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1
参考中文标题：
是否有一个在与糖尿病足病人的成像作用？
作者单位：
Department of Radiology, Massachusetts General Hospital, 25 New Chardon Street Suite 427-B, Boston, MA 02114, USA. vvartanians@partners.org
PMID及链接：
19241076 http://www.syyxw.com/Archive/Detail/19241076
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出 处：
Skeletal radiology. 2009 Jul ,38 (7) :633-6
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2
参考中文标题：
国家最先进的人力资源美的影像学表现最常见的肌肉骨骼软组织肿瘤。
作者单位：
Department of Radiology, Clinical Division of Diagnostic Radiology I, Innsbruck Medical University, Anichstrasse 35, Innsbruck A-6020, Austria. gerlig.widmann@i-med.ac.at
PMID及链接：
18846371 http://www.syyxw.com/Archive/Detail/18846371
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摘 要：
High resolution ultrasound (HR-US) including color Doppler ultrasound (CD-US), power Doppler ultrasound (PD-US), and spectral wave analysis (SWA), is a broadly available, non-invasive and relatively low-cost modality without ionizing radiation. It is increasingly used for initial assessment of an ambiguous musculoskeletal soft-tissue lesion and for sonographically guided core biopsy. The aim of this review is to provide sonographic findings of the most frequent benign and malign soft-tissue lesions. By this essay, we can show that combined with clinical features, with information on tumor-localization and patient age, many musculoskeletal lesions may be successfully characterized by HR-US. In contrast, a mere morphologic assignment of some fibrous tumors and malignant lesions remains often impossible; however, certain CD-US signs such as anarchic vascular architecture or arteriovenous shunting may be very helpful indicators for malignancy. HR-US offers a simple, quick, and reliable first-line examination of musculoskeletal soft-tissue lesions and may have an important role in the diagnostic work-up followed by magnetic resonance or multimodality imaging and guided core biopsy.
参考中文摘要：
高分辨力超声（人力资源美） ，包括彩色多普勒超声（光盘美） ，能量多普勒超声（钯美） ，和光谱波分析（汕头） ，是一种广泛使用，非侵入性和成本相对较低的方式不电离辐射。这是越来越多地用于初步评估暧昧肌骨软组织损伤和超声引导核心活检。这样做的目的是提供审查超声结果最常见的良性和恶性软组织病变。通过本文，我们可以表明，结合临床特点，并提供以下资料：肿瘤定位和病人的年龄，许多骨骼肌肉病变可能是成功的特点是人力资源，我们。与此相反，仅仅是转让的一些形态纤维瘤，恶性病变仍然常常无法;然而，某些光碟美的迹象，如无政府主义血管结构或动静脉瘘可能是非常有用的指标恶性肿瘤。人力资源美提供了一个简便，快速，可靠的第一线检查骨骼肌肉软组织病变，并可能具有重要作用的诊断工作行动之后或综合磁共振成像和指导核心活检。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :637-49
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3
参考中文标题：
SSH的平面回波扩散加权磁共振成像脊柱低b值：这是有用的鉴别恶性转移性肿瘤浸润良性骨折水肿？
作者单位：
Department of Radiology, Bozyaka Training and Research Hospital, Izmir, Turkey. oztekinozgur@gmail.com
PMID及链接：
19252906 http://www.syyxw.com/Archive/Detail/19252906
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摘 要：
OBJECTIVE: Conventional MR sequences are sometimes not helpful in differentiating benign from pathologic fractures. Our aim was to evaluate the usefulness of single-shot echo-planar imaging sequences (diffusion-weighted imaging (DWI)/SSH-EPI) with low b value in differentiating malignant metastatic tumor infiltration of vertebral bone marrow from benign vertebral fracture edema. MATERIALS AND METHODS: A total of 47 patients, 20 with benign fractures and 27 with tumor infiltration, were included in this prospective study. Diffusion-weighted MR images were obtained by single-shot echo-planar imaging technique with diffusion gradient (b = 300 s/mm2; TR/TE, 1,400/100), using a 1.5 T MR scanner. T1- and T2-weighted images and short inversion time inversion-recovery images were available for all 64 lesions. The lesions on DWI/SSH-EPI were categorized as having hypo-, iso-, or hyperintense signal intensity relative to normal vertebrae by two experienced radiologists. RESULTS: We evaluated signal intensity patterns on DWI/SSH-EPI in 64 lesions, which showed low signal intensity on T1-weighted images in both benign fractures and metastasis. With the exception of sclerotic metastases in two patients, malignant metastatic tumor infiltration was hyperintense with respect to normal bone marrow on diffusion-weighted images; all but four benign vertebral fractures were isointense with respect to normal bone marrow. CONCLUSION: Single-shot echo-planar imaging sequences (DWI/SSH-EPI) with low b value provided excellent distinction between metastatic tumor infiltration and benign vertebral fracture edema. Hyperintense signal intensity on DWI/SSH-EPI was highly specific for the diagnosis of metastatic tumor infiltration of the spine.
