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  1

参考中文标题:

重复性小梁结构分析使用平板电脑断层数量。

PMID及链接:

19430779 http://www.syyxw.com/Archive/Detail/19430779

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摘  要:

PURPOSE: To determine inter-scan, inter-reader and intra-reader variability of trabecular structure analysis using flat-panel volume computed tomography (fp-VCT) in cadaver knee specimens. METHODS: Five explanted knee specimens were imaged at three different time points using fp-VCT. Four parameters that quantify trabecular bone structure of the proximal tibia were measured by two observers at two different time points. Bland-Altman analysis was used to compute the inter-scan, inter-observer and intra-observer variability. RESULTS: Inter-scan variability was low, with a mean difference of 0% and a standard deviation less than 8.4% for each of the four parameters. The inter-observer and intra-observer variability was less than 2.8% +/- 8.5%. CONCLUSION: Fp-VCT is a method for assessing trabecular structure parameters with low inter-scan, inter-reader and intra-reader variability.

参考中文摘要:

目的:确定间扫描,跨读者和内部读者变性小梁结构分析使用平板电脑断层量(计划生育,自愿咨询和检验)的尸体膝关节标本。方法: 5离膝关节标本,拍摄在三个不同时间点利用FP -自愿咨询和检测。四个参数量化骨小梁结构的胫骨近端测量了两名观察员在两个不同的时间点。布兰德-奥特曼分析用于计算间扫描,跨观察员内部和观察员变异。结果:间扫描变低,平均差异为0 % ,而标准偏差小于8.4 % ,为每一个四个参数。间观察员和内部观察员变异小于2.8 % + / - 8.5 % 。结论:计划生育,自愿咨询和检测是一种用于评估小梁结构参数与低间扫描,跨读者和内部读者变异。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :1003-8

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  2

参考中文标题:

症状的年轻女子胸骨柄异常:诊断和讨论。

PMID及链接:

19662403 http://www.syyxw.com/Archive/Detail/19662403

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出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :1009, 1027

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  3

参考中文标题:

一位年轻的患者polyarthralgia和听力丧失:病例报告Muenke综合征。

PMID及链接:

19449001 http://www.syyxw.com/Archive/Detail/19449001

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摘  要:

There are few reports of the typical radiographic findings in the hands and feet of patients with Muenke syndrome. We present a case report of a young girl with Muenke syndrome, whose diagnosis was made following the observation of coalitions and coned epiphyses on hand radiographs.

参考中文摘要:

很少有报告的典型X线表现的手和脚的患者Muenke综合征。本病例报告,一个年轻的姑娘与Muenke综合征,其诊断后,作出观察联盟和锥形骨骺手头片。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :1011-4

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  4

参考中文标题:

第二类常染色体显性遗传性石骨症:辐射功能包含在两个家庭的五名成员无症状和简单的疾病。

PMID及链接:

19547970 http://www.syyxw.com/Archive/Detail/19547970

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摘  要:

In this study we analysed the imaging patterns in two families containing five members with asymptomatic and uncomplicated autosomal dominant osteopetrosis (ADO II), and we report new and uncommon radiological manifestations. These findings might be useful in the context of reducing the incidence of fractures and other orthopaedic complications. Diffuse pelvic sclerosis on radiographs was observed incidentally in two patients. Both cases were asymptomatic, and the patients had never suffered a fracture. The suggestion of ADO II was raised. A detailed medical history, an imaging survey, and a haematological study were obtained so that other rare causes of osteosclerosis could be ruled out. No genetic study was conducted. All their first-degree relatives were also examined. Bony sclerosis was observed in five patients, and the radiological findings were analysed. A not previously reported thickening of the skull base without cranial nerve palsy or optic nerve atrophy was revealed in all patients. Scoliosis was present in three of them. This has been reported previously only once in ADO II. No lower limb deformity was detected. This study provided information on the pattern of radiological features in familial asymptomatic ADO II. These data on new and rare imaging findings will increase the diagnostic awareness of physicians and will guide a thorough investigation of the entire family. This might result in a consequent decrease in the incidence of fractures and other orthopaedic complications.

