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磁力共振成像是一种可靠的方法来测量关键肩膀角度和形指数

Márcio Schiefer^1,2, Erika Naliato¹, Roberto Oliveira³

¹Professor adjunto, Departamento de Ortopedia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil.

Revista brasileira de ortopedia

|November 1, 2023

概括

磁共振成像 (MRI) 和X射线显示出高度一致性,用于测量形指数 (AI) 和关键肩角 (CSA). 这些成像方法可靠地评估肩部解剖学,MRI被证明是X光片的合适替代品.

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.
人体解剖学解剖学解剖学

背景情况:

肩形指数 (AI) 和关键肩角 (CSA) 是诊断肩部病理的重要解剖测量.
比较放射和磁共振成像 (MRI) 的测量对于理解诊断准确性和可靠性至关重要.

研究的目的:

为了比较从肩部放射和MRI中获得的AI和CSA的绝对值.
评估在两种成像方式中对AI和CSA测量的观察者间和观察者内部协议.

主要方法:

来自124名受试者的肩部放射和核磁共振 (MRI) 被两名受过奖学金培训的肩部外科医生分析.
对AI和CSA的测量进行了两次,隔12周,以评估观察者内部的可靠性.
观测者间和观测者内部的可靠性使用类内相关系数 (ICC) 和布兰德-阿尔特曼图表来量化.

主要成果:

在X光照中发现CSA (ICC > 0.93) 和AI (ICC > 0.90) 的高内部观察者一致性.
在MRI中对CSA也观察到高的观察者内部一致性 (ICC > 0.94),尽管AI显示出较低的一致性 (ICC = 0.022).
对CSA和AI两种模式来说,观察者间的协议是实质性的,ICC值在0.685到0.892.2之间.

结论:

放射和MRI都显示出AI和CSA测量的高可靠性.
AI和CSA的绝对值在两个成像模式之间高度相关.
核磁共振是评估AI和CSA的合适和可靠的成像方法,补充了放射性评估.

关键词:

这就是Acromion.磁共振成像技术的使用辐射学放射学辐射学旋转器袖口撕裂的情况肩膀碰撞综合征是什么意思

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