Anderson M W, Kaplan P A, Dussault R G, Degnan G G
Department of Radiology, University of Virginia Health Sciences Center, USA.
Curr Probl Diagn Radiol. 1998 Nov-Dec;27(6):187-229. doi: 10.1016/s0363-0188(98)90002-0.
MR imaging of the wrist has the unique capability of simultaneously demonstrating bone and soft tissue structures. Its exquisite sensitivity for detecting bone marrow edema makes it and ideal screening tool for diagnosing radiographically occult osseous injuries and areas of AVN. This, together with its ability to provide a comprehensive, non-invasive assessment of the ligaments, tendons, nerves, and components of the TFC make MRI a very powerful tool for evaluating patients with wrist pain of uncertain etiology. Its exact role in the work-up of these patients has not been entirely established, but with further advances in technology and the radiologist's understanding of wrist anatomy and pathology, MRI is assuming a more central role in this clinical setting.
手腕的磁共振成像(MR成像)具有同时显示骨骼和软组织结构的独特能力。其对检测骨髓水肿具有极高的敏感性,使其成为诊断X线隐匿性骨损伤和骨坏死区域的理想筛查工具。此外,它能够对三角纤维软骨复合体(TFC)的韧带、肌腱、神经及组成部分进行全面、非侵入性评估,这使得MRI成为评估病因不明的手腕疼痛患者的有力工具。其在这些患者检查中的具体作用尚未完全明确,但随着技术的进一步发展以及放射科医生对腕部解剖和病理认识的加深,MRI在这一临床环境中正发挥着越来越核心的作用。