Kreitner K F, Grebe P, Kersjes W, Runkel M, Kirschner P, Schild H H
Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität, Mainz.
Rofo. 1994 Feb;160(2):137-42. doi: 10.1055/s-2008-1032391.
In a prospective study possible indications for MR arthrography of the shoulder were evaluated. 37 patients were examined before and after intraarticular administration of a 2-mmolar solution of Gd-DTPA. MR arthrography was performed if there was no joint effusion and/or an uncertain finding concerning the rotator cuff or the capsulolabral complex on plain MR images. MR arthrography leads to a better demonstration of labrum pathology in 11/22 patients and to a superior delineation of the capsuloligamentous apparatus in 20/22 cases. In 9/15 patients with impingement lesions MR arthrography allowed a differentiation of severe tendinitis from partial and small full-thickness tears of the rotator cuff. MR arthrography of the shoulder joint enhances the accuracy of MR in case of an uncertain finding on plain MR images.
在一项前瞻性研究中，对肩关节磁共振关节造影的可能指征进行了评估。37例患者在关节内注射2毫摩尔浓度的钆喷酸葡胺溶液前后接受了检查。如果在普通磁共振图像上没有关节积液和/或关于肩袖或关节囊唇复合体的不确定发现，则进行磁共振关节造影。磁共振关节造影使11/22例患者的盂唇病变显示得更好，20/22例患者的关节囊韧带结构显示得更清晰。在15例有撞击损伤的患者中，9例通过磁共振关节造影能够区分严重肌腱炎与肩袖部分和小的全层撕裂。当普通磁共振图像上有不确定发现时，肩关节磁共振关节造影可提高磁共振检查的准确性。
