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1
参考中文标题：
磁共振成像，超声和实时先天性肌营养不良症中的大腿肌肉超声弹性成像。
作者单位：
Radiology Department, University of Crete, Heraklion, Greece, drakonaki@yahoo.gr.
PMID及链接：
20062984 http://www.syyxw.com/Archive/Detail/20062984
全文链接：
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摘 要：
Congenital muscle dystrophy includes a range of genetic disorders characterized by muscle weakness and contractures. We report the magnetic resonance (MR), ultrasound (US) and real-time sonoelastography (RTE) imaging findings of the thigh muscles of a 15-year-old boy with Bethlem myopathy diagnosed with clinical, electromyographic and histopathological criteria. Ultrasound and MR showed hyperechoic appearance and high signal intensity on T1- and T2-weighted sequences respectively at the periphery of the vastus lateralis and the long head of the biceps femoris muscles, and at a central area within the rectus femoris muscles. RTE was employed to examine the elastic properties of the muscle. The elastograms were presented as colour-coded maps superimposed on the B-mode images and revealed that the elastographic pattern correlated with the MR and US pattern of involvement. The abnormal muscle areas were stiffer (blue) than the normal-appearing areas (green), a finding that probably correlates with the presence of dystrophic collagen at the affected areas. This report suggests that RTE could be used as an additional imaging tool to evaluate the pattern of muscle changes in congenital myopathy. Further studies are needed to investigate the specificity and clinical value of RTE in the diagnosis and monitoring of neuromuscular disease.
参考中文摘要：
先天性肌营养不良症，包括一个由肌肉无力为特征的遗传疾病的范围和挛缩。我们报告的磁共振（MR），超声（美国）和实时sonoelastography（即食）的一个贝特伦肌病15岁的男孩大腿肌肉的影像学表现与临床，肌电图和病理诊断标准。超声及磁共振显示回音出现在T1和T2加权序列和高信号强度分别在外围和股外侧肌的肌肉的股二头肌长头，并在中央区域内的股直肌肌肉。即食受雇于审查肌肉的弹性性能。该elastograms已提交的彩色编码在B模式的地图和图像叠加显示，弹性成像模式相关的MR和美国的参与模式。异常肌肉僵硬领域比正常出现的区域（绿色）（蓝色），这一发现可能与胶原蛋白的营养不良在受影响的地区存在相关性。这份报告显示，即食可以作为一个额外的成像工具，用于评估在先天性肌病肌肉的变化格局。进一步的研究来调查的特异性和神经肌肉疾病的诊断和监测即食的临床价值。
出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
2
参考中文标题：
测量后足对准X线：长轴向的看法是较一致的看法后足可靠。
作者单位：
Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands, m.l.reilingh@amc.uva.nl.
PMID及链接：
20062985 http://www.syyxw.com/Archive/Detail/20062985
全文链接：
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摘 要：
BACKGROUND: Hindfoot malalignment is a recognized cause of foot and ankle disability. For preoperative planning and clinical follow-up, reliable radiographic assessment of hindfoot alignment is important. The long axial radiographic view and the hindfoot alignment view are commonly used for this purpose. However, their comparative reliabilities are unknown. As hindfoot varus or valgus malalignment is most pronounced during mid-stance of gait, a unilateral weight-bearing stance, in comparison with a bilateral stance, could increase measurement reliability. The purpose of this study was to compare the intra- and interobserver reliability of hindfoot alignment measurements of both radiographic views in bilateral and unilateral stance. MATERIALS AND METHODS: A hindfoot alignment view and a long axial view were acquired from 18 healthy volunteers in bilateral and unilateral weight-bearing stances. Hindfoot alignment was defined as the angular deviation between the tibial anatomical axis and the calcaneus longitudinal axis from the radiographs. Repeat measurements of hindfoot alignment were performed by nine orthopaedic examiners. RESULTS: Measurements from the hindfoot alignment view gave intra- and interclass correlation coefficients (CCs) of 0.72 and 0.58, respectively, for bilateral stance and 0.91 and 0.49, respectively, for unilateral stance. The long axial view showed, respectively, intra- and interclass CCs of 0.93 and 0.79 for bilateral stance and 0.91 and 0.58 for unilateral stance. CONCLUSION: The long axial view is more reliable than the hindfoot alignment view or the angular measurement of hindfoot alignment. Although intra-observer reliability is good/excellent for both methods, only the long axial view leads to good interobserver reliability. A unilateral weight-bearing stance does not lead to greater reliability of measurement.