参考中文摘要：
目的：常规MRI序列有时无助于鉴别良从病理性骨折。我们的目的是评估的效用单次回波平面成像序列（弥散加权成像（ DWI ） / SSH的成像）低b值在鉴别恶性转移性肿瘤浸润脊柱骨髓良性椎体骨折水肿。材料与方法：共47例， 20良性骨折和27日与肿瘤浸润，被列入本前瞻性研究。弥散加权磁共振成像，获得了单次激发平面回波成像技术扩散梯度（二= 300秒/毫米（ 2 ） ;一架TR /德1400 / 100 ） ，采用1.5 Ť磁共振扫描仪。 T1的和T2加权图像和短反转时间反转恢复图像可用于所有64例。病灶在DWI / SSH的成像被归类为有低，异，或高信号强度相对正常腰椎的两名经验丰富的放射线。结果：我们评估模式信号强度在DWI / SSH的成像64例，这表明低信号强度对T1加权图像良性骨折与转移。除了硬化转移2例，恶性转移性肿瘤浸润高对正常骨髓的扩散加权图像;所有，但四个良性椎体骨折isointense对正常骨髓。结论：单次激发平面回波成像序列（弥散/ SSH的成像）低b值之间的区别提供了极好的浸润和转移瘤良性椎体骨折水肿。高信号强度在DWI / SSH的成像是非常具体的诊断转移性肿瘤浸润脊柱。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :651-8
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4
参考中文标题：
对比研究间接MR关节造影和直接的MR关节造影的肩膀上。
作者单位：
Department of Radiology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, 50 Ilwon-dong, Kangnam-ku, Seoul 135-710, Republic of Korea.
PMID及链接：
19225775 http://www.syyxw.com/Archive/Detail/19225775
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摘 要：
OBJECTIVE: To compare the diagnostic value of indirect magnetic resonance arthrography (I-MRA) with that of direct MR arthrography (D-MRA) for labral tears, rotator cuff tears, and long head of biceps tendon (LHBT) tears using a 3-T MR unit. MATERIALS AND METHODS: Institutional review board approval was given; written informed consent was obtained from all patients. From November 2005 to June 2006, 19 patients (eight men and 11 women; mean age, 51 years) who had undergone both I-MRA and D-MRA underwent arthroscopic surgery. Both methods were performed in fat-saturated axial, coronal oblique, and sagittal oblique T1-weighted sequences, as well as axial and coronal oblique T2-weighted sequences. Two radiologists independently and retrospectively evaluated two sets of MRA for the diagnosis of superior and anterior labral tears, subscapularis tendon (SSC), and supraspinatus-infraspinatus tendon (SSP-ISP) tears, and LHBT tears. With the arthroscopic finding as a gold standard, we analyzed statistical differences of sensitivities and specificities between two sets of MRA and inter-observer agreement was evaluated using the kappa value. RESULTS: The sensitivity and specificity of I-MRA and D-MRA for reader 1 were 79/80% and 71/80%, respectively, for superior labral tears; 100/100% and 100/100%, respectively, for anterior labral tears; 64/75% and 64/100%, respectively, for SSC tears; 100/86% and 100/100%, respectively, for SSP-ISP tears; and 67/100% and 78/100%, respectively, for LHBT tears. Those of I-MRA and D-MRA for reader 2 were 86/80% and 71/100%, respectively, for superior labral tears; 100/83% and 100/100%, respectively, for anterior labral tears; 64/88% and 82/100%, respectively, for SSC tears; 92/86% and 100/100%, respectively, for SSP-ISP tears; and 78/90% and 89/100%, respectively, for LHBT tears. No significant differences were found between the methods. Inter-observer agreements were higher than moderate (kappa > 0.41) with both methods. CONCLUSIONS: Based on a relatively small number of patients, no significant difference was detected between I-MRI and D-MRI with regard rotator cuff, labral, and LHBT tears.
