MR T2 mapping定量参数在肩袖损伤患者中的变化及与SSV、DASH的关系

doi:10.7517/issn.1674-0475.220706

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (6): 1602-1606.DOI: 10.7517/issn.1674-0475.220706

MR T2 mapping定量参数在肩袖损伤患者中的变化及与SSV、DASH的关系

李铁军¹, 魏超², 唐犁春³, 姜喜玲⁴

1. 集宁师范学院体育与运动学院, 内蒙古乌兰察布 012000;
2. 山东体育学院, 山东济南 250001;
3. 乌兰察布医学高等专科学校附属医院, 内蒙古乌兰察布 012000;
4. 赤峰学院附属医院, 内蒙古赤峰 024000

收稿日期:2022-07-11 出版日期:2022-11-23 发布日期:2022-11-15
通讯作者: 魏超
基金资助:
内蒙古自治区自然科学基金资助项目(2019MS08046)

Changes of MR T2 mapping Quantitative Parameters in Patients with Rotator Cuff Tear and Their Relationship with SSV and DASH

LI Tiejun¹, WEI Chao², TANG Lichun³, JIANG Xiling⁴

1. School of Physical Education and Sports, Jining Normal University, Ulanqab 012000, Inner Mongolia, P. R. China;
2. Shandong Sport University, Jinan 250001, Shandong, P. R. China;
3. Affiliated Hospital of Ulanqab Medical College, Ulanqab 012000, Inner Mongolia, P. R. China;
4. Affiliated Hospital of Chifeng University, Chifeng 024000, Inner Mongolia, P. R. China

Received:2022-07-11 Online:2022-11-23 Published:2022-11-15

摘要/Abstract

摘要： 本文探究MR T2 mapping定量参数在肩袖损伤(RCT)患者中水平变化情况及与预后功能转归的关系。选取80例运动致RCT患者为研究对象,均行MRI常规序列扫描和MR T2 mapping扫描,根据RCT分级分为A组(Ⅰ级,n=25)、B组(Ⅱ级,n=39)、C组(Ⅲ级,n=16)。通过对比分析发现,A组冈上肌腱内侧、外侧、中间T₂值均低于B组、C组,B组低于C组(P＜0.05);冈上肌腱内侧、外侧、中间T₂值均与RCT分级呈正相关(P＜0.05);RCT患者术后6个月冈上肌腱内侧、外侧、中间T₂值及上肢功能障碍评定表(DASH)分值均低于术前,主观肩关节评分(SSV)分值高于术前(P＜0.05);RCT患者手术前后冈上肌腱内侧、外侧、中间ΔT₂值与ΔSSV、ΔDASH分值呈正相关(P＜0.05)。由此可见,MR T2 mapping定量参数与RCT患者的RCT分级呈正相关,且各参数变化值与预后功能转归密切相关。

关键词: 肩袖损伤, 磁共振成像, T2 mapping扫描, 冈上肌腱, 肩关节功能, 预后

Abstract: The changes of MR T2 mapping quantitative parameters in exercise-induced rotator cuff tear (RCT) patients and their relationship with the prognosis and functional outcome were explored in this paper. A total of 80 patients with exercise-induced RCT were selected as the research objects. All of them underwent MRI routine scanning and MR T2 mapping scan, and divided into group A (level Ⅰ, n=25), group B (level Ⅱ, n=39), and group C (level Ⅲ, n=16) according to the RCT classification. Through comparative analysis, it was found that the medial, lateral, and intermediate T₂ values of the supraspinatus tendon in group A were lower than those in groups B and C, and group B was lower than that of group C (P<0.05); the medial, lateral, and middle T₂ values of the supraspinatus tendon were all lower than the RCT grading was positively correlated (P<0.05); the medial, lateral, and intermediate T₂ values of the supraspinatus tendon and the upper extremity Disability of arm shoulder and hand (DASH) scores of the RCT patients were lower than the preoperative, subjective shoulder value (SSV) scores were higher than preoperative (P<0.05); the medial, lateral, and middle ΔT₂ values of supraspinatus tendon before and after surgery were positively correlated with ΔSSV and ΔDASH scores (P＜0.05). It can be seen that the quantitative parameters of MR T2 mapping are positively correlated with the RCT grading of patients with exercise-induced RCT, and the change values of each parameter are closely related to the prognostic function outcome.