参考中文摘要：
背景：今后足关节排列是一个公认的脚和踝关节残疾的原因。对于术前规划和临床随访，可靠的影像学评估后足路线是重要的。长轴向X线视图和后足对齐视图通常用于这一目的。然而，它们的相对可信度不明。由于后足内翻或外翻关节排列在最中旬立场的步态，单方面负重的立场，明显与一个双边的立场相比，可提高测量的可靠性。本研究目的是比较内和在双边和单方面的立场都对准测量射线的意见后足观察者的可靠性。材料与方法：后足长排列视图和轴位来自18个双边和单边负重立场健康志愿者获得的。后足对准被定义为胫骨解剖轴线之间从X光片及跟骨纵轴角偏差。对后足对准重复测量结果进行了9个骨科考官。结果：从后足定线测量的看法了区域内和组间相关系数（CCS）的0.72和0.58，分别为两国的立场和0.91和0.49，分别为单方面的立场，。从长远观点表明轴向分别内和类间完工的0.93和0.91的立场和双边和单方面立场0.58 0.79。结论：长轴的看法是较一致的看法后足或后足对准角测量可靠。虽然国内观察员可靠性好/很好的两种方法，只有从长远观点导致轴向观察者良好的可靠性。单方面负重立场不会导致更多的测量可靠性。
出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
3
参考中文标题：
Letter to the Editors.
作者单位：
Department of Radiology, Cincinnati Children's Hospital, 3333 Burnet Avenue, 5031, Cincinnati, OH, 45229-3039, USA, Alan.Oestreich@cchmc.org.
PMID及链接：
20062986 http://www.syyxw.com/Archive/Detail/20062986
全文链接：
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出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
4
参考中文标题：
成像表面最常见的软组织肉瘤。
作者单位：
Department of Radiology, Centre Oscar Lambret, 03, rue Frédéric Combemale, BP 307, 59020, Lille, France, m-morel@o-lambret.fr.
PMID及链接：
20069421 http://www.syyxw.com/Archive/Detail/20069421
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摘 要：
Superficial soft-tissue sarcomas are malignant mesenchymal tumors located within the cutaneous and/or subcutaneous layers. Most superficial soft-tissue sarcomas are low-grade tumors; yet, the risk of local recurrence is high, and initial wide surgery is the main prognostic factor. Some of these superficial sarcomas may grow, following an infiltrative pattern, and their real extent may be underestimated clinically. Imaging techniques are useful to determine precisely the real margins of the tumor, especially in cases of clinically doubtful or recurrent or large superficial lesions. Imaging tools enable one to determine the relationship with the superficial fascia separating the subcutaneous layer from the underlying muscle. In our institution ultrasonographic examination is followed by magnetic resonance (MR) imaging when the size of the lesion exceeds 3-5 cm. Imaging assessment is performed prior to biopsy, enabling optimal surgical management. Imaging features of the main superficial sarcomas are detailed in the following article, according to their major locations: those arising in the epidermis and/or dermis, which are most often diagnosed by dermatologists, and the subcutaneous sarcomas.
参考中文摘要：
浅表软组织肉瘤的皮内和/或皮下层位于恶性间质瘤。最表面的软组织肉瘤是低级别肿瘤，然而，在局部复发的危险性很大，初步宽手术预后的主要因素。对这些表面上的肉瘤有些可能增加，浸润的模式之后，和他们的实际程度可能被低估临床。成像技术是有用的准确确定肿瘤的，真正的利润，尤其是在临床怀疑或浅表性病变或较大的案件。成像工具，使一个以确定与表面脱离底层肌肉的皮下筋膜层的关系。在我们的机构超音波检查之后是磁共振（MR）成像时，病灶的大小超过3-5厘米。影像评估活检之前完成，使最佳手术治疗。主要表面肉瘤的影像学表现，详列于下面的文章，根据他们的主要地点：那些在表皮产生和/或真皮，这是最经常皮肤科医生诊断，和皮下肉瘤。
出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
5
参考中文标题：
致编辑的。
作者单位：
Department of Radiology, Lewisham Hospital NHS Trust, Lewisham High Street, London, SE13 6LH, UK, bijanhedayati@nhs.net.
PMID及链接：
20076956 http://www.syyxw.com/Archive/Detail/20076956
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出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
6
参考中文标题：
浏览器的说明，由M.孙达拉姆，医学博士，2010年3月被引分析。
作者单位：
PMID及链接：
20084377 http://www.syyxw.com/Archive/Detail/20084377
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出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
7
参考中文标题：
感谢您对2009年我们的评论。
作者单位：
PMID及链接：
20091306 http://www.syyxw.com/Archive/Detail/20091306
出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
8
参考中文标题：
阿慢性疼痛和右肩跌倒后虚弱的48岁男子。
作者单位：
Department of Radiology, University of Washington, 1959 NE Pacific Street, Box 357115, Seattle, WA, 98195-7115, USA, mde1@u.washington.edu.
