传染性神经炎:基于MRI和CT的疾病程度,并发症和解剖相关性的评估
Sarah Interligator1, Antoine Le Bozec2, Guillaume Cluzel1
1Department of Radiology, Hôpital Bicêtre, Assistance-Publique des Hôpitaux de Paris, 78 rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, Paris, France.
Skeletal radiology
|December 19, 2023
概括
传染性神经炎 (ISI) 经常导致和骨髓炎等并发症,通常涉及双边神经关节和同时发生的脊髓感染. 图像特征有助于评估疾病的程度和传播.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 整形外科手术 整形外科手术
背景情况:
- 传染性关节炎 (ISI) 是一种严重的疾病,影响关节.
- 了解其成像特征,范围和并发症对于有效管理至关重要.
研究的目的:
- 详细介绍磁共振成像 (MRI) 和计算机断层扫描 (CT) 在传染性圣炎 (ISI) 发现的频率.
- 评估与ISI相关的解剖分布,严重程度和并发症.
- 探索ISI通过解剖解剖传播的潜在途径.
主要方法:
- 在2008年至2021年期间评估的40名ISI患者的回顾性分析.
- 两位放射科医生对MRI和CT图像进行审查,以评估解剖分布,严重程度,并发性感染和并发症.
- 观察者间可重复性评估和致病微生物与疾病严重程度之间的相关性分析.
- 两个人体的解剖剖学剖析,以说明ISI传播途径.
主要成果:
- 包括40名患者 (40岁±22岁;26名女性),其中10名患者表现为双边ISI,15%的患者同时患有脊椎感染.
- 骨髓胀和骨周炎的观察者间可重复性高;侵蚀数较低.
- 常见的发现包括骨髓胀 (100%),肌肉胀 (90%) 和严重的周节炎 (89%).
- 75%的病例出现并发症,特别是关节周 (64%),邻近骨髓炎 (43%) 和盆腔血栓炎 (6%).
- 结核性ISI与硬化和骨丧生相关.
结论:
- 诸如,邻近骨髓炎和周围炎等并发症在传染性神经炎中很常见.
- 双边参与和与脊髓感染的关联在ISI中并不罕见.
- 成像在诊断和描述ISI的程度和并发症方面发挥着关键作用.
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