超声波可以取代MRI在诊断导致不同隔间脚的原因吗?
Nour Mohamed Kandil1, Mohamed Abd El Fattah Hassan2, Ashraf Nehad Moharram3
1Radiology Department, Faculty of Medicine, Cairo University, Giza, Egypt. dr.n.kandil@hotmail.com.
Journal of ultrasound
|August 1, 2023
概括
超声波 (美国) 有效地诊断骨和软组织脚,显示高精度. 虽然不取代MRI,但US为脚疼痛评估提供了具有成本效益,节省时间和动态成像的替代方案.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 由于骨或软组织病理引起的脚刺, presents一个诊断挑战.
- 磁共振成像 (MRI) 是诊断脚撞击的黄金标准.
- 超声波 (美国) 是一种广泛可用的成像方式,具有诊断脚病理的潜力.
研究的目的:
- 评估超声波 (US) 在各种类型的脚撞击中的诊断作用.
- 为了比较US与MRI在诊断骨和软组织脚的准确性.
- 评估美国在脚不同解剖部位的表现.
主要方法:
- 一项前性研究,涉及90名患有单侧脚疼痛,暗示受伤的患者.
- 患者接受了超声波 (US) 和磁共振成像 (MRI) 检查.
- 根据病理 (骨/软组织) 和解剖位置 (前中,前侧,前侧,后中,后侧) 进行分类.
主要成果:
- 后脚撞击是最常见的类型;中前脚撞击是最罕见的.
- 超声波检测显示,对骨刺伤 (84.31%) 和软组织刺伤 (92.16%) 的高精度.
- 超声波实现了100%的特异性和骨和软组织冲击的积极预测值.
结论:
- 超声波是骨和软组织脚的有价值的诊断工具.
- 美国提供了一种具有成本效益,节省时间和动态成像的替代方案,尽管它不能取代MRI.
- 这些发现支持将美国纳入关节撞击的诊断途径.
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