参考中文摘要:

在这项研究中,我们分析了成像模式包含两个家庭的五名成员无症状和简单的常染色体显性遗传性石骨症( ADO技术二) ,我们的报告新的和罕见的放射性表现。这些发现可能有助于减少的背景下发生的骨折和其他骨科并发症。弥漫性硬化的骨盆X线片偶然发现2例。这两种情况下出现病征,及病人从未遭受了骨折。该建议的ADO二是提出的问题。一份详细的病历,成像调查和研究,获得血液,从而使其他罕见的原因骨硬化可以排除。没有遗传进行研究。他们所有的一级亲属也审查。骨硬化,观察35例,和放射性调查结果进行了分析。不是先前公布增厚颅底无颅神经麻痹或视神经萎缩发现所有患者。脊柱侧凸是在其中三个问题。这是以前所报道的只有一次在ADO二。没有下肢畸形检测。这项研究提供了资料的模式辐射功能家族无症状使用ADO二。这些数据对新的和罕见的影像表现将提高认识,医生的诊断和指导,彻底调查整个家庭。这可能导致相应减少骨折的发生率和其他骨科并发症。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :1015-21

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  5

参考中文标题:

双歧髁与颞下颌关节强直:两例报告及文献复习。

PMID及链接:

19521698 http://www.syyxw.com/Archive/Detail/19521698

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摘  要:

Bifid mandibular condyle is an uncommon entity with a controversial etiology. It can be developmental or acquired and rarely may be associated with temporomandibular joint (TMJ) ankylosis. Although the patient may be asymptomatic, the radiologist should be aware of this entity and its clinical implications. We report two cases of BMC, one developmental and the other secondary to trauma. Both were diagnosed using computed tomography, which additionally revealed the associated ankylosis of TMJ in both the patients.

参考中文摘要:

双歧髁是一种少见的实体,一个有争议的病因。它可以发展或收购,很少可能与颞下颌关节( TMJ )强直。虽然患者可无症状,在放射科应意识到这一实体及其临床意义。我们报告两例的BMC ,一个发展和其他继发创伤。两人都利用电脑断层扫描检查,其中还揭示了有关的颞下颌关节强直两个病人。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :1023-5

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  6

参考中文标题:

组织学分级原发性骨肿瘤。

PMID及链接:

19701747 http://www.syyxw.com/Archive/Detail/19701747

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出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :947-8

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  7

参考中文标题:

血友病成像:审查。

PMID及链接:

18807029 http://www.syyxw.com/Archive/Detail/18807029

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Haemophilia disorders are characterised by a blood coagulation anomaly leading to prolonged and excessive bleeding. Imaging provides an essential role in the investigation of both the musculoskeletal and the non-musculoskeletal complications of haemophilia. Our institution is home to a large tertiary referral centre for haemophilia treatment. Using our broad experience, we present a multi-modality pictorial review of the musculoskeletal manifestations of haemophilia, including haemophilic arthropathy, intra-muscular haemorrhage and haemophilic pseudotumour. The main imaging features of haemophilic arthropathy are described, including synovial hypertrophy, haemosiderin deposition, sub-chondral cyst formation and loss of joint space.

参考中文摘要:

血友病疾病的特色是凝血功能异常,导致长期和过量出血。成像提供了至关重要的作用,在调查的肌肉骨骼和非肌肉骨骼并发症的血友病。我们的机构拥有一个大型三级转诊中心的血友病治疗。利用我们广泛的经验,提出了多模态图案审查肌骨表现血友病,包括haemophilic关节病,内部肌肉出血, haemophilic假瘤。主要的影像学特征haemophilic关节描述,包括滑膜肥厚, haemosiderin沉积,分软骨囊肿形成和损失的共同空间。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :949-57

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  8

参考中文标题:

协调部分的眼泪长头肱二头肌肌腱在入口处bicipital槽:磁共振成像发现,手术的相关性,及其临床意义。

PMID及链接:

19533121 http://www.syyxw.com/Archive/Detail/19533121

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摘  要:

PURPOSE: The purpose of the study was to depict a subset of focal partial tears of the biceps brachii tendon, occurring at the entrance to the bicipital groove, which can be difficult to detect with MRI. SUBJECTS AND METHODS: The institutional review board approved this HIPAA-compliant study; informed consent was waived. The authors retrospectively reviewed imaging and medical records in 16 consecutive patients (12 men, 4 women; mean age, 57 years) who had prospective MRI diagnoses of tendinopathy and/or partial tearing of the intra-articular segment of the long head of the biceps brachii tendon (LHBT) at the entrance to the bicipital groove (restricted to within 1 cm of the groove entrance) and who also had surgical correlation within 4 months of imaging. RESULTS: Focal intrasubstance signal abnormality was noted in the tendons of 16 out of 16 (100%) patients. Focal tendon enlargement was noted in 8 out of 16 patients (50%). Fifteen out of 16 biceps partial tears (94%) were treated surgically. Shoulder pathology was restricted to the groove entrance in 4 out of 16 patients (25%). CONCLUSIONS: We depict a subset of focal partial tears of the biceps tendon, which can be difficult to detect on MRI because of their anatomical location at the entrance to the bicipital groove. Although they may coexist with other causes of shoulder pain, these lesions can also occur in isolation. In either case, they are potential causes of pain that can be addressed surgically.

