MR常规及3D-T1-VIBE序列扫描在膝关节软骨运动损伤诊断中的应用

doi:10.7517/issn.1674-0475.221010

摘要/Abstract

摘要： 本文探究磁共振（MR）常规及三维容积插入式屏气检查（3D-T1-VIBE）序列扫描在单侧膝关节软骨运动损伤患者诊断中的应用价值。选择198例疑似膝关节软骨运动损伤患者作为研究对象，以膝关节镜诊断结果为金标准，170例患者确诊为膝关节软骨运动损伤，28例患者确诊为非膝关节软骨运动损伤。所有患者均行MR常规、3D-T1-VIBE序列扫描检查。与MR常规、3D-T1-VIBE序列扫描单项诊断相比，联合检测对膝关节软骨运动损伤及损伤等级诊断准确性较高（P>0.05）。与MR常规、3D-T1-VIBE序列扫描单项诊断相比，联合检测对膝关节软骨损伤的敏感度（98.82%）、特异度（89.28%）、准确性（97.47%）均较高（P<0.05）。MR常规联合3D-T1-VIBE序列扫描有利于提高膝关节软骨运动损伤的诊断准确性。

关键词: 单侧膝关节软骨损伤, 磁共振, 三维容积插入式屏气检查, 诊疗

Abstract: This paper explored the application value of magnetic resonance (MR) routine and 3D volume-insert air-holding examination (3D-T1-VIBE) sequence scanning in the diagnosis of patients with unilateral knee cartilage motor injury. 198 patients with suspected knee cartilage motor injury were selected as the study subjects. According knee arthroscopic diagnosis as the gold standard, 170 patients were diagnosed with knee cartilage motor injury and 28 patients with non-knee cartilage motor injury. All patients underwent routine MR, 3D-T1-VIBE sequence scanning. Compared with the MR routine and 3D-T1-VIBE sequence scanning single-item diagnosis, the combined test has a higher diagnostic accuracy for the knee joint cartilage motor injury and injury grade (P>0.05). Compared with routine MR and 3D-T1-VIBE sequence scanning single-item diagnosis, the sensitivity (98.82%), specificity (89.28%) and accuracy (97.47%) with combined diagnoses were all higher (P<0.05) of knee cartilage injury. MR routine combined with 3D-T1-VIBE sequence scanning is beneficial to improve the diagnostic accuracy of knee cartilage motor injury.

Key words: unilateral knee cartilage injury, magnetic resonance, 3D volume-insert air-holding examination(3D-T1-VIBE), diagnosis and treatment

高浩然, 杨连军, 张力, 陈佳林, 王锋. MR常规及3D-T1-VIBE序列扫描在膝关节软骨运动损伤诊断中的应用[J]. 影像科学与光化学, 2023, 41(1): 33-37.

GAO Haoran, YANG Lianjun, ZHANG Li, CHEN Jialin, WANG Feng. Application of MR Routine and 3D-T1-VIBE Sequence Scanning in the Diagnosis of Knee Cartilage Motor Injury[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2023, 41(1): 33-37.

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