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1
参考中文标题：
掴病变：它是什么...真的吗？。
作者单位：
Case Shoulder & Elbow Service, Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA, Reuben.Gobezie@UHhospitals.org
PMID及链接：
17340163 http://www.syyxw.com/Archive/Detail/17340163
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出 处：
Skeletal radiology. 2007 May ,36 (5) :379
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2
参考中文标题：
先进的成像在类风湿关节炎：第2部分：糜烂。 [修改] [ 49参]
作者单位：
Department of Radiology, Leeds Teaching Hospitals, Leeds, UK.
PMID及链接：
17091308 http://www.syyxw.com/Archive/Detail/17091308
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摘 要：
Rheumatoid arthritis (RA) is a chronic and progressive inflammatory disorder primarily affecting the synovium. We now recognise that conventional radiographic images show changes of rheumatoid arthritis late after irreversible joint damage has occured. With the advent of powerful disease-modifying drugs there is a need for early demonstration of rheumatoid arthritis and to monitor progress of the disease and response to therapy. Advanced imaging techniques such as ultrasound and MRI have focussed on the demonstration and quantification of synovitis and erosions and allow early diagnosis of RA. The technology to quantify synovitis and erosions is developing rapidly and now allows change in disease activity to be assessed. However, problems undoubtedly exist in quantification techniques and this review serves to highlight them. Much of the literature on advanced imaging in RA appears in rheumatological journals and may not be familiar to radiologists. This review article aims to increase the awareness of radiologists to this field and to encourage them to participate and contribute to the ongoing development of these modalities. Without this collaboration it is unlikely that these modalities will reach their full potential in the field of rheumatological imaging. This review is in two parts. This first part addresses synovitis imaging. The second part will look at advanced imaging of erosions in RA. [References: 49]
参考中文摘要：
类风湿关节炎（ RA ）是一种慢性炎症疾病和逐步的滑膜主要影响。我们现在认识到，传统的X光图像显示的变化对类风湿关节炎晚期后不可逆转的联合发生了损害。随着强大的疾病修饰药物有必要尽早示范类风湿关节炎和监测进展的疾病和应对治疗。先进的成像技术，如超声波和MRI有重点的示范和量化滑膜炎和糜烂，使早期诊断类风湿性关节炎。该技术量化滑膜炎和糜烂正在迅速发展，现在可以改变疾病活动性进行评估。但是，存在的问题无疑量化技术和这次审查突出他们。许多先进的图像文献中出现在RA rheumatological期刊和可能不熟悉，以放射。这次审查的文章的目的是提高认识的放射这一领域，并鼓励他们参与和促进持续发展的这些方法。如果没有这种合作的可能性不大，这些模式将充分发挥其潜力领域的rheumatological成像。这项审查是分为两个部分。这第一部分涉及滑膜炎成像。第二部分将研究先进的成像糜烂在RA 。 [参考文献： 49 ]
出 处：
Skeletal radiology. 2007 May ,36 (5) :381-9
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3
参考中文标题：
分类和定位的髋臼labral眼泪。
作者单位：
Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792-3252, USA. dg.blankenbaker@hosp.wisc.edu
PMID及链接：
17226059 http://www.syyxw.com/Archive/Detail/17226059
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摘 要：
OBJECTIVE: The purpose of this study was to compare the findings on hip MR arthrography (MRA) with the published MRA and arthroscopic classifications of hip labral tears and to evaluate a clock-face method for localizing hip labral tears. DESIGN/PATIENTS: We retrospectively reviewed 65 hip MRA studies with correlative hip arthroscopies. Each labrum was evaluated on MRA using the classification system of Czerny and an MRA modification of the Lage arthroscopic classification. In addition, each tear was localized on MRA by using a clock-face description where 6 o'clock was the transverse ligament and 3 o'clock was anterior. These MRA findings were then correlated with the arthroscopic findings using the clock-face method of localization and the Lage arthroscopic classification of labral tears. RESULTS: At MRA, there were 42 Czerny grade 2 and 23 grade 3 labral tears and 22 MRA Lage type 1, 11 type 2, 22 type 3 and 10 type 4 tears. At arthroscopy, there were 10 Lage type 1 flap tears, 20 Lage type 2 fibrillated tears, 18 Lage type 3 longitudinal peripheral tears and 17 Lage type 4 unstable tears. The Czerny MRA classification and the modified MRA Lage classification had borderline correlation with the arthroscopic Lage classification. Localization of the tears using a clock-face description was within 1 o'clock of the arthroscopic localization of the tears in 85% of the patients. CONCLUSIONS: The Lage classification, which is the only published arthroscopic classification system for hip labral tears, does not correlate well with the Czerny MRA or an MRA modification of the Lage classification. Using a clock-face description to localize tears provides a way to accurately localize a labral tear and define its extent.