PMID及链接：
20119633 http://www.syyxw.com/Archive/Detail/20119633
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出 处：
Skeletal radiology. 2010 Jan
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
9
参考中文标题：
在对臀肌挛缩症的超声诊断中的作用。
作者单位：
Department of Ultrasound, West China Hospital of Sichuan University, 37 Guo Xue Xiang, Chengdu, 610041, Sichuan Province, China, wsqiuli@126.com.
PMID及链接：
20140430 http://www.syyxw.com/Archive/Detail/20140430
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摘 要：
AIM: To evaluate the use of ultrasonography (US) in the diagnosis of gluteal muscle contracture (GMC) by analysis of its imaging characteristics. MATERIALS AND METHODS: Thirty-nine patients suspected of having GMC due to abnormal gait underwent pre-operative US. RESULTS: The diagnosis of GMC was confirmed by surgery in 27 patients. Six patients were diagnosed with congenital hip dysplasia, and the remaining six patients were diagnosed with sciatic nerve damage, post-poliomyelitis sequelae, and myasthenia gravis. For the patients with GMC, US showed muscle thinning and hyperechoic strips (specific for muscular contracture) in the muscles involved. In three patients with GMC, the strips were integrated into muscle bundles, demonstrating both strong and weak sonographic echoes. The sensitivity and specificity of the diagnosis of GMC using the presence of strips were 88.9% and 83.3%, respectively, and using muscle thinning, the sensitivity and specificity were 92.6% and 50%, respectively. The contracture strips, as measured by US, were significantly smaller than the actual measurements at the time of surgery, but there was a significant correlation between the two measurements (r = 0.814, P < 0.01). The highest detection rate of GMC by US was found in the gluteus maximus muscle (91.8%), and the lowest rate was found in the piriformis muscle (52.9%). CONCLUSION: Ultrasonography is a valuable tool for the diagnosis of GMC, especially for the detection of specific contracture strips in involved muscles. Its role in the pre-operative diagnosis of GMC also provides surgical planning that can guide subsequent treatment.
参考中文摘要：
目的：评价超声使用（美国在臀肌挛缩症（GMC）的诊断）由于其影像学特征分析。材料与方法：由于有GMC的异常步态接受手术前美国怀疑39名患者。结果：GMC的诊断经手术证实27例。 6例患者被诊断为先天性髋关节发育不良，其余6例，坐骨神经损伤诊断，后小儿麻痹后遗症，以及重症肌无力。对于GMC的患者中，美国表明肌肉变薄，并在所涉及的高回音条肌肉（肌肉挛缩的具体）。在GMC的三个病人，带已被纳入肌肉束，演示了超声回波强弱。的敏感性和特异性诊断的GMC的使用存在的带分别为88.9％和83.3％，分别和使用肌肉变薄，其敏感性和特异性分别为92.6％和50％，分别为。该挛缩带，由美国来衡量，显着高于在手术时的实际测量较小，但有一两次测量之间的相关（r = 0.814，显着相关P <0.01）。 GMC的最高的检测率是由美国发现在臀大肌肌（91.8％），最低的比率是在梨状肌肌（52.9％）发现。结论：超声检查是一种宝贵的GMC的诊断工具，尤其是在涉及具体的肌肉挛缩带的检测。其在GMC的术前诊断中的作用还提供手术规划，可以指导后续治疗。
出 处：
Skeletal radiology. 2010 Feb
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
10
参考中文标题：
2010年的骨骼放射学会年会上，科学演示会议，3月14-17日到2010年，拉斯维加斯湖，亨德森，美国内华达州。
作者单位：
PMID及链接：
20143062 http://www.syyxw.com/Archive/Detail/20143062
出 处：
Skeletal radiology. 2010 Feb
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
11
参考中文标题：
同时进行身体检查的可行性和膝内侧副韧带损伤的动态磁共振成像研究在1.5 - T的大口径磁铁。
作者单位：
Department of Medical Imaging, Mount Sinai Hospital and University Health Network, University of Toronto, 600 University Avenue, Toronto, ON, M5G 1X5, Canada, studleru@uhbs.ch.
