摘要
目的 探究膝关节早期滑膜炎(KS)接受磁共振FLAIR-FS检查的具体诊断效用。方法 选取2020年8月至2021年8月在本院确诊的96例膝关节早期滑膜炎患者,所选择的诊断法是膝关节FLAIR-FS序列相关检查,并予用脂肪抑制质子密度加权(PDWI-FS)序列;测定项目是疾病检出率、滑膜评分、滑膜厚度和成像分级的具体关系。结果 FLAIR-FS序列诊断滑膜厚度、滑膜病理形态比例、关节腔积液厚度均高于PDWI-FS序列(P<0.05);PDWI-FS序列图像的滑膜分级评分为0~3分,FLAIR-FS图像分级评分为1~3分;FLAIR-FS序列与PDWI-FS序列对滑膜分级的加权Kappa值为0.142(P<0.05)。结论 为KS早期患者予用磁共振FLAIR-FS序列成像是能够判断滑膜形态的,而且可以针对滑膜信号预判疾病程度,有很明显的诊断优势,可以作为膝关节滑膜炎诊断分期的评价工具,值得临床推广。
Objective To explore the specific diagnostic efficacy of magnetic resonance FLAIR-FS in early synovitis(KS) of the knee. Methods 96 patients with early synovitis of the knee joint diagnosed in our hospital from August 2020 to August 2021 were selected. The selected diagnostic method was FLAIR-FS sequence correlation examination of the knee joint, and fat suppression proton density weighted(PDWI-FS) sequence was used;The measurement item is the specific relationship between the disease detection rate, synovial score, synovial thickness and imaging grading. Results The synovial thickness, proportion of synovial pathological morphology and joint effusion thickness by FLAIR-FS were all higher than those by PDWI-FS(P<0.05). The synovial grading scores of PDWI-FS and FLAIR-FS images were 0-3 points and 1-3 points, respectively. The weighted Kappa value of synovial grading by FLAIRFS sequence and PDWI-FS was 0.142(P<0.05). Conclusion Magnetic resonance FLAIR-FS sequence imaging for early patients with KS can judge the synovial morphology, and can predict the degree of disease according to the synovial signal. It has obvious diagnostic advantages. It can be used as an evaluation tool for the diagnosis and staging of knee synovitis, and is worthy of clinical promotion.
作者
上官建伟
赵铎
刘祥龙
徐进
陈亚龙
田永利
陶然
肖新广
SHANGGUAN Jian-wei;ZHAO Duo;LIU Xiang-long;XU Jin;CHEN Ya-long;TIAN Yongli;TAO Ran;XIAO Xin-guang(Department of Radiology,Zhengzhou Central Hospital,Zhengzhou University,Zhengzhou 450007,Henan Province,China;Medical Imaging Department of Xinzheng Public People's Hospital,Xinzheng 451150,Henan Province,China)
出处
《中国CT和MRI杂志》
2023年第1期148-150,共3页
Chinese Journal of CT and MRI
基金
河南省医学科技攻关计划项目(LHGJ20200773)。
关键词
磁共振
脂肪抑制液体衰减反转恢复序列成像
脂肪抑制质子密度加权
膝关节滑膜炎
诊断
Magnetic Resonance
Fluid Attenuated Inversion Recovery with Fat Saturation
Proton Density Weighted Imaging with Fat Saturation
Knee Synovitis
Diagnosis