参考中文摘要：
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :659-67
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5
参考中文标题：
快速MR关节造影使用Vibe音乐序列评价肩袖。
作者单位：
Department of Radiology, Ziekenhuizen Oost-Limburg, Schiepse Bos 6, Genk 3600, Belgium. jan.vandevenne@zol.be
PMID及链接：
19294378 http://www.syyxw.com/Archive/Detail/19294378
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摘 要：
PURPOSE: The purpose of this paper was to evaluate if short volumetric interpolated breath-hold examination (VIBE) sequences can be used as a substitute for T1-weighted with fat saturation (T1-FS) sequences when performing magnetic resonance (MR) arthrography to diagnose rotator cuff tears. MATERIALS AND METHODS: Eighty-two patients underwent direct MR arthrography of the shoulder joint using VIBE (acquisition time of 13 s) and T1-FS (acquisition time of 5 min) sequences in the axial and paracoronal plane on a 1.0-T MR unit. Two radiologists scored rotator cuff tendons on VIBE and T1-FS images separately as normal, small/large partial thickness and full thickness tears with or without geyser sign. T1-FS sequences were considered the gold standard. Surgical correlation was available in a small sample. RESULTS: Sensitivity, specificity, and positive and negative predictive values of VIBE were greater than 92% for large articular-sided partial thickness and full thickness tears. For detecting fraying and articular-sided small partial thickness tears, these parameters were 55%, 94%, 94%, and 57%, respectively. The simple kappa value was 0.76, and the weighted kappa value was 0.86 for agreement between T1-FS and VIBE scores. All large partial and full thickness tears at surgery were correctly diagnosed using VIBE or T1-FS MR images. CONCLUSION: Fast MR arthrography of the shoulder joint using VIBE sequences showed good concordance with the classically used T1-FS sequences for the appearance of the rotator cuff, in particular for large articular-sided partial thickness tears and for full thickness tears. Due to its very short acquisition time, VIBE may be especially useful when performing MR arthrography in claustrophobic patients or patients with a painful shoulder.
