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[磁共振成像在放疗后下颌骨骨髓炎诊断中的应用]

[MRT in the diagnosis of mandibular osteomyelitis following radiotherapy].

作者信息

Bachmann G, Rössler R

机构信息

Röntgenabteilung Innere Medizin, Klinikum der Justus-Liebig-Universität, Giessen.

出版信息

Rofo. 1993 Oct;159(4):347-54. doi: 10.1055/s-2008-1032777.

DOI:10.1055/s-2008-1032777
PMID:8219121
Abstract

A prospective study was performed to assess the diagnostic potential of MRI in mandibular osteomyelitis after radiation therapy. A total of 60 MRI studies were performed in 39 patients with lymphoma and carcinoma of the head and neck. Clinically or histologically proven osteomyelitis of the mandible occurred in 10 patients depending on the radiation dose absorbed to bone; 9 of these were unequivocally diagnosed by typical MRI appearance, two cases were false positive. MRI is superior to other diagnostic methods such as conventional radiology and clinical examination. It should be performed routinely in an oncological follow-up after radiation therapy depending on the dental status and radiation dose.

摘要

进行了一项前瞻性研究,以评估MRI在下颌骨放疗后骨髓炎中的诊断潜力。对39例头颈部淋巴瘤和癌患者进行了60次MRI检查。根据骨吸收的辐射剂量,10例患者发生了临床或组织学证实的下颌骨骨髓炎;其中9例通过典型的MRI表现明确诊断,2例为假阳性。MRI优于传统放射学和临床检查等其他诊断方法。根据牙齿状况和辐射剂量,放疗后的肿瘤学随访中应常规进行MRI检查。

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