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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2024; 8: (11) ; 10.12208/j.ijcr.20240499 .

The clinical application value of magnetic resonance fat suppression technology in bone and joint lesions
磁共振脂肪抑制技术对骨关节病变的临床应用价值

作者: 杨李军 *, 蒋明侠, 葛桓溥, 吴琼, 张春红

苏州京东方医院有限公司 江苏苏州

*通讯作者: 杨李军,单位:苏州京东方医院有限公司 江苏苏州;

引用本文: 杨李军, 蒋明侠, 葛桓溥, 吴琼, 张春红 磁共振脂肪抑制技术对骨关节病变的临床应用价值[J]. 国际临床研究杂志, 2024; 8: (11) : 150-152.
Published: 2024/11/25 10:33:06

摘要

目的 探究分析磁共振脂肪抑制技术对骨关节病变的临床应用价值。方法 选取于2023年1月至2024年1月期间,院内收治的疑似骨关节病变患者共102例,作为此次研究对象。予以102例患者X线以及磁共振脂肪抑制技术检查,明确不同检查方式对于病变的敏感度,同时对比不同检查方式针对骨关节病变伴随损伤的诊断阳性率。结果 磁共振脂肪抑制技术敏感度优于X线检查,P<0.05。磁共振脂肪抑制技术诊断韧带损伤的阳性率更高,P<0.05。在积液、肌腱以及细微骨折方面,相比于常规磁共振T1W1及T2W1序列无明显差异,P>0.05。结论 在实际对骨关节病变患者进行诊断的过程中,应用磁共振脂肪抑制技术能够获取更为准确的诊断结果,可有效显示骨髓病变以及伴随病变,可协助医师及时明确患者实际病情状态,进而为后续治疗方案的制定提供有效的数据支持,值得推广与应用。

关键词: 磁共振脂肪抑制技术;骨关节病变;敏感度;骨关节病变伴随损伤;阳性率

Abstract

Objective To explore and analyze the clinical application value of magnetic resonance fat suppression technology for bone and joint lesions.
Methods A total of 102 patients with suspected bone and joint lesions admitted to the hospital from January 2023 to January 2024 were selected as the subjects of this study. X-ray and magnetic resonance fat suppression technology examinations were performed on 102 patients to clarify the sensitivity of different examination methods for lesions, and to compare the diagnostic positive rates of different examination methods for injuries associated with bone and joint lesions.
Results The sensitivity of magnetic resonance fat suppression technology was better than that of X-ray examination, P < 0.05. The positive rate of magnetic resonance fat suppression technology in diagnosing ligament injuries was higher, P < 0.05. There was no significant difference in effusion, tendon and minor fractures compared with conventional magnetic resonance T1W1 and T2W1 sequences, P > 0.05.
Conclusion   In the actual diagnosis of patients with bone and joint lesions, the application of MRI fat suppression technology can obtain more accurate diagnostic results, effectively display bone marrow lesions and associated lesions, and assist physicians to promptly clarify the actual condition of the patient, thereby providing effective data support for the formulation of subsequent treatment plans, which is worthy of promotion and application.

Key words: MRI fat suppression technology; bone and joint lesions; sensitivity; bone and joint lesions with injuries; positive rate

参考文献 References

[1] 高艳,潘小文,董晚亭,等.磁共振脂肪抑制质子密度加权序列诊断骨关节外伤性骨髓水肿的价值[J].中国医学物理学杂志,2024,41(02):181-184.

[2] 彭金亮.磁共振脂肪抑制技术对骨关节病变的临床应用价值[J].影像研究与医学应用,2018,2(19):241-242.

[3] 董玉茹,王宏,梁莹,等.3.0T磁共振不同成像技术对膝骨关节炎骨髓病变SNR和CNR对比分析[J].中国CT和MRI杂志,2015,13(06):92-94.

[4] 张平. 磁共振和能谱CT对中轴型脊柱关节炎骶髂关节炎的半定量分析[D].华中科技大学,2016.

[5] 胡孝娟.磁共振脂肪抑脂技术对骨关节病变的临床应用[J].临床医药文献电子杂志,2019,6(73):51-52.

[6] 王建军. 质子加权预饱和脂肪抑制序列在骨关节外伤性骨髓水肿中的诊断价值[D].山西医科大学,2014.

[7] 李竞. 磁共振成像在激素相关性股骨头缺血坏死早期诊断中的价值[D].天津医科大学,2015.

[8] 郑玲,刁强,李林,等.磁共振脂肪抑制技术及其临床应用的价值[J].医疗卫生装备,2010,31(1):80-81,83.

[9] 马德智,李保生,卢德伟,等.膝关节退行性骨关节病软骨下骨质异常的MRI表现[J].右江民族医学院学报,2014, 36(04): 619-620.

[10] 周吉明,王超,邵宝富.低场磁共振短时反转恢复序列在膝关节骨挫伤中的应用[J].实用医技杂志,2013,20(08):839-840.