PMID及链接：
20155417 http://www.syyxw.com/Archive/Detail/20155417
全文链接：
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摘 要：
OBJECTIVE: To determine the feasibility of evaluating medial knee joint laxity with dynamic magnetic resonance (MR) imaging and simultaneous physical joint examination in a large-bore 1.5-T system. MATERIALS AND METHODS: The study included 10 patients (5 women, 5 men; mean age 35 years) with clinically diagnosed and categorized acute injuries of the medial collateral ligament (MCL). Intermittent valgus stress was applied separately to both the affected and the contralateral knee joint during dynamic MR imaging with a two-dimensional fast low-angle shot sequence. The width of the medial joint space and the opening angle between the femoral condyles and the tibial plateau were measured. Results obtained from dynamic MR imaging of the affected knee were compared with morphological MCL changes on static MRI, to kinematics of the contralateral side and to the clinical grading of MCL injuries. RESULTS: On clinical examination, all patients had grade 2 MCL injuries except one, who had a grade 1 lesion. Using morphological MRI criteria, 9 grade II and 1 grade III injuries were seen. Mean medial joint space width and opening angles of all affected knees were 2.8 mm and 2.7 degrees respectively, compared with 1.7 mm and 2.1 degrees on the contralateral side. The Wilcoxon signed rank test indicated that the differences in width (P = 0.005) and opening angle (P = 0.037) between the affected and contralateral knees were significant. CONCLUSION: Dynamic MR imaging and simultaneous physical joint examination is feasible. Our results suggest that this technique might enable the imaging documentation of medial ligamentous knee instability.
参考中文摘要：
目的：确定评价膝关节内侧动态磁共振（MRI）和联合检查身体同时在一个大口径1.5 - T系统关节松弛的可行性。材料与方法：本研究包括10例（有5名妇女，5名男子，平均年龄35岁）的临床诊断和分类的内侧副韧带（韧带）急性损伤。间歇外翻应力分别适用于受影响及对侧膝关节在与一个二维快速小角度拍摄动态磁共振成像序列的联合。在内侧关节间隙的宽度和股骨髁之间的胫骨平台开放和角度进行了测定。结果获得受影响的膝盖动态磁共振成像进行了比较静态内侧副韧带的MRI形态改变，到对侧运动学和内侧副韧带损伤的临床分级。结果：在临床检查，所有患者除一年级二，谁了1级病变韧带受伤。利用形态学的MRI标准，9年级第二和第三级一看到有人受伤。内侧关节间隙平均宽度和所有受影响的膝盖张开角分别为2.8毫米和2.7度，比1.7毫米和2.1度，对侧分别。此外，以Wilcoxon秩和检验表明，在宽度差异（P = 0.005），以及由受影响的角度和对侧的膝盖性（P = 0.037）显着。结论：动态MRI与同步物理联合检查是可行的。我们的研究结果表明，该方法可以使膝关节内侧韧带不稳定的影像文件。
出 处：
Skeletal radiology. 2010 Feb
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
12
参考中文标题：
在膝关节解剖变异磁共振成像。第一部分：韧带和肌腱。
作者单位：
Department of Radiology, The Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP, UK, philippatyler@msn.com.
PMID及链接：
20155418 http://www.syyxw.com/Archive/Detail/20155418
全文链接：
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摘 要：
Magnetic resonance imaging (MRI) is now the modality of choice for the investigation of internal derangement of the knee. Technological advances, including the wider availability of stronger magnets and new sequences, allows improved visualisation of smaller structures. Normal variants must be recognised as such, so that both over-investigation and mis-diagnosis are avoided. This article reviews both the well-recognised and the less common ligamentous and musculotendinous anatomical variants within the knee and illustrates their imaging characteristics on MRI.
参考中文摘要：
磁共振成像（MRI）是目前首选的膝关节内紊乱的调查方式。技术的进步，包括更强大的磁体和新序列广泛可用性，可以提高可视化的小结构。必须认识到，正常变异等，所以，无论过调查和误诊断是可以避免的。本文回顾了膝盖内都公认和较常见的肌腱和韧带的解剖变异，并说明其对磁共振成像的特点。
出 处：
Skeletal radiology. 2010 Feb
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
13
参考中文标题：
虚弱后，在40个国外旅游岁男子。
作者单位：
Department of Radiology, Mater Misericordiae University Hospital, Eccles Street, Dublin, 7, Ireland, collerangabrielle@hotmail.com.
PMID及链接：
20204352 http://www.syyxw.com/Archive/Detail/20204352
全文链接：
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出 处：
Skeletal radiology. 2010 Mar
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
14
参考中文标题：
勘误为：近端胫骨骨赘及其与髁间隆起的胫骨棘高度：paleopathological研究的关系。
作者单位：
Department of Radiology, Children's National Medical Center, 111 Michigan Avene NW, Washington, DC, 20010, USA, mr_hayeri@yahoo.com.