参考中文摘要：
目的：本文件的目的是评估如果短期体积插值屏气检查（ Vibe音乐）序列可以作为一种替代T1加权脂肪饱和度（ T1的财政司司长）序列时表演磁共振（先生）造影来诊断肩袖撕裂。材料与方法： 82名患者接受直接MR关节造影肩关节使用Vibe音乐（采集时间13 s ）和T1的财政司司长（采集时间5分钟）序列中的轴向和paracoronal飞机在1.0 - T的磁共振单位。两个放射得分肩袖肌腱的Vibe音乐和T1 ，财政司司长图像分别为正常，小/大部分厚度和全层眼泪带或不带喷泉的迹象。 T1的财政司司长序列被认为是黄金标准。外科相关适用于小样本。结果：敏感性，特异性，阳性和阴性预测值盛传均大于92 ％的大关节面部分厚度和全层眼泪。检测磨损和关节面小部分厚度眼泪，这些参数分别为55 ％ ， 94 ％ ， 94 ％和57 ％分别。简单的Kappa值为0.76 ，和加权Kappa值为0.86的协议T1的FS和Vibe音乐分数。所有大型局部和全层眼泪在手术正确诊断使用Vibe音乐或T1 ，财政司司长MR图像。结论：快速MR关节造影肩关节使用Vibe音乐序列具有良好的和谐与经典使用T1的财政司司长序列的外观肩袖，特别是对大型关节面局部厚度眼泪和充分厚度眼泪。由于收购的时间很短，盛传可能会特别有用当表演MR关节造影在幽闭患者或患者的痛苦的肩上。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :669-74
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6
参考中文标题：
是一个单一的直接MR关节造影系列埃伯位置准确检测anteroinferior labroligamentous病变常规磁共振arthography ？
作者单位：
Department of Radiology, Onze Lieve Vrouwe Gasthuis, Oosterpark 9, Postbus 95500, Amsterdam 1090 HM, The Netherlands. sschreinemachers@gmail.com
PMID及链接：
19421749 http://www.syyxw.com/Archive/Detail/19421749
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摘 要：
PURPOSE: The purpose of this study is to retrospectively compare accuracy of single magnetic resonance (MR) arthrography series in Abduction External Rotation (ABER) with conventional MR arthrography for detection and characterisation of anteroinferior labroligamentous lesions, with arthroscopy as reference standard. Inter-observer variability of both protocols was determined. METHODS AND MATERIALS: Institutional review board approval was obtained; informed consent was waived. MR arthrograms, including oblique axial fat suppressed T1-weighted images in ABER position and conventional imaging directions of 250 patients (170 men, 80 women; mean age, 36 years), were retrospectively and independently evaluated by three reviewers. Reviewers were blinded to clinical information and arthroscopic results. Labroligamentous lesions were registered in both ABER and MRa. The lesions were sub-classified (Bankart, Perthes, anterior labrum periosteal sleeve avulsion (ALPSA) or lesions not otherwise specified). Inter-observer agreement was assessed by Kappa statistics for all 250 patients. Ninety-two of 250 patients underwent arthroscopy. Sensitivity, specificity and accuracy of ABER versus conventional MR arthrography were calculated and compared using paired McNemar test. RESULTS: Kappa values of the ABER and conventional MR arthrography ranged from 0.44 to 0.56 and 0.44 to 0.62, respectively. According to arthroscopy, 45 of 92 patients had an intact anteroinferior labrum, and in 44 patients, a labroligamentous lesion (eight Bankart, seven Perthes, 29 ALPSA and three lesions not otherwise specified) was diagnosed. There were no statistically significant differences between ABER and conventional MR arthrography regarding sensitivity (85-89%, 89-96%), specificity (82-91%, 84-89%) and overall accuracy (50-62%, 53-63%). CONCLUSION: The results of a single MR arthrography series in ABER position are comparable with those of conventional MR arthrography for detecting anteroinferior labroligamentous lesions.
参考中文摘要：
目的：本研究的目的是回顾性比较准确的单一磁共振（先生）系列绑架关节外旋（埃伯）与传统的MR关节造影检测和表征anteroinferior labroligamentous病变，以关节镜检查作为参考标准。国际观察员变异两项议定书确定。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 ，包括斜轴脂肪抑制T1加权图像埃伯位置和方向的常规成像250例（ 170名男子， 80名妇女，平均年龄36岁） ，进行回顾和评价了3个独立审评。审稿人失明的临床资料和关节镜的结果。 Labroligamentous病灶登记在埃伯和MRA 。该病灶分划（ Bankart ，坏死，前唇骨膜袖撕脱（ ALPSA ）或病灶不另行指定） 。国际观察员的协议进行评估， Kappa值统计所有250例。 92 250例关节镜检查。敏感性，特异性和准确性的埃伯与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：卡伯值的埃伯和常规MR关节造影介于0.44至0.56和0.44 〜 0.62 ，分别。根据关节镜， 45的92例有完整anteroinferior唇，并在44例患者，一个labroligamentous病变（ 8 Bankart ， 7佩泰斯， 29 ALPSA和三个病灶不另行指定）被诊断。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（ 85-89 ％ ， 89-96 ％ ） ，特异性（ 82-91段％ ， 84-89 ％ ）和整体精度（ 50-62 ％ ， 53-63 ％ ） 。结论：一个单一的MR关节造影系列埃伯的立场是与常规磁共振造影检测anteroinferior labroligamentous病变。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :675-83
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7
参考中文标题：
骨旁骨肉瘤dedifferentiating到毛细血管扩张骨肉瘤：裂解变化的重要性和流体腔在成像。
作者单位：
Musculoskeletal Oncological Surgery Department, Istituto Ortopedico Rizzoli, Via Pupilli 1, Bologna 40136, Italy.