参考中文摘要：
目的：本研究比较的结果对髋关节磁共振造影（ MRA检查）与出版MRA和髋关节镜分类labral眼泪和评价一个钟面的方法本地化髋labral眼泪。设计/患者：我们回顾65髋成像研究相关髋arthroscopies 。每唇评价MRA检查是使用的分类系统的车尔尼和MRA检查修改拉赫关节镜分类。此外，每个被撕裂的血管局部用钟面说明在6点钟是横韧带和3点钟是前。这些MRA检查结果，然后与关节镜结果的使用钟面的方法定位和拉赫关节镜分类labral眼泪。结果：在MRA检查，有42车尔尼2级和23级3 labral眼泪和22 MRA检查拉赫1型， 11型， 22型3日和10型4眼泪。在关节镜检查，有10拉赫1型皮瓣眼泪， 20拉赫2型fibrillated眼泪， 18拉赫3型纵向周边眼泪和17拉赫4型不稳定的眼泪。车尔尼血管的分类和分类修改成像拉赫了边界相关的关节镜拉赫分类。本地化的眼泪用钟面的描述是在1点钟的关节镜定位的泪水在85 ％的患者。结论：拉赫分类，这是唯一出版镜下分类系统髋labral眼泪，没有关联，与车尔尼造影或磁共振血管造影修改拉赫分类。用钟面说明本地化眼泪提供了一种准确定位一labral催泪弹，并确定其程度。
出 处：
Skeletal radiology. 2007 May ,36 (5) :391-7
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4
参考中文标题：
外侧半月板后角眼泪模拟半月板股骨韧带附着在确定韧带撕裂： MRI表现。
作者单位：
Department of Radiology, University of Michigan, 1500 East Medical Center, Dr. TC-2910L, Ann Arbor, MI 48109-0326, USA.
PMID及链接：
17225148 http://www.syyxw.com/Archive/Detail/17225148
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摘 要：
PURPOSE: We have noted apparent far lateral meniscal attachment of the meniscofemoral ligament (MFL) with an anterior cruciate ligament (ACL) tear. This study evaluates MFL attachment and association with posterior horn lateral meniscus (PHLM) tear. MATERIALS AND METHODS: Nine months of knee arthroscopy reports were reviewed to classify the PHLM and ACL as torn or normal. After excluding those with prior knee surgery, MR images were reviewed by two radiologists to determine the number of images lateral to PCL, which showed the ligaments of Humphrey and Wrisberg visible as structures separate from the PHLM. Any patient with abnormal PHLM surface signal not continuous with the MFL was excluded. MRI findings were compared with arthroscopy using Student's t test and Fisher's exact test. RESULTS: Of the 54 participants, 5 had PHLM tears and 49 were normal. Twenty-one had ACL tears; all those with an PHLM tear had an ACL tear. The ligament of Humphrey inserted on average 0.9 consecutive images lateral to the PCL without an PHLM tear and 4.7 with an PHLM tear; the ligament of Wrisberg inserted on average 3.0 consecutive images without an PHLM tear and 4.5 with an PHLM tear (slice thickness/gap = 3 mm/0.5 mm). There was a significant association between PHLM tear and number of images (p = 0.0028), and between ACL tear and this type of PHLM tear (p = 0.0064). CONCLUSION: Apparent far lateral meniscal extension of a meniscofemoral ligament (greater than or equal to four images lateral to the PCL) should be considered as a possible PHLM tear, especially in the setting of an ACL tear.
参考中文摘要：
目的：我们已经注意到远外侧半月板表面附着的半月板股骨韧带（漏磁）与前交叉韧带（ ACL ）撕裂。本研究旨在探讨和漏磁附着与外侧半月板后角（ PHLM ）撕裂。材料与方法： 9个月的膝关节镜报告进行了审查，以分类PHLM和ACL作为撕裂或正常。扣除事先膝盖手术， MR图像进行了审查，以确定两个放射人数图像外侧韧带，显示韧带汉弗莱和Wrisberg可见结构分开PHLM 。任何病人异常PHLM表面信号不连续的漏磁被排除。 MRI检查结果进行比较镜利用学生的t检验和Fisher的精确检验。结果： 54与会者， 5 PHLM的眼泪和49是正常的。 21个已韧带眼泪;所有这些与PHLM撕裂了韧带撕裂。韧带的汉弗莱插入平均0.9连续图像的外侧韧带撕裂没有PHLM和4.7的PHLM撕裂的韧带Wrisberg插入平均3.0连续图像没有PHLM撕裂和4.5的PHLM撕裂（层厚/差距= 3 mm/0.5毫米） 。有显着关联PHLM催泪弹和一些图像（ p值= 0.0028 ）之间，以及前交叉韧带撕裂，这种类型的PHLM催泪（ p值= 0.0064 ） 。结论：视远外侧半月板延长半月板股骨韧带（大于或等于4图像横向的聚己内酯）应被视为可能PHLM撕裂，尤其是在设置的ACL撕裂。
出 处：
Skeletal radiology. 2007 May ,36 (5) :399-403
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5
参考中文标题：
磁共振成像结果与手术证实肩间隔病变。
作者单位：
Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA. vinso003@mc.duke.edu
PMID及链接：
17225150 http://www.syyxw.com/Archive/Detail/17225150
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摘 要：
OBJECTIVE: To identify shoulder magnetic resonance imaging (MRI) findings associated with surgically proven rotator interval abnormalities. MATERIALS AND METHODS: The preoperative MRI examinations of five patients with surgically proven rotator interval (RI) lesions requiring closure were retrospectively evaluated by three musculoskeletal-trained radiologists in consensus. We assessed the structures in the RI, including the coracohumeral ligament, superior glenohumeral ligament, fat tissue, biceps tendon, and capsule for variations in size and signal alteration. In addition, we noted associated findings of rotator cuff and labral pathology. RESULTS: Three of three of the MR arthrogram studies demonstrated extension of gadolinium to the cortex of the undersurface of the coracoid process compared with the control images, seen best on the sagittal oblique images. Four of five of the studies demonstrated subjective thickening of the coracohumeral ligament, and three of five of the studies demonstrated subjective thickening of the superior glenohumeral ligament. Five of five of the studies demonstrated a labral tear. CONCLUSIONS: The MRI arthrogram finding of gadolinium extending to the cortex of the undersurface of the coracoid process was noted on the studies of those patients with rotator interval lesions at surgery in this series. Noting this finding-especially in the presence of a labral tear and/or thickening of the coracohumeral ligament or superior glenohumeral ligament-may be helpful in the preoperative diagnosis of rotator interval lesions.
