• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

SSR 白皮书：直接磁共振关节造影的使用和性能指南。

SSR white paper: guidelines for utilization and performance of direct MR arthrography.

机构信息

Radiology Service, VA San Diego Healthcare System, San Diego, CA, USA.

Department of Radiology, University of California, San Diego Medical Center, San Diego, CA, USA.

出版信息

Skeletal Radiol. 2024 Feb;53(2):209-244. doi: 10.1007/s00256-023-04420-6. Epub 2023 Aug 11.

DOI:10.1007/s00256-023-04420-6
PMID:37566148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10730654/
Abstract

OBJECTIVE

Direct magnetic resonance arthrography (dMRA) is often considered the most accurate imaging modality for the evaluation of intra-articular structures, but utilization and performance vary widely without consensus. The purpose of this white paper is to develop consensus recommendations on behalf of the Society of Skeletal Radiology (SSR) based on published literature and expert opinion.

MATERIALS AND METHODS

The Standards and Guidelines Committee of the SSR identified guidelines for utilization and performance of dMRA as an important topic for study and invited all SSR members with expertise and interest to volunteer for the white paper panel. This panel was tasked with determining an outline, reviewing the relevant literature, preparing a written document summarizing the issues and controversies, and providing recommendations.

RESULTS

Twelve SSR members with expertise in dMRA formed the ad hoc white paper authorship committee. The published literature on dMRA was reviewed and summarized, focusing on clinical indications, technical considerations, safety, imaging protocols, complications, controversies, and gaps in knowledge. Recommendations for the utilization and performance of dMRA in the shoulder, elbow, wrist, hip, knee, and ankle/foot regions were developed in group consensus.

CONCLUSION

Although direct MR arthrography has been previously used for a wide variety of clinical indications, the authorship panel recommends more selective application of this minimally invasive procedure. At present, direct MR arthrography remains an important procedure in the armamentarium of the musculoskeletal radiologist and is especially valuable when conventional MRI is indeterminant or results are discrepant with clinical evaluation.

摘要

目的

直接磁共振关节造影术（dMRA）通常被认为是评估关节内结构最准确的成像方式，但由于缺乏共识，其利用率和性能差异很大。本白皮书的目的是代表骨骼放射学会（SSR）根据已发表的文献和专家意见制定关于 dMRA 使用和性能的共识建议。

材料和方法

SSR 的标准和指南委员会确定了将 dMRA 的使用和性能作为一个重要研究课题的指南，并邀请所有具有专业知识和兴趣的 SSR 成员自愿参加白皮书小组。该小组的任务是确定大纲、审查相关文献、编写一份书面文件总结问题和争议，并提供建议。

结果

12 名具有 dMRA 专业知识的 SSR 成员组成了临时白皮书作者委员会。对 dMRA 的已发表文献进行了回顾和总结，重点关注临床适应症、技术考虑因素、安全性、成像方案、并发症、争议以及知识空白。在肩部、肘部、腕部、髋部、膝部和踝/足部区域制定了关于 dMRA 使用和性能的建议。

结论

尽管直接磁共振关节造影术以前已用于多种临床适应症，但作者小组建议更有选择性地应用这种微创程序。目前，直接磁共振关节造影术仍然是肌肉骨骼放射科医生的重要工具，特别是在常规 MRI 不确定或结果与临床评估不一致时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/0362aabe2730/256_2023_4420_Fig17_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/432408f87ab4/256_2023_4420_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/80ced5ef0ffc/256_2023_4420_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/1751621fff8b/256_2023_4420_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/bdfe56bfbfc3/256_2023_4420_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/8d284c3afde0/256_2023_4420_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/27ae8d6517c1/256_2023_4420_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/19282adf3322/256_2023_4420_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/379d5d306136/256_2023_4420_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/e40b7fdbf8a7/256_2023_4420_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/b2b39aa1250c/256_2023_4420_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/3c34d04cfa19/256_2023_4420_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/31393bd1d6ef/256_2023_4420_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/e6a7b546fb69/256_2023_4420_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/9b5e5aa5a5b7/256_2023_4420_Fig14_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/a07a9a9678bb/256_2023_4420_Fig15_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/02e2a01544f0/256_2023_4420_Fig16_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/0362aabe2730/256_2023_4420_Fig17_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/432408f87ab4/256_2023_4420_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/80ced5ef0ffc/256_2023_4420_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/1751621fff8b/256_2023_4420_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/bdfe56bfbfc3/256_2023_4420_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/8d284c3afde0/256_2023_4420_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/27ae8d6517c1/256_2023_4420_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/19282adf3322/256_2023_4420_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/379d5d306136/256_2023_4420_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/e40b7fdbf8a7/256_2023_4420_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/b2b39aa1250c/256_2023_4420_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/3c34d04cfa19/256_2023_4420_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/31393bd1d6ef/256_2023_4420_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/e6a7b546fb69/256_2023_4420_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/9b5e5aa5a5b7/256_2023_4420_Fig14_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/a07a9a9678bb/256_2023_4420_Fig15_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/02e2a01544f0/256_2023_4420_Fig16_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1773/10730654/0362aabe2730/256_2023_4420_Fig17_HTML.jpg

