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背手腕关节:基于高场MRI的症状患者群体的临床和成像相关性

David Ferreira Branco¹, Paul Botti², Cindy Bouvet³

¹Diagnostic Department, Radiology Unit, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1205, Genève, Switzerland. David.ferreirabranco@hcuge.ch.

European radiology

|June 10, 2024

概括

高场核磁共振可靠地检测背膜粘膜手腕囊,有助于解剖评估. 这种成像技术对于患有背部手腕疼痛的患者的手术前规划至关重要.

科学领域:

放射学放射学是一门学科.
整形外科手术整形外科手术
医疗成像医学成像

背景情况:

背部粘膜囊,特别是那些来自背部囊孔隔膜 (DCSS) 的囊,是手腕疼痛的常见原因.
准确的诊断和解剖学特征是有效的手术管理的必要条件.

研究的目的:

通过高场核磁共振 (MRI) 在一个有症状的人群中确定背部粘膜囊的患病率.
探索这些囊的解剖临床和流行病学相关性.

主要方法:

对295次连续的3特斯拉MRI扫描进行了回顾性分析,用于疼痛的手腕.
两个盲人读者评估了囊检测,体积和解剖学关系.
观察者之间的可靠性是使用kappa和类内相关系数来评估的.

主要成果:

在295名患者中,有150名患者 (50.8%) 检测到背手腕囊.
在囊检测 (0.89) 和体积测量 (0.96) 方面,观察者之间有很高的一致性.
在囊靠近后部骨际神经 (PIN) 和背脊骨 (SL) 疼痛之间,以及在Guérini的分类和背脊SL疼痛之间,发现了微弱的相关性.

结论:

高场MRI是检测和评估背手腕囊的首选成像方法.
这项研究为了解背部粘膜囊的患病率和相关解剖因素提供了基础.
准确的MRI评估对于指导外科手术和改善背腺囊手术前规划至关重要.

关键词:

背部囊背部囊流行病学流行病学磁共振成像技术磁共振成像技术他们的手腕.

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Magnetic Resonance Imaging

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...