参考中文摘要：
目的：确定承担磁共振成像（ MRI ）结果与手术间隔证明旋转异常。材料与方法：术前MRI检查的5例手术证实肩间隔（里）病变需要关闭进行回顾性评价三个肌骨训练有素放射的共识。我们评估了结构的康复，包括coracohumeral韧带，上级肩关节韧带，脂肪组织，二头肌肌腱和胶囊的不同大小和信号改变。此外，我们注意到有关的调查结果，肩袖和labral病理学。结果： 3的MR关节造影研究表明延长钆的皮质undersurface的喙突与对照图片，看到最好的矢状斜图像。四个五年的研究表明主观增厚coracohumeral韧带和三个五年的研究表明主观增厚优于肩关节韧带。五个五个的研究表明labral泪。结论：磁共振关节造影发现钆延伸至大脑皮层的undersurface的喙突指出研究的这些患者肩间隔病变在此系列中的手术。注意到这一发现，特别是在存在labral催泪弹和/或增厚coracohumeral韧带或上级肩关节韧带，可能有助于在术前诊断肩间隔病变。
出 处：
Skeletal radiology. 2007 May ,36 (5) :405-10
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6
参考中文标题：
磁共振成像分层眼泪的肩袖肌腱。
作者单位：
Department of Radiology, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USA. danwalz@hotmail.com
PMID及链接：
17334761 http://www.syyxw.com/Archive/Detail/17334761
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摘 要：
OBJECTIVE: The objective was to describe the imaging appearances and location of delamination tears of the rotator cuff tendons on non-contrast conventional MR imaging. SUBJECTS AND METHODS: This study was reviewed and approved by our Institutional Review Board. The reports of 548 consecutive MR examinations of the shoulder were reviewed, looking for mention or description of delamination tears of the rotator cuff. The images of the identified cases were then reviewed by two radiologists to confirm the findings. Correlation with surgical and arthroscopic information was then performed. Delamination tears were defined as horizontal retraction of either the bursal or articular surface of the tendon, manifest as thickening of the torn retracted edge, and/or interstitial splitting of the tendon, manifest as fluid-like high signal intensity on fat-suppressed T2-weighted oblique coronal images. RESULTS: Fourteen cases of delamination tears were identified in 13 patients. Ten of the cases involved the supraspinatus tendon, all with articular surface involvement. Nine of these supraspinatus cases were isolated tears and one occurred as part of a full thickness tear. All 10 of these supraspinatus cases showed medial retraction of the articular surface of the tendon, with thickening of the retracted edge, and 5 of the 10 had a demonstrable horizontal cleft in the interstitium. Four cases involved the subscapularis tendon, with articular surface disruption in three and pure interstitial delamination in one. Medial subluxation of the tendon of the long head of the biceps was present in all four cases. No delamination tears occurred on the bursal surface. Only three of the 14 shoulders underwent surgical repair with one confirmation of supraspinatus delamination, one confirmation of a subscapularis tear that had become a full thickness tear 10 months after initial imaging and another interstitial subscapularis delamination that was not identified arthroscopically. CONCLUSION: Delamination tears occur most often in the supraspinatus tendon, and in our series always involved the articular surface of the tendon. Only half of these tears have a visible cleavage plane in the interstitium, but this cleavage plane is not necessary for diagnosis if the torn edge is retracted.