PMID及链接：
19271217 http://www.syyxw.com/Archive/Detail/19271217
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摘 要：
PURPOSE: This study was performed to assess the imaging findings in cases of parosteal osteosarcoma dedifferentiated into telangiectatic osteosarcoma. Parosteal osteosarcoma is a low-grade well-differentiated malignant tumor. Dedifferentiation into a more aggressive lesion is frequent and usually visible on imaging as a central lytic area in a sclerotic mass. Only one case of differentiation into a telangiectatic osteosarcoma has been reported. As it has practical consequences, with a need for aggressive chemotherapy, we looked for this rather typical imaging pattern. MATERIALS AND METHODS: Review of 199 cases of surface osteosarcomas (including 86 parosteal, of which 23 were dedifferentiated) revealed lesions suggesting a possible telangiectatic osteosarcoma on imaging examinations in five cases (cavities with fluid). Histology confirmed three cases (the two other only had hematoma inside a dedifferentiated tumor). There were three males, aged 24, 28, and 32. They had radiographs and CT, and two an MR examination. RESULTS: Lesions involved the distal femur, proximal tibia, and proximal humerus. The parosteal osteosarcoma was a sclerotic, regular mass, attached to the cortex. A purely lytic mass, partially composed of fluid cavities was easily detected on CT and MR. It involved the medullary cavity twice, and remained outside the bone once. Histology confirmed the two components in each case. Two patients died of pulmonary metastases and one is alive. CONCLUSION: Knowledge of this highly suggestive pattern should help guide the initial biopsy to diagnose the two components of the tumor, and guide aggressive treatment.
参考中文摘要：
目的：本研究进行评估的成像结果的情况下骨旁骨肉瘤毛细血管扩张分化成骨肉瘤。骨旁骨肉瘤是一种低度分化良好的恶性肿瘤。分化成一个更积极的病变频繁，通常可见成像的一个核心领域的裂解硬化质量。只有一宗毛细血管扩张分化成骨肉瘤的报告。因为它的实际后果，并有必要的攻击性化疗，我们期待这一而是典型的成像模式。材料与方法：回顾一百九十九案件表面骨肉瘤（包括86旁，其中有23人去分化）显示病变暗示可能毛细血管扩张骨肉瘤的影像学检查在5个案件（腔液体） 。组织学证实， 3例（其他两个只有血肿内的分化肿瘤） 。有三名男性， 24岁， 28岁，和32 。他们X光片和CT和MRI检查两个1 。结果：病变涉及股骨远端，胫骨近端和肱骨近端。该骨旁骨肉瘤是一种僵化的，经常的质量，重视皮层。单纯的溶解量，部分组成的流体腔很容易发现的CT和MR 。它涉及髓腔两次，仍然置身于骨一次。组织学证实了这两个组件在每一种情况下。 2例死于肺转移，一个是活着。结论：了解这个高度暗示模式应帮助指导初步活检诊断的两个组成部分的肿瘤，引导积极的治疗。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :685-90
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8
参考中文标题：
钟面模型适用于胫骨intraneural节在腘窝。
作者单位：
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA. spinner.robert@mayo.edu
PMID及链接：
19221739 http://www.syyxw.com/Archive/Detail/19221739
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摘 要：
BACKGROUND: Tibial intraneural ganglia occurring in the popliteal fossa are often misdiagnosed because of their relative rarity. Their joint connection is typically not recognized and therefore not treated, leading to recurrence. STUDY DESIGN: This is a retrospective clinical study. MATERIALS AND METHODS: Magnetic resonance images (MRIs) of six patients with confirmed tibial intraneural ganglia arising from the superior tibiofibular joint were analyzed and were compared to ten individuals with normal tibial nerves who were imaged with MRI. All studies were interpreted as left-sided. A previously designed clock face model introduced for peroneal intraneural ganglia was used to describe the superior tibiofibular joint connection (tail sign). A single axial image was