PMID及链接：
20213052 http://www.syyxw.com/Archive/Detail/20213052
全文链接：
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出 处：
Skeletal radiology. 2010 Mar
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
15
参考中文标题：
一个系统化的方法来评价磁共振髌股关节。
作者单位：
The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, 21287, USA, achhabr6@jhmi.edu.
PMID及链接：
20217407 http://www.syyxw.com/Archive/Detail/20217407
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摘 要：
Knee pain in young patients is a common indication for knee MRI. Many static and dynamic internal derangements of the patellofemoral joint in these patients lead to various secondary MRI findings. This article focuses on how to systematically approach, detect, and emphasize the importance of these findings in the diagnosis of patellofemoral tracking and impingement syndromes with relevant case examples.
参考中文摘要：
在年轻患者膝关节疼痛是一种常见的膝关节MRI检查显示。许多静态和动态的内部，在这些患者髌股关节紊乱导致各类中等MRI表现。本文就如何系统地集中的办法，检测，并强调在髌骨跟踪，并与有关案例撞击综合征诊断中的这些研究结果的重要性。
出 处：
Skeletal radiology. 2010 Mar
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
16
参考中文标题：
在膝关节解剖变异磁共振成像：第2部分：杂项。
作者单位：
Department of Radiology, The Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP, UK, philippatyler@msn.com.
PMID及链接：
20221595 http://www.syyxw.com/Archive/Detail/20221595
全文链接：
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摘 要：
Magnetic resonance imaging is the modality of choice for investigation of internal derangement of the knee. The reporting radiologist must be familiar with both normal anatomy and anatomical variants within the knee, in order to avoid mis-diagnosis, over-investigation and unnecessary intervention. This article reviews the recognised anatomical variants of the non-ligamentous/musculotendinous structures of the knee, their anatomy, incidence and typical appearances on MRI.
参考中文摘要：
磁共振成像是首选的膝关节内紊乱的调查方式。放射科医生的报告，必须与正常解剖和解剖变异在膝盖熟悉，为了避免错误诊断，过度调查和不必要的干预。本文回顾了在膝关节non-ligamentous/musculotendinous承认解剖结构变异，其解剖，发生率和MRI上的典型表现。
出 处：
Skeletal radiology. 2010 Mar
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17
参考中文标题：
由M.孙达拉姆，医学博士2010年5月抽象浏览器的说明。
作者单位：
PMID及链接：
20221827 http://www.syyxw.com/Archive/Detail/20221827
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出 处：
Skeletal radiology. 2010 Mar
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
18
参考中文标题：
手指骨折的影像：锥束CT与多层准确性电脑断层扫描。
作者单位：
Department of Radiology, G.B. Rossi Hospital, University of Verona, Piazzale Scuro 10, 37134, Verona, Italy.
PMID及链接：
20224906 http://www.syyxw.com/Archive/Detail/20224906
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摘 要：
OBJECTIVE: To compare the diagnostic accuracy and radiation exposure of cone beam computed tomography (CBCT) and multislice computed tomography (MSCT) in the evaluation of finger fractures. MATERIALS AND METHODS: In a 3-year period, 57 consecutive patients with post-traumatic fractures of the metacarpal-phalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints with involvement of the articular surface were studied by means of CBCT and MSCT. Student's t test was used to compare CBCT and MSCT accuracy in evaluating the percentage of joint surface involvement and in detecting bone fragments. The average tissue-absorbed doses of CBCT and MSCT were also compared. A value of p < 0.05 was considered statistically significant. Inter-observer agreement was calculated. RESULTS: In all cases, CBCT allowed the percentage of articular involvement to be correctly depicted compared with MSCT, showing 100% sensitivity and specificity (p < 0.001). A total of 103 bone fragments were depicted on MSCT (mean 3.8 per patient, range 1-23). CBCT indicated 92 out of 103 fragments (89.3%) compared with MSCT (mean diameter of missed fragments 0.9 mm, range 0.6-1.3 mm), with no statistically significant difference between CBCT and MSCT (p < 0.025). Multislice CT radiation exposure was significantly higher than that of CBCT (0.18 mSv vs 0.06 mSv, p < 0.0025). Inter-observer agreement was good (overall kappa = 0.89-0.96). CONCLUSIONS: Cone beam CT may be considered a valuable imaging tool in the preoperative assessment of finger fractures, when MSCT is not available.