参考中文摘要：
目标：目标是描述影像学表现和位置脱层眼泪的肩袖肌腱非对比常规磁共振成像。主题和方法：本研究审查并批准了我们的机构审查委员会。报告的548连续磁共振检查的肩膀进行了审查，寻找提及或描述分层眼泪的肩袖。图像所确定的案件进行审查，然后由两名放射确认调查结果。与关节镜外科和信息，然后进行。分层眼泪被界定为横向收缩或是法氏囊或关节面的肌腱，表现为增厚的蹂躏收回优势，和/或间质性分裂肌腱，表现为液体状高信号脂肪抑制T2WI加权斜冠状图像。结果： 14例脱层眼泪中发现13例。 10个案件涉及的冈上肌腱，所有的关节面的参与。其中9例，冈上的眼泪和一个孤立发生的一个组成部分全层撕裂。所有这些冈上10例，内侧收回的关节面的肌腱，与增厚收回EDGE和5 10有明显的横裂中的间质。 4起案件涉及肩胛下肌腱，与关节面的破坏和纯三间拆1 。内侧半脱位的肌腱长头二头肌是在所有4起案件。无脱层眼泪发生法氏囊表面。只有3个， 14个肩膀手术修复一个确认冈上分层，一个确认肩胛下泪说，已成为全层撕裂10个月后首次成像和另一间肩胛下脱层这不是确定的关节。结论：分层眼泪最常发生在冈上肌腱，并在我们的系列总是涉及关节面的肌腱。只有一半的这些眼泪有一个明显的切割机在间，但这种切割机是没有必要的诊断，如果破坏的边缘收回。
出 处：
Skeletal radiology. 2007 May ,36 (5) :411-6
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7
参考中文标题：
在“半暗带征”的T1加权MRI对肌肉骨骼系统感染鉴别肿瘤。
作者单位：
Department of Radiology, Middlemore Hospital, c/ Flat Point Station, Private Bag 416, Masterton, New Zealand. benmcg@gmail.com
PMID及链接：
17340164 http://www.syyxw.com/Archive/Detail/17340164
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摘 要：
OBJECTIVE: The "penumbra sign" on unenhanced T1-weighted MR sequences is thought to be helpful for discriminating subacute osteomyelitis from bone neoplasm. We sought to quantify the sensitivity and specificity of this sign for bone and soft tissue infection in a general referral population. DESIGN: Clinical coding was used to identify patients admitted to Middlemore Hospital (Auckland, New Zealand) between January 2000 and November 2003 with a diagnosis of either infection or neoplasm of the upper or lower limb who had undergone an MRI scan. One hundred and eighty-three patients were included in the study. Fifty-seven patients had bone or soft tissue infection. One hundred and twenty-six had a bone or soft tissue neoplasm. Relevant unenhanced T1-weighted images were selected for each patient, randomised and placed in a folder on the Hospital PACS system. Four reviewers were shown the original article describing the penumbra sign and then asked to look at the images in the folder stating whether the penumbra sign was present or absent. RESULTS: The average specificity and sensitivity of the penumbra sign for musculoskeletal infection was 96% (range 94-99%) and 27% (range 21-34%) respectively. Interobserver reliability was moderate to good with an average kappa score of 0.57 (range 0.50-0.62). For isolated soft tissue infection there was a higher sensitivity (54%, 33-83%) but with similar specificity (98%, 96-100%) and interobserver reliability (0.47, 0.33-0.58). Of the 11 out of 57 (19%) true positive penumbra signs identified by a consensus of three or more of the observers, all were subacute, chronic or acute on chronic infections. CONCLUSIONS: The penumbra sign has a high specificity for musculoskeletal infection. This is also true for isolated soft tissue infection. The penumbra sign is helpful in differentiating neoplasm from infection and its presence in the setting of a high pretest probability is useful in making a diagnosis of infection.
参考中文摘要：
目的： “半影签署”关于扫T1加权磁共振序列被认为是有益的歧视亚急性骨髓炎的骨肿瘤。我们试图量化的敏感性和特异性的标志骨与软组织感染，一般推荐的人口。设计：临床编码被用来确定病人承认Middlemore医院（ Auckland ，新西兰） 1月至2000年和2003年11月与诊断或者感染或肿瘤上或下肢谁经历了核磁共振检查。第一百六十二83例患者纳入研究。 57个病人有骨或软组织感染。 100和2006年进行了骨或软组织肿瘤。有关扫T1加权图像被选定为每个病人，随机和放置在一个文件夹中的医院PACS系统。四审评表明原始文章介绍了半暗带的迹象，然后问看看图片文件夹中的说明是否半影签署在场或缺席。结果：平均特异性和敏感性的半影签署的肌肉骨骼感染为96 ％ （范围94-99 ％ ）和27 ％ （范围21-34 ％ ）分别。 Interobserver可靠性温和良好，平均卡伯值评分为0.57 （范围0.50-0.62 ） 。对于孤立的软组织感染有较高的灵敏度（ 54 ％ ， 33-83 ％ ） ，但类似的特异性（ 98 ％ ， 96-100 ％ ）和interobserver可靠性（ 0.47 ， 0.33-0.58 ） 。 11出57 （ 19 ％ ）真正的积极的迹象半影共识所确定的三个或更多的观察员，都是亚急性，慢性或急性的慢性感染。结论：半影签署具有较高的特异性肌肉骨骼感染。这也适用于孤立的软组织感染。半影签署有利于鉴别肿瘤从感染及其存在的情况下确定一个高测概率是有用的诊断感染。
出 处：
Skeletal radiology. 2007 May ,36 (5) :417-21
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8
参考中文标题：
MRI表现长期创伤后胸骨疼痛。
作者单位：
Department of Diagnostic, Pediatric and Interventional Radiology, University Hospital of Berne, Inselspital, Berne, Switzerland. alexandragrosse@gmx.at
PMID及链接：
17340162 http://www.syyxw.com/Archive/Detail/17340162
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摘 要：