Key words: rotator cuff tear, magnetic resonance imaging, T2 mapping scan, supraspinatus tendon, shoulder value, prognosis

李铁军, 魏超, 唐犁春, 姜喜玲. MR T2 mapping定量参数在肩袖损伤患者中的变化及与SSV、DASH的关系[J]. 影像科学与光化学, 2022, 40(6): 1602-1606.

LI Tiejun, WEI Chao, TANG Lichun, JIANG Xiling. Changes of MR T2 mapping Quantitative Parameters in Patients with Rotator Cuff Tear and Their Relationship with SSV and DASH[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(6): 1602-1606.

参考文献

[1] Yörükolu A C, Savkin R, Büker N, et al. Is there a relation between rotator cuff injury and core stability？[J]. Journal of Back & Musculoskeletal Rehabilitation, 2019, 32(3):445-452.
[2] 毛懿, 陈旭卓, 张善勇. 应用T2 mapping诊断关节软骨疾病研究进展[J]. 中国口腔颌面外科杂志, 2019, 17(6):566-570.
[3] Beckmann N M, Tran M Q, Cai C Y. Incidence of rotator cuff tears in the setting of calcific tendinopathy on MRI:A case controlled comparison[J]. Skeletal Radiology, 2019, 48(2):245-250.
[4] 陈小帅, 张平, 于荭, 等. 应用T2 mapping成像评价马拉松前后膝关节软骨短中期改变[J]. 中华放射学杂志, 2019, 53(10):824-828.
[5] Matsuki K, Watanabe A, Ochiai S, et al. Quantitative evaluation of fatty degeneration of the supraspinatus and infraspinatus muscles using T2 mapping[J]. Journal of Shoulder & Elbow Surgery, 2014, 23(5):636-641.
[6] 曹馨月, 卫建国, 陈凯, 等. UTE与T2^* mapping成像技术定量评估肩袖撕裂的对照研究[J]. 磁共振成像, 2021, 12(12):84-88.
[7] 裴琴琴. MR T2 mapping在肩袖损伤中的应用价值研究[D]. 兰州:甘肃中医药大学, 2018.
[8] 赵妍, 孙毅, 孙志先, 等. 不同MRI组合序列及扫描方位对肩袖损伤诊断分级及脂肪浸润评分的影响[J]. 中华介入放射学电子杂志, 2019, 7(3):239-242.
[9] 王天刚, 高义斌, 魏艳辉, 等. TightRope钢板与锁骨钩钢板内固定术治疗RockwoodⅢ型肩锁关节脱位疗效比较[J]. 新乡医学院学报, 2020, 37(4):378-381.
[10] Prodinger B, Hammond A, Tennant A, et al. Revisiting the disabilities of the arm, shoulder and hand (DASH) and QuickDASH in rheumatoid arthritis[J]. BMC Musculoskeletal Disorders, 2019, 20(1):41.
[11] American Academy of Orthopaedic Surgeons. AAOS clinical practice guideline summary:Management of rotator cuff injuries[J]. Journal of the American Academy of Orthopaedic Surgeons, 2020, 28(5):e193-e201.
[12] 李彩霞. 常规磁共振检查对肩袖损伤的诊断价值研究[J]. 基层医学论坛, 2020, 24(11):1570-1571.
[13] 赵妍, 孙毅, 孙志先, 等. MRI优化组合序列在肩袖损伤术前分级评估中的应用价值[J]. 国际医药卫生导报, 2019, 25(9):1386-1389.
[14] 马荣, 姜威. MRI优化组合序列在肩周炎、肩袖损伤诊断中的价值研究[J]. 影像研究与医学应用, 2021, 5(5):89-90.
[15] 徐舰. MRI优化组合序列在诊断肩周炎与肩袖损伤中的临床意义[J]. 中国实用医药, 2021, 16(17):66-68.
[16] 韩晓兵, 张乾营, 阿浣, 等. 长期体能训练后应用T2-mapping序列定量分析胫距关节软骨的变化[J]. 磁共振成像, 2021, 12(4):62-64, 77.
[17] 刘新新, 马晓文, 尚潘. 冈上肌脂肪变性T2 mapping值与肩袖撕裂的相关性研究[J]. 实用放射学杂志, 2019, 35(5):794-797.
[18] Qian W, Chen W, Xu X Q, et al. T2 mapping of the extraocular muscles in healthy volunteers:Preliminary research on scan-rescan and observer-observer reproducibility[J]. Acta Radiologica, 2020, 61(6):804-812.
[19] 杨智, 李睿, 付兵, 等. 心脏MR T2^* mapping技术定量评价2型糖尿病患者左心室心肌改变[J]. 中国医学影像技术, 2019, 35(2):200-203.
[20] Xie Y X, Liu S H, Qiao Y, et al. Quantitative T2 mapping-based tendon healing is related to the clinical outcomes during the first year after arthroscopic rotator cuff repair[J]. Knee Surgery Sports Traumatology Arthroscopy, 2021, 29(1):127-135.
[21] Iijima Y, Matsuki K, Hoshika S, et al. Relationship between postoperative retear and preoperative fatty degeneration in large and massive rotator cuff tears:Quantitative analysis using T2 mapping[J]. Journal of Shoulder & Elbow Surgery, 2019, 28(8):1562-1567.

