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[1]丁有泉.MAGiC短時反轉(zhuǎn)恢復(fù)序列磁共振掃描在骶髂關(guān)節(jié)炎骨髓水腫診斷中的應(yīng)用價值[J].中醫(yī)正骨,2021,33(10):44-46.
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MAGiC短時反轉(zhuǎn)恢復(fù)序列磁共振掃描在骶髂關(guān)節(jié)炎骨髓水腫診斷中的應(yīng)用價值()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年10期
頁碼:
44-46
欄目:
影像診斷
出版日期:
2021-10-20

文章信息/Info

作者:
丁有泉
(溫嶺市第一人民醫(yī)院,浙江 溫嶺 317500)
關(guān)鍵詞:
骶髂關(guān)節(jié)炎 脊柱炎強直性 骨髓水腫 磁共振成像 MAGiC短時反轉(zhuǎn)恢復(fù)序列
摘要:
目的:探討MAGiC短時反轉(zhuǎn)恢復(fù)(short time in version recovery,STIR)序列磁共振掃描在骶髂關(guān)節(jié)炎骨髓水腫診斷中的應(yīng)用價值。方法:納入95例強直性脊柱炎患者,分別采用T1WI、T2WI、T2加權(quán)脂肪抑制(T2 weight image fat suppression,T2WI FS)及MAGiC STIR序列進行骶髂關(guān)節(jié)斜冠狀面磁共振掃描。由2名放射科副主任醫(yī)師分別獨立分析掃描結(jié)果,將單側(cè)骶髂關(guān)節(jié)分為4個區(qū)域,采用國際脊柱關(guān)節(jié)炎評估協(xié)會制定的相關(guān)診斷標準診斷骨髓水腫,統(tǒng)計分析T2WI FS和MAGiC STIR序列診斷骶髂關(guān)節(jié)存在骨髓水腫區(qū)域的數(shù)量; 采用Hermann-Braun評分系統(tǒng)評價各區(qū)域的炎癥嚴重程度,統(tǒng)計分析這2種序列不同Hermann-Braun評分的區(qū)域數(shù)量; 并以T2WI FS序列診斷結(jié)果為標準,采用受試者操作特征曲線評價MAGiC STIR序列對骶髂關(guān)節(jié)炎骨髓水腫的診斷價值。結(jié)果:2名醫(yī)師對強直性脊柱炎患者骶髂關(guān)節(jié)各區(qū)域的炎癥嚴重程度的評價,一致性為優(yōu)(ICC=0.935,P=0.000)。T2WI FS序列和MAGiC STIR序列均診斷骨髓水腫患者60例,前者診斷存在骨髓水腫區(qū)域250個,后者診斷存在骨髓水腫區(qū)域230個,二者診斷存在骨髓水腫區(qū)域數(shù)量的比較,差異無統(tǒng)計學(xué)意義(χ2=1.218,P=0.270); 2種序列診斷結(jié)果中不同Hermann-Braun評分的區(qū)域數(shù)量的分布不同,差異有統(tǒng)計學(xué)意義(Z=-4.296,P=0.002)。MAGiC STIR序列診斷骶髂關(guān)節(jié)炎骨髓水腫的敏感度為86.92%、特異度為96.60%、陽性預(yù)測值為90.76%、陰性預(yù)測值為93.35%,MAGiC STIR序列診斷骶髂關(guān)節(jié)炎骨髓水腫的受試者操作特征曲線下面積為0.963(P=0.000)。結(jié)論:應(yīng)用MAGiC STIR序列磁共振掃描診斷骶髂關(guān)節(jié)炎骨髓水腫具有較高的應(yīng)用價值。

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備注/Memo

備注/Memo:
通訊作者:丁有泉 E-mail:[email protected]
更新日期/Last Update: 1900-01-01