相似文献

1
SSR white paper: guidelines for utilization and performance of direct MR arthrography.SSR 白皮书：直接磁共振关节造影的使用和性能指南。
Skeletal Radiol. 2024 Feb;53(2):209-244. doi: 10.1007/s00256-023-04420-6. Epub 2023 Aug 11.
2
Direct MR arthrography without image guidance: a practical guide, joint-by-joint.直接磁共振关节造影术：实用指南，逐一关节。
Skeletal Radiol. 2025 Jan;54(1):17-26. doi: 10.1007/s00256-024-04709-0. Epub 2024 May 27.
3
Diagnostic value of US, MR and MR arthrography in shoulder instability.超声、磁共振成像及磁共振关节造影在肩关节不稳中的诊断价值。
Injury. 2013 Sep;44 Suppl 3:S26-32. doi: 10.1016/S0020-1383(13)70194-3.
4
Direct MR arthrography of the hip joint: anterior approach without imaging guidance.髋关节直接磁共振关节造影：无影像引导的前路法
Skeletal Radiol. 2024 Apr;53(4):753-759. doi: 10.1007/s00256-023-04482-6. Epub 2023 Oct 24.
5
[Direct MR arthrography of the wrist- value in detecting complete and partial defects of intrinsic ligaments and the TFCC in comparison with arthroscopy].[腕关节直接磁共振关节造影术——与关节镜检查相比，在检测内在韧带和三角纤维软骨复合体完全及部分损伤中的价值]
Rofo. 2003 Nov;175(11):1515-24. doi: 10.1055/s-2003-43404.
6
Diagnosis of Superior Labrum Anterior-to-Posterior Tears by Using MR Imaging and MR Arthrography: A Systematic Review and Meta-Analysis.采用 MRI 和 MRI 关节造影术诊断上盂唇前后向撕裂：系统评价和荟萃分析。
Radiology. 2017 Oct;285(1):101-113. doi: 10.1148/radiol.2017162681. Epub 2017 Jun 12.
7
MR arthrography: is it worthwhile?磁共振关节造影：值得做吗？
Top Magn Reson Imaging. 1996 Feb;8(1):24-43.
8
[MR and CT arthrography in cartilage imaging : Indications and implementation].[磁共振成像和计算机断层扫描关节造影在软骨成像中的应用：适应证与实施]
Radiologe. 2019 Aug;59(8):710-721. doi: 10.1007/s00117-019-0564-z.
9
Ankle, knee, and elbow arthrography: 2022 survey of Society of Skeletal Radiology members.踝关节、膝关节和肘关节关节造影术：骨骼放射学会会员 2022 年调查。
Skeletal Radiol. 2024 Jun;53(6):1119-1124. doi: 10.1007/s00256-023-04523-0. Epub 2023 Dec 8.
10
Imaging of the post-operative shoulder: does injection of iodinated contrast in addition to MR contrast during arthrography improve diagnostic accuracy and patient throughput?术后肩部成像：关节造影时除注射磁共振造影剂外再注射碘化造影剂是否能提高诊断准确性并加快患者检查流程？
Skeletal Radiol. 2018 Sep;47(9):1253-1261. doi: 10.1007/s00256-018-2927-3. Epub 2018 Mar 17.

引用本文的文献

1
Direct shoulder MR arthrography using an iron-based positive T1 contrast agent (NEMO-103): comparison of image quality with gadolinium-based contrast.使用铁基阳性T1造影剂（NEMO-103）的直接肩关节磁共振关节造影：与钆基造影剂的图像质量比较
Sci Rep. 2025 Jul 2;15(1):23317. doi: 10.1038/s41598-025-03438-1.
2
"Black" contrast effect on MR arthrography using new generation high-relaxivity gadolinium contrast agent at recommended doses.使用推荐剂量的新一代高弛豫性钆对比剂时，“黑色”对比剂对磁共振关节造影的影响。
Pediatr Radiol. 2025 Jun;55(7):1531-1533. doi: 10.1007/s00247-025-06299-y. Epub 2025 Jun 14.
3
Prevalence and origin of prominent nutrient channels of the ilium bone on MR-imaging.