参考中文摘要：
目的：比较诊断的准确性和辐射锥束照射电脑断层扫描（过境巴士总站）和多层在手指评价螺旋CT（MSCT）骨折。材料与方法：在3年期间，连续57个患者的掌骨，指骨（MCP）技术，近端指间（画中画创伤后骨折）和远端指间（浸）与关节的关节面的参与进行了研究手段多层螺旋CT的过境巴士总站及。学生t检验进行比较评估关节面的参与率和检测骨头碎片的过境巴士总站及多层螺旋CT的准确性。该组织，平均吸收剂量的过境巴士总站及多层螺旋CT进行了比较。阿的p值<0.05为显着。跨观察员协议计算。结果：在所有情况下，过境巴士总站，使关节的参与比例，才能正确地描述与多层螺旋CT相比，显示出100％的敏感性和特异性性（P <0.001）。 103个骨头碎片共对多层螺旋CT（描绘每名患者平均3.8，范围1-23）。过境巴士总站，表示92 103片段（89.3％）相比，多层螺旋CT（错失片段0.9毫米，直径0.6-1.3毫米的范围内平均），无显着差异的过境巴士总站和MSCT性（P <0.025）内。多层螺旋CT辐射暴露明显高于过境巴士总站，即（0.18毫希比0.06毫希，磷<0.0025）。跨观察员协议好（Kappa值= 0.89-0.96整体）。结论：锥束CT可考虑在术前评估价值的手指骨折成像工具，多层螺旋CT时不可用。
出 处：
Skeletal radiology. 2010 Mar
相关链接：
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19
参考中文标题：
腹股沟软组织肿块。
作者单位：
Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds, UK.
PMID及链接：
20229179 http://www.syyxw.com/Archive/Detail/20229179
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出 处：
Skeletal radiology. 2010 Mar
相关链接：
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20
参考中文标题：
骨盆粉碎骨折的多排的数字成像和计算机断层扫描评价了四川地震的幸存者。
作者单位：
Department of Radiology, West China Hospital of Sichuan University, 37# Guo Xue Xiang, Chengdu, Sichuan, 610041, China.
PMID及链接：
20237776 http://www.syyxw.com/Archive/Detail/20237776
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摘 要：
OBJECTIVE: To investigate the profile of pelvic crush fractures in earthquake victims on digital radiography (DR) and multidetector computed tomography (MDCT). MATERIALS AND METHODS: One hundred and sixty-seven consecutive survivors of the 2008 Sichuan earthquake with pelvic crush fractures classified into types according to the Tile classification system, entered our study. One hundred and thirty-nine, and 28 patients underwent DR and MDCT scans, respectively. Data were reviewed retrospectively focusing on anatomical sites, numbers, and classification of pelvic ring fractures. RESULTS: Pelvic fractures occurred in the pubis in 88 patients (52.7%), in other pelvic bones in 32 (19.16%), and in both the pubis and other pelvic bones in 47 (28.14%). Pubic fractures were more common than fractures of other pelvic bones, and involvement of bilateral pubis was more common than that of the left or right pubis (all p < 0.05). As for the numbers of pelvic bones involved, multiple fractures occurred in 48.52% patients (81 out of 167) composed predominantly of fractures of two bones in 58.02% (47 out of 81), and were seen more often in bilateral pubis than in any other pelvic bones (p < 0.05). Regarding classifications of pelvic ring fractures, they were Type A in 31 patients (18.56%); Type B in 72 (43.11%), predominantly Type B2 in 26 (15.58%) and Type B3 in 28 (16.77%); and Type C in 64 (38.32%), predominantly Type C3 in 40 (23.95%). CONCLUSION: Pelvic crush fractures particularly including multiple pelvic fractures, occurring predominantly in bilateral pubis, and composed of Type C3 followed by Type B3 and Type B2, could be considered to be the profile of pelvic crush fractures in an earthquake.
参考中文摘要：
目的：探讨骨盆粉碎剖面上地震灾民骨折数字化放射成像（DR）和多排计算机断层扫描（多排螺旋CT）。材料与方法：120 67 2008年四川地震与骨盆粉碎骨折分为连续幸存者类型根据瓷砖的分类系统，进入我们的研究。第一百39日和28例多排螺旋CT扫描DR和分别。数据进行回顾性的解剖部位，数量为重点，分类和骨盆环骨折。结果：骨盆骨折88例（52.7％），其他骨盆骨，耻骨发生在32（19.16％），并在双方和其他骨盆耻骨骨47（28.14％）。耻骨骨折较其他骨盆骨骨折常见，参与双边耻骨比左或右耻骨（均P，共同<0.05）。至于涉及骨盆骨头的数字，多处骨折的病人中48.52％（从81 167）组成的58.02％（主要是47对81的两块骨头骨折的发生），并更经常地看到比任何双边耻骨其他骨盆骨性（P <0.05）。至于骨盆环骨折的分类，他们在A型31例（18.56％），B型72（43.11％），主要是B2型26（15.58％）和B3型28例（16.77％）和C型64（38.32％），主要是C3型40例（23.95％）。结论：骨盆粉碎骨折，特别是包括多个骨盆骨折，耻骨主要发生在双边和C3型组成，由B3型和B2型其次，可以被认为是骨盆粉碎骨折的地震剖面。
出 处：
Skeletal radiology. 2010 Mar
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21
参考中文标题：
进前膝疼痛与髌骨不稳定的一个57岁的父亲和他的女儿有关。
作者单位：
Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, 4th Medical Department, Hanusch Hospital, Heinrich Collin Strasse 30, 1140, Vienna, Austria, ali.alkaissi@osteologie.at.