MR T2 mapping定量参数在肩袖损伤患者中的变化及与SSV、DASH的关系

Changes of MR T2 mapping Quantitative Parameters in Patients with Rotator Cuff Tear and Their Relationship with SSV and DASH

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	牛犇, 曹辉. MRI联合经直肠超声靶向穿刺在前列腺癌中的应用[J]. 影像科学与光化学, 2023, 41(1): 6-10.
[2]	张倩倩, 李岩, 任虹, 肖爱伟, 刘珊珊, 于桂泳. DE-ICER在无先兆偏头痛平衡针刺后血脑屏障改变中的评估作用及与镇痛效果的关系[J]. 影像科学与光化学, 2023, 41(1): 11-16.
[3]	邹丽雯, 汪月, 潘毓玲, 曾鸿君. MRI、TEG参数诊断ACI溶栓后发生出血性转化的研究[J]. 影像科学与光化学, 2023, 41(1): 23-27.
[4]	周悦, 齐恩林, 刘树荣, 姜立杰. 磁共振成像中DKI模型诊断软组织肉瘤的价值及对手术治疗的指导意义[J]. 影像科学与光化学, 2023, 41(1): 43-47.
[5]	王艳军, 赵德彩, 孙政, 张鹏, 路磊. MRI诊断侵袭性垂体腺瘤的特征分析及内镜下双鼻孔入路的手术效果观察[J]. 影像科学与光化学, 2023, 41(1): 90-95.
[6]	汪宁, 彭兆快. 颈动脉超声定量参数联合miR-128-3p诊断急性脑梗死的研究[J]. 影像科学与光化学, 2023, 41(1): 109-113.
[7]	袁永睿, 李争民, 王长平. 脑脊液CD64、血清炎性因子联合MRI对术后继发性神经系统感染的诊断分析[J]. 影像科学与光化学, 2023, 41(1): 119-123.
[8]	郑奕, 江迎春, 杨豪, 董战军, 陈艳, 李思强. 药物治疗前后RA患者DCE-MRI参数变化及对骨侵蚀情况的影响[J]. 影像科学与光化学, 2023, 41(1): 136-141.
[9]	赵燕, 孙勇. 多参数磁共振成像在诊断前列腺癌及疾病危险程度中的应用[J]. 影像科学与光化学, 2023, 41(1): 177-181.
[10]	赵桂桂, 刘俊霞, 朱方乔. 彩色多普勒超声在诊断新生儿缺氧缺血性脑病中的应用[J]. 影像科学与光化学, 2023, 41(1): 182-186.
[11]	郑大军, 汪牛, 邱雷. MRI参数对篮球运动员剥脱性骨软骨炎的诊断及术后康复效果评价[J]. 影像科学与光化学, 2023, 41(1): 191-195.
[12]	张宏光, 秦绪沛, 王康妮. MSCT结合MRI对成人腕关节扭伤的影像分析[J]. 影像科学与光化学, 2022, 40(6): 1323-1327.
[13]	焦悦, 姚水平, 郭丽, 国春蕾. MRI联合血清AFP在诊断CSP及胎盘植入中的应用研究[J]. 影像科学与光化学, 2022, 40(6): 1381-1385.
[14]	陈翩翩, 王耀光, 申春云, 蔡林江, 陈少群, 陈洪恩, 高俊杰. 基于SWI的CMBs、ACVS特征与急性脑梗死患者预后的关系[J]. 影像科学与光化学, 2022, 40(6): 1396-1401.
[15]	丁娟, 李宇宏, 赵宏春, 郭毅, 柳雨曦, 曹文彬. MRI参数联合β-CTX、PAI-1对股骨头坏死及分期的诊断分析[J]. 影像科学与光化学, 2022, 40(6): 1407-1411.