本文引用的文献

1
How to Critically Appraise and Interpret Systematic Reviews and Meta-Analyses of Diagnostic Accuracy: A User Guide.如何批判性评价和解读诊断准确性的系统评价和荟萃分析：使用指南。
Radiology. 2023 May;307(3):e221437. doi: 10.1148/radiol.221437. Epub 2023 Mar 14.
2
In vitro chondrotoxicity of bupivacaine, levobupivacaine and ropivacaine and their effects on caspase activity in cultured canine articular chondrocytes.布比卡因、左布比卡因和罗哌卡因的体外软骨毒性及其对培养犬关节软骨细胞半胱天冬酶活性的影响。
J Vet Med Sci. 2023 Apr 22;85(4):515-522. doi: 10.1292/jvms.22-0563. Epub 2023 Mar 9.
3
Cytotoxicity of Local Anesthetics on Bone, Joint, and Muscle Tissues: A Narrative Review of the Current Literature.
髂骨在磁共振成像上显著营养通道的患病率及起源
Skeletal Radiol. 2025 May 29. doi: 10.1007/s00256-025-04938-x.
4
SCOPE-MRI: Bankart Lesion Detection as a Case Study in Data Curation and Deep Learning for Challenging Diagnoses.SCOPE-MRI：作为具有挑战性诊断的数据管理与深度学习案例研究的Bankart损伤检测
ArXiv. 2025 Apr 29:arXiv:2504.20405v1.
5
MRI detection of senescent cells in porcine knee joints with a β-galactosidase responsive Gd-chelate.利用β-半乳糖苷酶响应性钆螯合物通过磁共振成像检测猪膝关节中的衰老细胞
Npj Imaging. 2025;3(1):18. doi: 10.1038/s44303-025-00078-y. Epub 2025 May 3.
6
Pediatric menisci: normal aspects, anatomical variants, lesions, tears, and postsurgical findings.小儿半月板：正常表现、解剖变异、损伤、撕裂及术后表现
Insights Imaging. 2024 Dec 12;15(1):295. doi: 10.1186/s13244-024-01867-6.
7
Utilization trends for MR arthrography of the hip and shoulder: a retrospective cross-sectional analysis of 20-year data from a tertiary care academic medical center.髋关节和肩关节磁共振关节造影的利用趋势：一项对三级保健学术医疗中心 20 年数据的回顾性横断面分析。
Skeletal Radiol. 2025 Jan;54(1):97-103. doi: 10.1007/s00256-024-04717-0. Epub 2024 Jun 3.
8
Impact of gadolinium-based MRI contrast agent and local anesthetics co-administration on chondrogenic gadolinium uptake and cytotoxicity.钆基磁共振成像造影剂与局部麻醉剂联合使用对软骨生成过程中钆摄取及细胞毒性的影响。
Heliyon. 2024 Apr 15;10(8):e29719. doi: 10.1016/j.heliyon.2024.e29719. eCollection 2024 Apr 30.
局部麻醉药对骨、关节和肌肉组织的细胞毒性：当前文献的叙述性综述
J Pain Res. 2023 Feb 27;16:611-621. doi: 10.2147/JPR.S398329. eCollection 2023.
4
Peri-procedural management and incidence of bleeding events following musculoskeletal injections or aspirations in people on oral anticoagulation and antiplatelet therapy.口服抗凝和抗血小板治疗人群行肌肉骨骼注射或抽吸术的围手术期管理和出血事件发生率。
Musculoskeletal Care. 2023 Sep;21(3):702-712. doi: 10.1002/msc.1743. Epub 2023 Feb 18.
5
Bleeding complications in patients on warfarin undergoing joint injection/aspiration: systematic review and meta-analysis.华法林治疗患者行关节注射/抽吸术时的出血并发症：系统评价和荟萃分析。
Rheumatol Int. 2023 Feb;43(2):245-251. doi: 10.1007/s00296-022-05232-y. Epub 2022 Nov 2.
6
Magnetic resonance arthrography in patients with multidirectional instability: could inferior capsulsar width be considered the cornerstone in the diagnosis of non-traumatic shoulder instability?磁共振关节造影在多向不稳定患者中的应用：下囊宽度能否被认为是诊断非创伤性肩不稳定的基石？
Skeletal Radiol. 2022 Dec;51(12):2299-2305. doi: 10.1007/s00256-022-04090-w. Epub 2022 Jun 30.
7
Postoperative Imaging of the Rotator Cuff: A Systematic Review and Meta-Analysis.肩袖术后影像学检查：系统评价和荟萃分析。
AJR Am J Roentgenol. 2022 Nov;219(5):717-723. doi: 10.2214/AJR.22.27847. Epub 2022 Jun 1.
8
Adolescent Baseball Pitchers With Ulnar Collateral Ligament Tears Exhibit a High Proportion of Partial Tears.青少年棒球投手的尺侧副韧带撕裂中有很大一部分为部分撕裂。
Am J Sports Med. 2022 Jul;50(8):2198-2202. doi: 10.1177/03635465221094326. Epub 2022 May 23.
9
Diagnostic accuracy of magnetic resonance imaging (MRI) versus dynamic ultrasound for plantar plate injuries: A systematic review and meta-analysis.磁共振成像（MRI）与动态超声诊断跖板损伤的准确性：系统评价和荟萃分析。
Eur J Radiol. 2022 Jul;152:110315. doi: 10.1016/j.ejrad.2022.110315. Epub 2022 Apr 30.
10
MR Imaging of the Postoperative Meniscus.半月板术后的磁共振成像。
Magn Reson Imaging Clin N Am. 2022 May;30(2):351-362. doi: 10.1016/j.mric.2021.11.012. Epub 2022 Apr 13.