参考中文摘要:

目的:研究的目的是要描绘的一个子集联络部分眼泪肱二头肌肌腱,发生在入口处的bicipital槽,可很难探测与MRI 。主题和方法:机构审查委员会批准了这一法案兼容研究;知情同意放弃。作者回顾成像和医疗记录的16例患者( 12名男子, 4名妇女,平均年龄, 57岁)谁在未来的磁共振成像诊断肌腱和/或部分撕裂关节内部分长头二头肌肱肌腱( LHBT )在入口处bicipital槽(仅限于在1厘米的槽入口) ,谁也外科相关4个月内的影像。结果:局灶性信号异常intrasubstance中指出肌腱16日的16 ( 100 % )患者。联络肌腱扩大注意到在8个16例( 50 % ) 。 15的16二头肌部分眼泪( 94 % )手术治疗。肩关节病理仅限于槽入口的4个16例( 25 % ) 。结论:我们描绘的一个子集联络部分眼泪二头肌肌腱,可难以察觉的MRI由于其解剖位置在入口处bicipital槽。虽然他们可能共存的其他原因的肩部疼痛,这些病变也可以发生在孤立。无论是哪种情况,他们是潜在原因的疼痛可以得到解决手术。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :959-65

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  9

参考中文标题:

检测部分厚度冈上肌腱眼泪:是一个直接的MR关节造影系列埃伯位置准确的常规MR关节造影?

PMID及链接:

19294377 http://www.syyxw.com/Archive/Detail/19294377

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摘  要:

PURPOSE: The purpose of this study was to retrospectively evaluate sensitivity and specificity of a single magnetic resonance (MR) arthrography series in abduction external rotation (ABER) position compared with conventional MR arthrography for detection of supraspinatus tendon tears, with arthroscopy as gold standard, and to assess interobserver variability. MATERIALS AND METHODS: Institutional review board approval was obtained; informed consent was waived. MR arthrograms of 250 patients (170 men and 80 women; mean age, 36 years) were retrospectively and independently evaluated by three observers. Oblique coronal T1-weighted fat-suppressed images, proton density, and T2-weighted images and axial T1-weighted images and oblique sagittal T1-weighted fat-suppressed images were analyzed to detect supraspinatus tendon tears. Separately, a single T1-weighted fat-suppressed oblique axial series in ABER position was evaluated. Both protocols were scored randomly without knowledge of patients' clinical history and arthroscopy results. Tears were subclassified, based on articular surface integrity and extension (Lee classification). Interobserver agreement was assessed by kappa statistics for all patients. Ninety-two of 250 patients underwent arthroscopy; sensitivity and specificity of ABER and conventional MR arthrography were calculated and compared using paired McNemar test. RESULTS: Weighted kappa values of ABER and conventional MR arthrography were 0.48-0.65 and 0.60-0.67, respectively. According to arthroscopy, 69 of 92 patients had an intact cuff, and 23 patients had a cuff tear (16 partial thickness and seven full thickness). There were no statistically significant differences between ABER and conventional MR arthrography regarding sensitivity (48-61% and 52-70%, respectively) and specificity (80-94% and 91-95%). CONCLUSION: Sensitivity and specificity of a single T1-weighted series in ABER position and conventional MR arthrography are comparable for assessment of rotator cuff tears.

参考中文摘要:

目的:本研究的目的是回顾性评价的敏感性和特异性单一磁共振(先生)系列绑架关节外旋(埃伯)的地位,与传统的MR关节造影检测冈上肌腱的眼泪,与关节镜检查的黄金标准,并评估interobserver变异。材料与方法:机构审查委员会的批准,获得;知情同意放弃。问arthrograms的250例( 170个男人和80名妇女,平均年龄36岁)进行回顾和评价了3个独立的观察员。斜冠状T1加权脂肪抑制图像,质子密度和T2加权图像和轴向T1加权图像和斜矢状T1加权脂肪抑制图像进行了分析检测冈上肌腱眼泪。另外,一个单一的T1加权脂肪抑制斜轴系列埃伯的立场进行了评估。这两项议定书得分随机不知道病人的病史和关节镜的结果。眼泪subclassified的基础上,关节面的完整性和推广(李分类) 。 Interobserver协议进行评估, Kappa值统计所有患者。 92 250例关节镜检查;敏感性和特异性埃伯和常规磁共振造影进行了计算和比较,采用配对麦克尼马尔测试。结果:加权卡伯值埃伯和常规MR关节造影是0.48-0.65和0.60-0.67分别。根据关节镜, 69的92例有完整的袖口,和23例有袖撕裂( 16部分厚度和全层7个) 。目前还没有统计显着性差异埃伯和常规MR关节造影对灵敏度( 48-61 %和52-70 % )和特异性( 80-94段%和91-95 % ) 。结论:敏感性和特异性单一T1加权系列埃伯立场和常规磁共振造影具有可比性的评估肩袖眼泪。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :967-75

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  10

参考中文标题:

不仅可以放心地排除磁共振病人关节。

PMID及链接:

19305994 http://www.syyxw.com/Archive/Detail/19305994

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摘  要:

OBJECTIVE: The aim of this study was to determine in patients with subacute knee complaints and normal standardized physical examination the fraction of magnetic resonance imaging (MRI) studies showing arthroscopically treatable intra-articular pathology. MATERIAL AND METHODS: There were 290 consecutive patients (between 16 and 45 years) with at least 4 weeks of knee complaints and low clinical suspicion of intra-articular pathology based on physical exam. Two hundred seventy-four patients were included. Sixteen patients with prior knee surgery, rheumatic arthritis, or severe osteoarthritis were excluded. MRI was used to assign patients to group 1 (treatable abnormalities) or group 2 (normal or no treatable findings), depending on whether MR demonstrated treatable pathology. Arthroscopy was performed in group 1 patients. If symptoms persisted for 3 months in group 2 patients, cross over to arthroscopy was allowed. RESULTS: MR showed treatable pathology in 73 patients (26.6%). Arthroscopy was performed in 64 patients of 73 patients (group 1). In 52 patients (81.3%, 95% confidence interval (CI) 71.4-91.1%), arthroscopy was therapeutic. Of the 13 arthroscopies (6.5%) in group 2, four were therapeutic (30.8%, 95% CI 1.7-59.8). The highest fraction of MR studies showing treatable pathology was found in males, aged over 30 years, with a history of effusion (54.5%, six of 11 patients). CONCLUSION: Authors believe that the negative predictive value of clinical assessment in patients with subacute knee complaints is too low to exclude these patients from MR. MR should at least be considered in male patients aged 30 years and over with a history of effusion.

参考中文摘要:

目的:本研究以确定患者的亚急性膝关节投诉和正常体检标准的部分磁共振成像( MRI )研究显示关节镜治疗关节内病理。材料与方法:有290例( 16至45岁) ,至少4周膝关节投诉和低临床怀疑关节内病理基础体检。两百年74例包括在内。 16例前膝盖手术,风湿性关节炎,骨性关节炎或严重的被排除在外。磁共振成像是用来指定患者组1 (可治疗异常)或第2组(正常或根本没有治疗的结果) ,这取决于是否表现出可治疗病理学议员。关节镜检查是在第1组患者。如果症状持续了3个月组2例,跨到镜被允许。结果:磁共振显示可治疗病理73例( 26.6 % ) 。关节镜检查是在64例73例(第1组) 。 52例( 81.3 % , 95 %置信区间( CI )的71.4-91.1 % ) ,关节镜手术。 13 arthroscopies ( 6.5 % )在第2组, 4名治疗( 30.8 % , 95 % CI为1.7-59.8 ) 。最高分数的MR研究显示可治疗病理中发现男性, 30岁以上,与历史的积液( 54.5 % , 6 11例) 。结论:作者认为,阴性预测值的临床评价患者的亚急性膝关节投诉太低排除这些患者先生。问至少应被视为男性30岁及以上的历史积液。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :977-82

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  11

参考中文标题:

评价骶:对比增强MRI与减法技术。

PMID及链接:

19506864 http://www.syyxw.com/Archive/Detail/19506864

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PURPOSE: The purpose of the study was to investigate the diagnostic value of contrast-enhanced MRI using the subtraction technique in the detection of active sacroiliitis. MATERIALS AND METHODS: Magnetic resonance imaging was performed in 8 asymptomatic volunteers and 50 patients with clinically suspected active sacroiliitis. On precontrast MR images, T1-weighted spin-echo images with and without fat saturation (T1WFS and T1W), STIR and 3D-FLASH images with fat saturation were obtained in the semicoronal plane using a 1.5 Tesla imager. Postcontrast MRI was performed using the same T1WFS sequence as before contrast injection for all volunteers and patients. Postcontrast images were subtracted from fat-suppressed precontrast images. Enhancement within the joint space and bone marrow was considered to demonstrate active sacroiliitis. RESULTS: In 50 patients (100 sacroiliac joints [SIJs]), 40 (76 SIJs) were considered to have active sacroiliitis based on MR images. Bone marrow edema was present in 33 patients (62 SIJs) on STIR images. Routine MRI allowed identification of contrast enhancement in SIJs on postcontrast T1WFS images in 31 patients (49 SIJs). Contrast enhancement was observed in 40 patients (76 SIJs) who were examined by MRI using the subtraction technique. Contrast enhancement was significantly more conspicuous on subtraction images than on non-subtracted postcontrast T1WFS images (Mann-Whitney U test, p<0.001). CONCLUSION: Contrast-enhanced MRI with subtraction technique may be useful for early detection of active sacroiliitis.

参考中文摘要:

目的:研究的目的是调查的诊断价值的对比增强MRI使用数字减影技术在检测中的积极的骶髂关节炎。材料与方法:磁共振成像是在8无症状志愿者和50例临床上怀疑积极骶。论precontrast磁共振图像, T1加权自旋回波图像与不饱和脂肪( T1WFS和T1W ) ,煽动和3D闪光图像饱和脂肪中获得的semicoronal飞机使用的是1.5特斯拉成像。 Postcontrast磁共振成像是采用相同的T1WFS序列注射对比剂前的所有志愿者和患者。 Postcontrast图像减去脂肪抑制precontrast图像。加强在联合空间和骨髓被认为是展示积极骶。结果: 50例( 100骶髂关节[ SIJs ] ) , 40 ( 76 SIJs )被认为是有积极的骶髂关节炎的MR图像。骨髓水肿是在33例( 62 SIJs )对搅拌图像。常规MRI允许鉴定对比增强在SIJs对postcontrast T1WFS图像31例( 49 SIJs ) 。对比增强观察40例( 76 SIJs )谁的MRI检查技术的使用减法。对比增强明显更加突出的数字减影图像比非减去postcontrast T1WFS图像(曼惠特尼U检验, P “ 0.001 ) 。结论:对比增强MRI与减法技术可用于早期发现积极的骶髂关节炎。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :983-8

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  12

参考中文标题:

作用周围定量计算机断层扫描确定废弃骨质疏松症的截瘫。

PMID及链接:

19277646 http://www.syyxw.com/Archive/Detail/19277646

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OBJECTIVE: Disuse osteoporosis is a major long-term health consequence of spinal cord injury (SCI) that still needs to be addressed. Its management in SCI should begin with accurate diagnosis, followed by targeted treatments in the most vulnerable subgroups. We present data quantifying disuse osteoporosis in a cross-section of the Scottish paraplegic population to identify subgroups with lowest bone mineral density (BMD). MATERIALS AND METHODS: Forty-seven people with chronic SCI at levels T2-L2 were scanned using peripheral quantitative computed tomography at four tibial sites and two femoral sites, at the Queen Elizabeth National Spinal Injuries Unit, Glasgow (UK). At the distal epiphyses, trabecular BMD (BMDtrab), total BMD, total bone cross-sectional area (CSA) and bone mineral content (BMC) were determined. In the diaphyses, cortical BMD, total bone CSA, cortical CSA and BMC were calculated. Bone, muscle and fat CSAs were estimated in the lower leg and thigh. RESULTS: BMDtrab decreased exponentially with time since injury at different rates in the tibia and femur. At most sites, female paraplegics had significantly lower BMC, total bone CSA and muscle CSA than male paraplegics. Subjects with lumbar SCI tended to have lower bone values and smaller muscle CSAs than in thoracic SCI. CONCLUSION: At the distal epiphyses of the tibia and femur, there is generally a rapid and extensive reduction in BMDtrab after SCI. Female subjects, and those with lumbar SCI, tend to have lower bone values than males or those with thoracic SCI, respectively.