OBJECTIVE: The objective of this study was to characterize the different causes of prolonged sternal pain following thoracic trauma with involvement of the sternum and to define criteria for sternal nonunion diagnosis using MRI. DESIGN AND PATIENTS: Five patients with abnormalities of the sternum were evaluated for prolonged sternal pain following thoracic trauma using MRI. MR images were evaluated by two radiologists in consensus. The patients were selected from the radiology database, which included 8 patients with post-traumatic prolonged sternal pain. RESULTS: Two patients (n = 2) revealed a sternal nonunion after sternal fracture. One patient had a sternal fracture with delayed union and minor displacement of the sternal halves. Abnormal signal intensity alterations adjacent to and within the manubrio-sternal joint were evident in 2 patients and considered due to trauma-related changes in the manubrio-sternal joint. The 3 patients who were not included in the study had no abnormalities of the sternum: 1 of them proved to have a well-healed sternal fracture and nonunion of a rib fracture, 1 had subtle Tietze's syndrome, and 1 patient revealed no pathological findings on imaging. CONCLUSION: Various factors may be responsible for prolonged sternal pain following thoracic trauma, and these can be viewed with MRI. In cases of sternal nonunion there was common fluid-like signal in the fracture interspace between the bony edges, and the bone marrow adjacent to the nonunion showed altered signal intensity. MRI identified sternal nonunion and other trauma-related abnormalities of the sternum following chest trauma.
参考中文摘要：
目标：本研究的特点不同原因长期胸骨后疼痛与参与胸部创伤的胸骨，并界定标准胸骨使用磁共振成像诊断骨不连。设计与患者： 5例异常的胸骨，评价长期胸骨后疼痛胸部创伤的MRI 。 MR图像进行了评价中的两个放射共识。病人是从放射学数据库，其中包括8例创伤后长期胸骨疼痛。结果： 2例（ 2例）显示，胸骨胸骨骨折后骨不连。 1例患者进行了胸骨骨折延迟愈合和未成年人流离失所胸骨半。异常信号强度改建和邻近的manubrio胸骨联合是很明显的2例，并认为由于创伤有关的变化manubrio胸骨联合。 3例谁不包括在这项研究并没有异常的胸骨： 1人证明具有良好的愈合，胸骨骨折和骨不连的肋骨骨折， 1微妙蒂策氏综合征， 1例未发现病理结果成像。结论：各种因素可能是长期胸骨后疼痛胸部创伤，而这些可以被视为与MRI 。案件的胸骨不愈合有共同流体样信号在骨折间隙骨之间的边缘，以及骨髓毗邻改变不愈合显示信号强度。磁共振成像确定胸骨骨不连和其他创伤有关的异常胸骨以下胸部创伤。
出 处：
Skeletal radiology. 2007 May ,36 (5) :423-9
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9
参考中文标题：
颈椎间硬膜外类固醇注射治疗颈部疼痛，颈部神经根：效果和预后的因素。
作者单位：
Department of Radiology, Seoul National University Bundang Hospital, 300 Gumidong, Bundang-Gu, Seongnam-si, Gyeonggi-do, South Korea.
PMID及链接：
17340166 http://www.syyxw.com/Archive/Detail/17340166
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摘 要：
OBJECTIVE: To verify the usefulness of a fluoroscopy guided cervical interlaminar epidural steroid injection (CIESI) in patients with neck pain and cervical radiculopathy and to evaluate outcome predictors. DESIGN: We retrospectively analyzed 91 patients from July 2004 to June 2005 in whom CIESI was initially performed for neck pain and cervical radiculopathy. Therapeutic effects were evaluated 2 weeks after the administration of CIESI, and CIESI effectiveness was graded using a five-point scale, namely, whether the pain had disappeared, was much improved, slightly improved, the same, or aggravated. We also used a visual analog scale (VAS) for the clinical evaluation. According to documentation and follow-up charts, we categorized treatments as effective or ineffective. Possible outcome predictors, namely, diagnosis (spinal stenosis vs herniated disc), primary symptoms (neck pain vs radiculopathy vs both), age, gender, and duration of pain (more or less than 6 months) were also analyzed. Fisher's exact test, the chi-square test, and multiple logistic regression analysis were used for the statistical analysis. PATIENTS: After their medical records had been reviewed, 76 patients were included in this study. Inclusion criteria were: the availability of a cross-sectional image, such as a CT scan or an MR image, and a follow-up record after injection. RESULTS AND CONCLUSIONS: The medical records of 76 patients (male:female = 41 : 35) of mean age 53.1 years (range 32 years to 82 years) were reviewed. Two weeks after injection, 55 patients (72.4%) had experienced effective pain relief. Patients with herniated discs had significantly better results than patients with spinal stenosis (86.1% vs 60.0%) (P < 0.05). Other non-significant predictors of an improved outcome included: a symptom duration of <6 months, a young age, and the presence of cervical radiculopathy. Multiple regression analysis showed that the only factor that was significantly associated with outcome was the cause of the pain, i.e., herniated disc or spinal stenosis. Fluoroscopy guided CIESI is a safe and effective means of treating patients with neck pain and cervical radiculopathy. The most important outcome predictor was cause of pain, and patients with herniated disc experienced better pain relief than those with spinal stenosis.