PMID及链接：
20238212 http://www.syyxw.com/Archive/Detail/20238212
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出 处：
Skeletal radiology. 2010 Mar
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22
参考中文标题：
浏览器的注释引分析由M.孙达拉姆，医学博士2010年6月。
作者单位：
, , , .
PMID及链接：
20352426 http://www.syyxw.com/Archive/Detail/20352426
出 处：
Skeletal radiology. 2010 Mar
相关链接：
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中文提供：
23
参考中文标题：
弹性成像：方式，具体方法，临床应用和研究的视野。
作者单位：
Department of Orthopaedics, University Hospital Balgrist, Forchstrasse 340, 8008, Zurich, Switzerland.
PMID及链接：
20352427 http://www.syyxw.com/Archive/Detail/20352427
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摘 要：
Manual palpation has been used for centuries to provide a relative indication of tissue health and disease. Engineers have sought to make these assessments increasingly quantitative and accessible within daily clinical practice. Since many of the developed techniques involve image-based quantification of tissue deformation in response to an applied force (i.e., "elastography"), such approaches fall squarely within the domain of the radiologist. While commercial elastography analysis software is becoming increasingly available for clinical use, the internal workings of these packages often remain a "black box," with limited guidance on how to usefully apply the methods toward a meaningful diagnosis. The purpose of the present review article is to introduce some important approaches to elastography that have been developed for the most widely used clinical imaging modalities (e.g., ultrasound, MRI), to provide a basic sense of the underlying physical principles, and to discuss both current and potential (musculoskeletal) applications. The article also seeks to provide a perspective on emerging approaches that are rapidly developing in the research laboratory (e.g., optical coherence tomography, fibered confocal microscopy), and which may eventually gain a clinical foothold.
参考中文摘要：
触诊手册已使用了几百年的组织提供健康和疾病的相关说明。工程师们设法使这些日益定量评估，并在日常临床实践中使用。由于发达国家的技术很多都涉及到应用的反应力（图像为基础的组织变形量化即“弹性成像”），这种办法正视范围内的放射科域下降。虽然商业弹性成像分析软件正变得越来越为临床使用提供，这些包的内部运作往往仍然是一个“黑盒子”，就如何有效地运用朝着有意义的诊断方法有限的指导。本评论文章的目的是介绍弹性成像已经为使用最广泛的临床影像学检查（如超声，磁共振成像），开发了一些重要的方法，提供了基本物理原理的基本意义，并讨论两现有的和潜在（肌肉）的申请。文章还旨在提供一个新的方法，迅速在研究实验室（例如，光学相干断层扫描发展的角度来看，纤维状共聚焦显微镜），并可能最终获得临床立足之地。
出 处：
Skeletal radiology. 2010 Mar
相关链接：
PubMed Google学术搜索 Google引文
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24
参考中文标题：
在infrascapular软组织肿块窝。
作者单位：
Department of Radiology, University of California, San Francisco, CA, USA, Seng_Choe_Tham@ttsh.com.sg.
PMID及链接：
20390265 http://www.syyxw.com/Archive/Detail/20390265
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出 处：
Skeletal radiology. 2010 Apr
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
25
参考中文标题：
一位65岁的男子提出与骨盆疼痛。
作者单位：
Department of Radiology, University of Washington Medical Center, Box 357115, 1959 NE Pacific Street, Seattle, WA, 98195, USA.
PMID及链接：
20390266 http://www.syyxw.com/Archive/Detail/20390266
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出 处：
Skeletal radiology. 2010 Apr
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26
参考中文标题：
在infrascapular软组织肿块窝。
作者单位：
Department of Radiology, University of California, San Francisco, USA, Seng_Choe_Tham@ttsh.com.sg.
PMID及链接：
20393710 http://www.syyxw.com/Archive/Detail/20393710
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出 处：
Skeletal radiology. 2010 Apr
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27
参考中文标题：
不寻常的变化对转子区间：胸小的肌腱和韧带的情况下插入coracohumeral异常。
作者单位：
Department of Radiology, CHA Bundang Medical Center, CHA University, 351 Yatap-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-712, Korea.