参考中文摘要:

目的:废用性骨质疏松是一个重大的长期的健康后果,脊髓损伤( SCI )表示,仍然需要加以解决。其管理的脊髓损伤,首先应准确的诊断,其次是有针对性的治疗,最易受伤害的群体。我们目前的数据量化废用性骨质疏松的一个横截面的苏格兰截瘫人口,以确定分组最低骨密度( BMD ) 。材料与方法: 47名患慢性脊髓损伤水平的T2 -二级扫描使用周围定量计算机断层扫描在四个地点和两个胫骨股骨网站,在伊利沙伯全国脊髓损伤组,格拉斯哥(英国) 。在远端骨骺,骨小梁骨密度( BMDtrab ) ,总骨密度,骨总截面积(加空局)和骨矿含量( BMC的)进行了测定。在骨干,皮质骨密度,总骨加空局, CSA和BMC的皮质计算。骨骼,肌肉和脂肪的全面保障协定,估计在小腿和大腿。结果: BMDtrab下降指数随着时间的推移,因为在不同的损伤率,胫骨和股骨。在大多数网站,女性截瘫有显着降低的BMC ,总骨CSA和肌肉加空局比男性截瘫患者。受试者腰椎脊髓损伤往往有较低的价值和规模较小的骨肌全面保障协定比胸脊髓损伤。结论:在远端骨骺的胫骨,股骨,但通常是一个迅速和广泛BMDtrab减少脊髓损伤后。女性受试者,这些腰椎脊髓损伤,往往会降低骨值高于男性或胸脊髓损伤,分别。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :989-95

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  13

参考中文标题:

变化在正常胸关节;回顾性研究,以量化SCJ不对称。

PMID及链接:

19308406 http://www.syyxw.com/Archive/Detail/19308406

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OBJECTIVE: A wide degree of normal anatomical variation can occur at the sternoclavicular joint (SCJ). On occasion, this has led to concern for a pathological process, potentially resulting in a costly work-up, unnecessary patient worry and invasive diagnostic procedures such as biopsy. The purpose of this study was to determine the normal range of anatomical variation at sternoclavicular joints. MATERIALS AND METHODS: One hundred four consecutive patients with chest CT done at our institution were selected. Patients with clear SCJ pathology, chest wall abnormality, CT slice thickness greater than 5 mm and sternotomy wires, were excluded. Chart review was done and showed no SCJ symptoms/signs. We measured the SCJ space, maximum clavicular head diameter within the joint and the distance from manubrium to the anterior margin of the clavicular head. RESULTS: Left and right SCJ space ranged from 0.2 to 1.37 cm. The difference (delta or asymmetry) between left SCJ space and right SCJ space ranged from 0 (symmetrical) to 0.57 cm in 104 cases. Left and right clavicular head diameter ranged from 1.2 to 3.7 cm with left/right asymmetry (delta) ranging from 0 (symmetrical) to 1 cm. Manubrium to anterior margin of clavicular head ranged from 0.1 to 2.13 cm with delta ranging from 0 to 0.8 cm. Thirty-three patients demonstrated gas in the joint, five had poor articulation and four had calcification in the joint. CONCLUSION: Greater than 10% of patients show substantial asymmetry in the sternoclavicular joints, which may be misinterpreted as pathological. Gas in the joint is a common phenomenon therefore should not be an indication for further work-up in asymptomatic patients and likely excludes the presence of effusion.

参考中文摘要:

目的:广泛程度的正常变异,就可能发生在胸联合( SCJ ) 。有时,这导致了关切的病理过程,可能导致代价高昂的工作的,不必要的担心和侵入病人的诊断程序,如活检。本研究的目的是要确定在正常范围的变异在胸锁关节。材料与方法: 100名患者连续做胸部CT在本机构被选定。患者有明确的SCJ病理学,胸壁畸形, CT层厚厚度大于5毫米和胸骨电线,被排除在外。图审查工作,没有SCJ症状/征兆。我们测量了SCJ空间,最大直径锁骨头内的联合和距离柄的前缘锁骨头。结果:左,右SCJ空间介于0.2至1.37厘米。差额(三角洲或不对称)左SCJ空间和权利SCJ空间范围从0 (对称) ,以0.57厘米104例。左,右锁骨头直径从1.2不等的三点七厘米与左/右不对称(增量)范围从0 (对称) ,以1厘米。柄以前缘锁骨头介于0.1至二点一三厘米与三角洲范围从0到0.8厘米。 33名患者表现出天然气的联合,差5个和4个已衔接钙化的联合。结论:大于10 %的患者表现出很大的不对称在胸关节,这可能被误解为病理。天然气的联合是一种常见现象因此,不应当说明的进一步工作,在病人和无症状排除可能存在的积液。

出  处:

Skeletal radiology. 2009 Oct  ,38 (10) :997-1001

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