参考中文摘要：
目的：为了验证是有益的透视引导颈椎间硬膜外类固醇注射（ CIESI ）患者的颈部疼痛，颈部神经根和评价结果的预测。设计：我们回顾性分析91例2004年7月至2005年6月在其中CIESI最初表现为颈部疼痛，颈部神经根。治疗效果进行了评价后2周的行政管理CIESI ，有效性和CIESI分级使用，分为五个等级，即是否疼痛消失了，是很大的改进，略有改善，同样的，或加剧。我们还采用了视觉模拟评分（ VAS ）的临床疗效评价。根据文件和后续图表上，我们分类处理的有效或无效。预测可能的结果，即诊断（椎管狭窄与腰椎间盘突出） ，主要症状（颈部疼痛与神经根与这两个） ，年龄，性别，和会期的疼痛（多于或少于6个月）进行了分析。 Fisher的精确检验，卡方检定，多因素logistic回归分析是用于统计分析。患者：在他们的医疗记录进行了审查， 76名患者被列入本研究。纳入标准是：是否有横断面图像，如CT扫描或MR图像，以及后续记录注射后。结果和结论：医疗记录的76例（男：女= 41 ： 35 ）的平均年龄五十三点一年（范围32岁至82岁）进行了审查。两个星期后注射， 55例（ 72.4 ％ ）经历了有效的缓解疼痛。患者腰椎间盘显着更好的结果比患者椎管狭窄（ 86.1 ％比60.0 ％ ） （ P “ 0.05 ） 。其他非重大改进的预测结果包括：症状持续时间的“ 6个月，一个年轻的年龄，和在场的颈椎神经根。多元回归分析表明，唯一因素显着相关的结果是造成的痛苦，即腰椎间盘突出或椎管狭窄。透视引导CIESI是一种安全，有效的手段治疗颈部疼痛，颈部神经根。最重要的成果是预测的原因疼痛，患者的腰椎间盘经验更好地缓解疼痛高于椎管狭窄。
出 处：
Skeletal radiology. 2007 May ,36 (5) :431-6
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10
参考中文标题：
Semiautomated数字分析膝关节空间宽度使用磁共振图像。
作者单位：
Motion Analysis Laboratory, Division of Orthopedic Research, Mayo Clinic, Rochester, MN 55905, USA.
PMID及链接：
17242952 http://www.syyxw.com/Archive/Detail/17242952
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摘 要：
OBJECTIVE: The goal of this study was to (a) develop a semiautomated computer algorithm to measure knee joint space width (JSW) from magnetic resonance (MR) images using standard imaging techniques and (b) evaluate the reproducibility of the algorithm. DESIGN: Using a standard clinical imaging protocol, bilateral knee MR images were obtained twice within a 2-week period from 17 asymptomatic research participants. Images were analyzed to determine the variability of the measurements performed by the program compared with the variability of manual measurements. RESULTS: Measurement variability of the computer algorithm was considerably smaller than the variability of manual measurements. The average difference between two measurements of the same slice performed with the computer algorithm by the same user was 0.004 +/- 0.07 mm for the tibiofemoral joint (TF) and 0.009 +/- 0.11 mm for the patellofemoral joint (PF) compared with an average of 0.12 +/- 0.22 mm TF and 0.13 +/- 0.29 mm PF, respectively, for the manual method. Interuser variability of the computer algorithm was also considerably smaller, with an average difference of 0.004 +/- 0.1 mm TF and 0.0006 +/- 0.1 mm PF compared with 0.38 +/- 0.59 mm TF and 0.31 +/- 0.66 mm PF obtained using a manual method. The between-day reproducibility was larger but still within acceptable limits at 0.09 +/- 0.39 mm TF and 0.09 +/- 0.51 mm PF. This technique has proven consistently reproducible on a same slice base,while the reproducibility comparing different acquisitions of the same subject was larger. Longitudinal reproducibility improvement needs to be addressed through acquisition protocol improvements. CONCLUSION: A semiautomated method for measuring knee JSW from MR images has been successfully developed.