sought to determine the normal anatomic and pathologic relationships of the tibial nerve and tibial articular branch to the superior tibiofibular joint. RESULTS: In all patients with intraneural ganglia, a single conventional axial image at the mid-fibular head level could reliably demonstrate: (1) intraneural cyst within the articular branch at the superior tibiofibular joint connection (tail sign) between 8 and 9 o'clock and intraneural cyst within the tibial nerve, (2) the central location of the tibial nerve posterior to the tibia, and (3) popliteus muscle denervation changes and atrophy (popliteus sign). CONCLUSIONS: This technique can provide radiologists and surgeons with rapid and reproducible information for diagnosis and treatment planning of tibial intraneural ganglia. Similar to its use with the clock face model in peroneal intraneural ganglia, a standard axial image at the mid-fibular head level can be used to interpret key features of tibial intraneural ganglia and identify the joint connection. Improved identification of the presence of a joint connection will change the therapeutic approach of this pathology and reduce cyst recurrences.
参考中文摘要：
背景：胫骨intraneural节发生在腘窝往往被误诊，因为它们相对罕见。他们的联合方面通常是不承认，因此没有治疗，导致复发。研究设计：这是一个回顾性的临床研究。材料与方法：磁共振图像（核磁共振成像）的6例确诊胫骨intraneural节引起上级胫腓关节进行了分析和比较，以10个人的正常胫神经谁是成像与MRI 。所有的研究解释为左侧。一个先前设计的钟面模型采用腓intraneural节是用来描述优于胫腓关节连接（尾征） 。一个单一的轴向图像设法确定的正常解剖及病理关系的胫神经和胫骨关节处的上级胫腓关节。结果：所有患者intraneural节，一个单一的常规轴向图像中腓骨头一级可以可靠地证明： （ 1 ） intraneural囊肿的关节处，优越的胫腓关节连接（尾征）之间的第8和第9点时钟和intraneural囊肿内的胫神经， （ 2 ）中央位置的胫神经后的胫骨，及（ 3 ） popliteus变化和神经肌肉萎缩（ popliteus签署） 。结论：该技术可以提供放射科和外科医生迅速，重现性资料进行诊断和治疗规划的胫骨intraneural节。使用类似的钟面模型在腓intraneural节，一个标准的轴向图像中腓骨头的水平可以用来解释主要特点胫intraneural节，并确定联合连接。改进鉴定存在一个联合方面将改变这种治疗方法的病理和减少囊肿复发。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :691-6
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9
参考中文标题：
磁共振塑化，造影：一种新技术，研究了远端胫腓联合。
作者单位：
Department of Radiology, Erasmus University Medical Center, 's Gravendijkwal 230, P.O. Box 2040, 3000 CA Rotterdam, Rotterdam 3015 GD, The Netherlands. j.j.hermans@erasmusmc.nl
PMID及链接：
19132370 http://www.syyxw.com/Archive/Detail/19132370
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摘 要：
PURPOSE: The purpose of this study was to describe a new technique called MR plastination arthrography to study both intra- and extra-articular anatomy. MATERIALS AND METHODS: In six human cadaveric lower legs MR arthrography was performed in either a one-step or two-step procedure. In the former a mixture of diluted Gadolinium and dyed polymer was injected. In the latter the dyed polymer was injected after arthrography wih diluted Gadolinium. Three-millimeter slices of these legs, obtained in a plane identical to that of the MR images, were plastinated according to the E12 technique of von Hagens. The plastination slices were subsequently compared with the MR images. RESULTS: The one-step procedure resulted in an inhomogeneous arthrogram. The two-step procedure resulted in a good correlation between the high-resolution MR images and plastination slices, as expressed by a good comparison of anatomic detail of the small syndesmotic recess. CONCLUSIONS: Images of the distal tibiofibular syndesmosis obtained with plastination arthrography correlated well with images acquired by MR arthrography when performed in a two-step procedure.
