pain on flexion of the ipsilateral hip after THA. Imaging studies were performed to evaluate for iliopsoas tendonitis due to impingement with the cup. Assessment of the iliopsoas muscle near the artificial joint was difficult due to the metal artifact on plain CT and MRI. Imaging using 18F-FDG-PET/CT and 18F-FDG-PET/MRI showed uptake along the iliopsoas muscle. Therefore, revision was performed to resolve iliopsoas tendon impingement, and the preoperative pain resolved. The result of the current case study suggest 18F-FDG-PET/CT or 18F-FDG-PET/MRI will be useful to detect iliopsoas tendonitis within metal artifact areas after THA.

摘要

由于金属伪影会干扰普通计算机断层扫描(CT)或磁共振成像(MRI),涉及人工关节的疾病很难评估。在当前的病例研究中,18F-氟脱氧葡萄糖正电子发射断层扫描(18F-FDG-PET)/CT和MRI被用于确诊全髋关节置换术(THA)后金属伪影区域内的髂腰肌肌腱炎。患者为一名61岁女性,在THA后同侧髋关节屈曲时出现髋部疼痛。进行影像学检查以评估因髋臼撞击导致的髂腰肌肌腱炎。由于普通CT和MRI上的金属伪影,对人工关节附近的髂腰肌进行评估很困难。使用18F-FDG-PET/CT和18F-FDG-PET/MRI成像显示沿髂腰肌有摄取。因此,进行了翻修手术以解决髂腰肌肌腱撞击问题,术前疼痛得以缓解。当前病例研究的结果表明,18F-FDG-PET/CT或18F-FDG-PET/MRI将有助于检测THA后金属伪影区域内的髂腰肌肌腱炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/d20135249ef8/hp-32-223-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/16ea00fc6243/hp-32-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/34f78b72266f/hp-32-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/c9a3e302733f/hp-32-223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/0dff99c6126c/hp-32-223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/65337a704580/hp-32-223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/d20135249ef8/hp-32-223-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/16ea00fc6243/hp-32-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/34f78b72266f/hp-32-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/c9a3e302733f/hp-32-223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/0dff99c6126c/hp-32-223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/65337a704580/hp-32-223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c59/7724025/d20135249ef8/hp-32-223-g006.jpg

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