参考中文摘要：
目的：本研究以（ a ）制定semiautomated计算机算法来衡量膝关节空间宽度（ JSW ）由磁共振（先生）使用标准的图像成像技术和（ b ）评价重复性的算法。设计：采用标准的临床成像议定书，双边膝关节磁共振图像获得了两次在2周内由17无症状研究参与者。图像进行分析，以确定变异的测量程序所执行的与变异的手工测量。结果：测量变异的计算机算法，大大小于变异手工测量。平均差异测量同片演出的计算机算法由同一用户是0.004 + / - 0.07毫米的胫股关节（ TF ）及0.009 + / - 0.11毫米，髌股关节（公积金） ，而一个平均为0.12 + / - 0.22毫米TF和0.13 + / - 0.29毫米公积金，分别为手动的方法。 Interuser变异性的计算机算法还相当小，平均相差0.004 + / - 0.1毫米TF和0.0006 + / - 0.1毫米公积金与0.38 + / - 0.59毫米TF和0.31 + / - 0.66毫米利用公积金获得手动的方法。在日间重复性较大，但仍然在可接受的限度在0.09 + / - 0.39毫米TF和0.09 + / - 0.51毫米公积金。这项技术已被证明一贯重现上同片基地，而重复性比较不同收购同一主题较大。纵向重现改善需要加以解决，通过收购协议的改进。结论： semiautomated法测量膝关节磁共振成像JSW从已研制成功。
出 处：
Skeletal radiology. 2007 May ,36 (5) :437-44
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11
参考中文标题：
结核bicipitoradial滑囊炎：病例报告。
作者单位：
Department of Orthopaedic Surgery, School of Medicine, Iwate Medical University, Morioka, Japan. jnishida@f2.dion.ne.jp
PMID及链接：
17021901 http://www.syyxw.com/Archive/Detail/17021901
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摘 要：
An 76-year-old man with an indolent soft tissue mass on the volar aspect of the left elbow was referred to our institution with a diagnosis of a soft tissue tumor. He had a history of lung tuberculosis since the age of 30. The mass was adjacent to the biceps brachi tendon. It demonstrated homogeneous low-signal intensity on T1-weighted magnetic resonance (MR) images and heterogeneous relatively high signal intensity with scattered low and high signal intensity areas on T2-weighted MR images. An excision was performed after needle biopsy with presumptive diagnosis of bicipitoradial bursitis. The histological specimen revealed an epithelioid cell granuloma with central necrosis. While the occurrence of tuberculous bicipitoradial bursitis has never been reported, this case demonstrates that it can be considered to be among the causes of a cystic lesion around the elbow joint.
参考中文摘要：
一个76岁男子的惰性软组织肿块的掌方面的左肘交给我们的机构与诊断软组织肿瘤。他的历史，肺结核，因为30岁以下的。肿块邻近brachi二头肌肌腱。它表明均匀低信号强度T1加权磁共振（先生）的图像和相对较高的异质性与分散的信号强度低和高信号强度区T2加权MR图像。一个切除后进行穿刺活检诊断与推定bicipitoradial滑囊炎。病理标本显示，上皮样细胞肉芽肿中央坏死。虽然发生结核bicipitoradial滑囊炎从未报道，这一案件表明，它可被视为的原因之一，一个囊性病变周围肘关节。
出 处：
Skeletal radiology. 2007 May ,36 (5) :445-8
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12
参考中文标题：
小脑和脑干梗死的并发症的CT引导下颈椎椎间孔神经根阻滞。
作者单位：
The Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, London, UK. sureshpriya2000@yahoo.com
PMID及链接：
17216270 http://www.syyxw.com/Archive/Detail/17216270
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摘 要：
A 60-year-old man with a 4-year history of intractable neck pain and radicular pain in the C5 nerve root distribution presented to our department for a CT-guided transforaminal left C5 nerve root block. He had had a similar procedure on the right 2 months previously, and had significant improvement of his symptoms with considerable pain relief. On this occasion he was again accepted for the procedure after the risks and potential complications had been explained. Under CT guidance, a 25G spinal needle was introduced and after confirmation of the position of the needle, steroid was injected. Immediately the patient became unresponsive, and later developed a MR-proven infarct affecting the left vertebral artery (VA) territory. This is the first report of a major complication of a cervical root injection under CT guidance reported in the literature. We present this case report and the literature review of the potential complications of this procedure.