参考中文摘要：
目的：本研究的目的是描述一个新的技术称为磁共振造影研究塑化都内和关节外解剖。材料与方法： 6人的尸体下肢MR关节造影是在任何一步或两步程序。在前混合稀释钆和染色聚合物注入。在后者的染色聚合物注入稀释后钆造影wih 。三毫米片这些腿，得到了相同的飞机的MR图像，被塑化根据节能技术的冯哈根斯。在塑化切片随后与磁共振图像。结果：单步程序导致不均匀关节造影。分两步走的程序产生了良好的关系高分辨率磁共振图像和塑化片，所表达的一个很好的比较详细的解剖小syndesmotic休会。结论：图像远端胫腓联合塑化造影获得相关的图片以及MR关节造影收购完成时，在两步骤程序。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :697-701
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10
参考中文标题：
结合CT和X光透视指导球囊椎体后凸成形术与透视，只有程序。
作者单位：
Service de Radiologie, Centre Hospitalier Universitaire de Nice, Route de Saint Antoine de Ginestiere, Nice 06200, France. amorettinicolas@yahoo.fr
PMID及链接：
18828010 http://www.syyxw.com/Archive/Detail/18828010
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摘 要：
OBJECTIVE: To evaluate the performance of combined (computed tomography (CT) and fluoroscopic) guidance of balloon kyphoplasty in comparison to fluoroscopic guidance alone. MATERIALS AND METHODS: Forty-one kyphoplasties were performed between January 2005 and March 2006 according to two different protocols. Study group 1 consisted of 20 consecutive patients with 20 balloon kyphoplasty procedures under dual guidance (CT scan and fluoroscopy) for osteoporotic or traumatic vertebral fractures. Study group 2 consisted of 21 consecutive patients in whom kyphoplasty was performed with fluoroscopy alone. Visualization of the pedicles, the final of the balloon position, and cement distribution were evaluated(1-poor, 2-intermediate, 3-good). RESULTS: Combined use of CT and fluoroscopy (group 1) was superior in identifying the pedicles (100% versus 66.7%, p = 0.009) and balloon placement (100% versus 71.4%, p = 0.02) but not in monitoring of cement distribution within the vertebral body (100% versus 90.5%, p = 0.49). The difference between the two groups was more pronounced in the thoracic spine than in the lumbar spine. CONCLUSION: CT/fluoroscopic guidance of kyphoplasty combines safe CT-guided insertion of the osteointroducers and balloons as well as fluoroscopic real-time monitoring of polymethylmethacrylate injection.
参考中文摘要：
目的：评价相结合的表现（计算机断层扫描（ CT ）和透视）指导球囊椎体后凸成形术相比，透视单独指导。材料与方法： 41 kyphoplasties之间进行了2005年1月和2006年3月根据两种不同的协议。研究组1包括连续20例20球囊椎体后凸成形术的程序的指导下双（ CT扫描和透视）为骨质疏松或外伤性脊椎骨折。研究组2包括21例患者椎体后凸成形术的人是单独进行的透视。可视化的蒂，在最后的气球立场，水泥分配进行了评估（ 1穷人， 2中间， 3个好） 。结果：联合应用CT和透视（第1组）优于确定蒂（ 100 ％和66.7 ％ ， p值= 0.009 ）和气球安置（ 100 ％和71.4 ％ ， p值= 0.02 ） ，而不是在监测水泥分布椎体内（ 100 ％和90.5 ％ ， p值= 0.49 ） 。两者之间的差额组更为显着胸椎比腰椎。结论： CT /透视指导安全椎体后凸成形术结合CT引导下插入osteointroducers和气球以及透视实时监测聚注射。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :703-7
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11
参考中文标题：
双边紧张肿腿：诊断和讨论。
作者单位：
Department of Diagnostic Imaging, St. Joseph's Healthcare and McMaster University, Hamilton, Ontario L8N 2A6, Canada.
