靠近侧侧附带带超强度与膝关节关节带和阴茎病理的关系
Atilla Hikmet Cilengir1, Sinan Unal2, Kazim Ayberk Sinci2
1Department of Radiology, Faculty of Medicine, Izmir Democracy University, Izmir, Turkey.
Acta radiologica (Stockholm, Sweden : 1987)
|December 19, 2023
概括
靠近侧侧侧带 (LCL) 的信号强度增加是常见的,并且与其他膝关节病理有关. 冠状平面成像单独可能会高估LCL强度,需要全面的MRI评估.
科学领域:
- 整形外科成像 整形外科成像
- 肌肉骨放射学 肌肉骨放射学
背景情况:
- 在MRI上近接侧侧侧带 (LCL) 的超强度可能是模两可的,独立出现或与其他膝关节病理一起出现.
- 了解LCL信号强度变化的影响对于准确的诊断至关重要.
研究的目的:
- 为了研究近端LCL信号强度 (SI) 变化与同时发生的膝关节病理之间的关联.
- 为了确定LCL超强度是否与特定的带或阴茎损伤相关.
主要方法:
- 对2020-2022年膝盖MRI扫描的回顾性分析,不包括急性创伤,不稳定,先前手术或严重关节炎的患者.
- 患者被分为正常近端LCLSI和增加近端LCLSI组.
- 奇平方测试分析了带和阴茎病理的差异;观察者之间的一致性得到了评估.
主要成果:
- 在351名患者中,67.5%的患者表现出近端LCLSI的增加.
- 在组之间观察到关节侧面,年龄和骨肌,前交叉带和中侧侧带的SI显著差异.
- 仅对LCL的冠状平面评估导致与冠状 + 轴平面 (P < 0.001) 相比,发现的结果有显著差异.
结论:
- 靠近的LCL高强度在右侧更为普遍,在老年人中,以及在肌,ACL和MCL同时发生SI变化的患者中.
- 仅在冠状平面上评估LCL可以高估超强度的存在和程度.
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