参考中文摘要：
一名60岁男子4年历史的棘手颈部疼痛和根性疼痛中的C5神经根分布提交给我们的新闻部CT引导椎间孔左边的C5神经根阻滞。他有一个类似的程序在正确的2个月以前，并显着改善其症状相当疼痛缓解。在此之际，他再次接受的程序后，风险和潜在的并发症解释了。 CT引导下，一个25克脊髓针介绍和确认后所采取的立场针，类固醇注射。病人立即成为响应，后来制定了磁共振证明梗死影响左侧椎动脉（弗吉尼亚州）领土。这是第一次报告的一个主要并发症，颈部根注射CT引导下文献报道。我们提出这个病例报告和文献复习的潜在并发症，这个程序。
出 处：
Skeletal radiology. 2007 May ,36 (5) :449-52
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13
参考中文标题：
经椎增强聚甲基丙烯酸甲酯在治疗病人的窝点骨折不愈合和subarticular椎体骨折C2 。
作者单位：
Clinical Radiology of Oklahoma, University of Oklahoma, 610 NW 14th, Oklahoma City, OK 73103, USA. dpb@okss.com
PMID及链接：
17219229 http://www.syyxw.com/Archive/Detail/17219229
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摘 要：
The injection of polymethylmethacrylate (PMMA) is a minimally invasive, image-guided procedure used to treat vertebral fractures due to osteoporosis, metastatic lesions, multiple myeloma, and benign but destabilizing bone tumors. The injection of PMMA into the C2 vertebral body using the transoral technique has been reported in three separate patients for treatment of benign tumors (a vertebral hemangioma and an aneurysmal bone cyst) and for multiple myeloma in the third patient. Although the injection of PMMA into the vertebral body is most commonly performed to treat benign vertebral compression fractures, a transoral C2 approach has not been reported in the English literature as a treatment for a benign fracture of C2. We report the treatment of a fracture and nonunion of the base of the dens and a subarticular fracture of the vertebral body of C2 using a bilateral transoral approach.
参考中文摘要：
注入聚甲基丙烯酸甲酯（ PMMA ）是一种微创，影像引导程序用于治疗腰椎骨折由于骨质疏松症，转移灶，多发性骨髓瘤和良性骨肿瘤，但不稳定。注入聚甲基丙烯酸甲酯的C2椎体使用经技术已在三个不同的患者治疗良性肿瘤（一椎体血管瘤和动脉瘤样骨囊肿）和多发性骨髓瘤患者的三分之一。虽然注射聚甲基丙烯酸甲酯的椎体是最常见的良性肿瘤进行治疗脊椎压缩性骨折，一经C2办法尚未公布的英国文学作为一种治疗良性骨折C2 。我们报告的治疗骨折和骨不连的基础窝点和一个subarticular骨折椎体的C2使用双边经的办法。
出 处：
Skeletal radiology. 2007 May ,36 (5) :453-8
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14
参考中文标题：
低度恶性骨肉瘤筛窦。
作者单位：
Department of Musculoskeletal Radiology, Nuffield Orthopaedic Centre, Windmill Road, Oxford, OX3 7LD, UK.
PMID及链接：
17091307 http://www.syyxw.com/Archive/Detail/17091307
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摘 要：
Osteosarcoma uncommonly arises in craniofacial bones and has only rarely been reported to arise in the ethmoid sinus. Most primary osteosarcomas arising in paranasal sinuses are high-grade malignancies. A low-grade osteosarcoma arising in the ethmoid sinus has not previously been described. We report the clinical, radiological and histological findings of a case of low-grade (parosteal osteosarcoma-like) osteosarcoma which arose in the ethmoid sinus.
参考中文摘要：
骨肉瘤罕见出现颅面骨骼和只有很少被报道，发生在筛窦。大多数初级骨肉瘤中产生鼻窦是高品位的恶性肿瘤。某低品位骨肉瘤中产生筛窦以前未曾描述。我们报告的临床，放射和病理结果的情况下低等级（骨旁骨肉瘤样）骨肉瘤是发生在筛窦。
出 处：
Skeletal radiology. 2007 May ,36 (5) :459-62
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15
参考中文标题：
骨母细胞瘤的筛窦。
作者单位：
Department of Pathology, School of Medicine, Kyung Hee University, Seoul, South Korea. ykpark@khmc.or.kr
PMID及链接：
17265159 http://www.syyxw.com/Archive/Detail/17265159
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摘 要：
An osteoblastoma is a benign bone tumor that most often occurs in the vertebral column and the long bones of the extremities. Paranasal sinus involvement is very rare. We report an osteoblastoma of the ethmoid sinus in a 13-year-old boy who presented with exophthalmos. CT demonstrated an expansile, lesion of the right ethmoid sinus, which caused the orbital contents to be compressed and deviated to the right. A mixture of ground glass opacity and dense bone was present. The less dense portions of the lesion showed intense enhancement on MRI; a signal void was present on all sequences in the densely sclerotic areas. Curettage was performed. Histologically, the lesion was composed of proliferating osteoblasts along with small trabeculae of woven bone and rich vascular fibrous stroma. The literature concerning occurrence of osteoblastoma in this unusual location is reviewed and discussed.
参考中文摘要：
骨母细胞瘤是一种良性骨肿瘤，大部分往往发生在脊柱和长骨的四肢。鼻窦的参与是非常罕见的。我们报告了骨母细胞瘤的筛窦在一名13岁的男孩谁提出眼球突出。 CT表现出了膨胀，病变权筛窦，造成轨道的内容被压缩和偏离权。混合物的毛玻璃不透明和致密骨本。较密集的部分病变表现出浓厚的增强磁共振成像;一个信号无效在场的所有序列在人口稠密硬化地区。刮除手术。组织学病变组成的增殖与成骨细胞的小编织骨小梁和丰富的血管纤维质。文献中关于骨母细胞瘤发生在这个不同寻常的位置是审查和讨论。
出 处：
Skeletal radiology. 2007 May ,36 (5) :463-7
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