PMID及链接：
19387636 http://www.syyxw.com/Archive/Detail/19387636
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出 处：
Skeletal radiology. 2009 Jul ,38 (7) :709-10, 729-30
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12
参考中文标题：
病例报告：双边坐骨应力性骨折中的精英网球选手。
作者单位：
Department of Radiology, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, London, Middlesex HA7 4LP, UK. andrew.clarke@rnoh.nhs.uk
PMID及链接：
19283380 http://www.syyxw.com/Archive/Detail/19283380
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摘 要：
A case report of bilateral ischial stress fractures in an elite tennis player initially mimicking hamstring pathology is described. This is an unusual site of stress fracture. Typical sites of stress fracture are well documented; however, awareness of less common sites of stress-related bone injury can aid early diagnosis and treatment before overt fracture occurs.
参考中文摘要：
一例报告双边坐骨应力性骨折中的精英网球选手最初模仿腿筋病理描述。这是一个不同寻常的现场应力性骨折。典型网站应力性骨折是有案可稽的，但是，认识不到常见的压力有关的骨损伤可以帮助早期诊断和治疗前明显的骨折发生。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :711-4
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13
参考中文标题：
双侧先天性缺乏长头二头肌肌腱。
作者单位：
Imaging Institute/HB6, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA.
PMID及链接：
19290522 http://www.syyxw.com/Archive/Detail/19290522
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摘 要：
Absence of the long head of the biceps tendon is a rare anomaly particularly when it occurs bilaterally. We present the magnetic resonance and arthroscopy findings in a patient with bilateral congenital absence of the long head of the biceps who presented with bilateral shoulder pain. Identification of a shallow or absent intertubercular groove may aid in differentiating congenital absence of the long head of the biceps from a traumatic tendon rupture.
参考中文摘要：
没有长头二头肌肌腱是一种罕见的异常特别是当它发生的双边。我们目前的磁共振和关节镜检查发现患者双侧先天性缺乏长头二头肌谁提出双边肩部疼痛。鉴定浅或没有intertubercular槽可帮助鉴别先天性无长头二头肌从外伤性肌腱断裂。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :715-9
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14
参考中文标题：
隐球菌pyarthrosis和结节。
作者单位：
Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, 3400 Bainbridge Avenue, 6th Floor, MAP Building, Bronx, NY 10467, USA. dgeller@montefiore.org
PMID及链接：
19326115 http://www.syyxw.com/Archive/Detail/19326115
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摘 要：
Cryptococcus neoformans is an infrequent cause of septic arthritis. Cryptococcal infections have been linked to sarcoidosis because of both inherent immunologic consequences of the disease and its typical immune modulating treatments. Cryptococcal infections should be suspected in patients with underlying immune deficiencies, and a high degree of vigilance should be exercised to avoid misdiagnosis, dissemination of infection, and meningitis.
参考中文摘要：
新生隐球菌是一种罕见的原因，化脓性关节炎。隐球菌感染都与结节病，因为这两个固有免疫后果的疾病和其典型的免疫调节治疗。隐球菌感染应怀疑患者的基本免疫缺陷，和高度的警惕，应尽量避免误诊，传播感染和脑膜炎。
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :721-7
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15
参考中文标题：
浏览器的说明。
作者单位：
PMID及链接：
19468778 http://www.syyxw.com/Archive/Detail/19468778
出 处：
Skeletal radiology. 2009 Jul ,38 (7) :731
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