PMID及链接：
20401480 http://www.syyxw.com/Archive/Detail/20401480
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摘 要：
OBJECTIVE: To evaluate the anomalous insertion of the pectoralis minor tendon with absence of the coracohumeral ligament on MR arthrography and to demonstrate the associated findings seen with this anatomical variation. MATERIALS AND METHODS: We retrospectively reviewed the 335 MR arthrograms of the shoulder joint (mean age 37.8 years) performed from March 2000 to February 2008. Images were evaluated with attention to anomalous insertion of the pectoralis minor tendon and the coracohumeral ligament. RESULTS: Anomalous insertion of the pectoralis minor tendon was demonstrated in 5 out of 335 shoulders (1.5%). The pectoralis minor tendons crossed over the coracoid process and attached directly to a glenohumeral joint capsule, and the coracohumeral ligament was absent in these 5 patients. In these patients, injected contrast material was noted to extend over the coracoid process along the course of the pectoralis minor tendon. Among 5 patients, 3 patients (60%) were diagnosed with SLAP (superior labrum anterior to posterior) lesions. CONCLUSION: Anomalous insertion of the pectoralis minor tendon to the glenohumeral joint capsule and associated absence of the coracohumeral ligament is well demonstrated on MR arthrography. It is an unusual variant of the pectoralis minor muscle insertion, and may be a possible contributing factor in the development of a SLAP lesion.
参考中文摘要：
目的：评价的胸大肌与韧带的MR关节coracohumeral肌腱轻微异常的情况下插入并表现出与此相关的解剖变异看到结果。材料与方法：我们回顾性的肩关节（即335名议员arthrograms平均年龄37.8岁）从2000年3月至2008年2月完成。图像进行评估并注意插入异常的胸小肌腱和韧带的coracohumeral。结果：胸小肌腱的反常表现是在插入5 335肩膀（1.5％）内。在胸小肌腱在喙突划线，并直接连接到一盂肱关节囊，韧带和coracohumeral缺席在这5个病人。在这些患者中，注射对比剂有人指出，扩大对沿胸小肌腱当然喙突。其中5例，3例（60％）与SLAP方法（上级唇前至后确诊）病变。结论：胸小肌腱的异常插入到盂肱关节囊和韧带相关的coracohumeral缺乏良好表现的MR关节。这是对胸小肌插入不寻常的变种，而且可能是一个可能导致的一巴掌病变发展的因素。
出 处：
Skeletal radiology. 2010 Apr
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28
参考中文标题：
一位65岁的男子提出与骨盆疼痛。
作者单位：
Department of Radiology, University of Washington Medical Center, Box 357115, 1959 NE Pacific Street, Seattle, WA, 98195, USA.
PMID及链接：
20405125 http://www.syyxw.com/Archive/Detail/20405125
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出 处：
Skeletal radiology. 2010 Apr
相关链接：
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中文提供：
29
参考中文标题：
垂直方向的敏感性和特异性外侧副韧带作为间接的前交叉韧带撕裂的迹象磁共振成像。
作者单位：
Focus Diagnostics, Sai Baba Temple Lane, Dwarakapuri Colony, Punjagutta, Hyderabad, 5000082, Andhra Pradesh, India, lalithamanohar@rediffmail.com.
PMID及链接：
20411384 http://www.syyxw.com/Archive/Detail/20411384
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摘 要：
OBJECTIVE: To evaluate the correlation between anterior cruciate ligament (ACL) tear and straightened, vertically oriented lateral collateral ligament (LCL). MATERIALS AND METHODS: This study included 556 patients who underwent MRI of the knee and were divided into three subsets based on ACL morphology. Subset 1 included patients with unequivocal normal ACL. Subset 2 included patients with unequivocal ACL tears. Subset 3 included patients with doubtful ACL who underwent arthroscopy. MR images were reviewed and sensitivity and specificity of vertically oriented LCL as an indirect sign of ACL tear were calculated. RESULTS: The MRI results were as follows: subset 1, out of 282 patients, 270 had oblique LCL and 12 demonstrated vertical LCL; subset 2, out of 212 patients, 189 demonstrated vertical LCL and 23 revealed oblique LCL; subset 3, out of 62 patients, 28 patients with vertical orientation of LCL had a possible ACL tear. Patients with oblique LCL orientation (34) were reported as probably having normal ACL. On comparison with arthroscopy, in 28 patients who we reported as having possible ACL tears, there were 17 patients with torn ACL. The rest of the 11 patients revealed no ACL tears. In the group of 34 patients in whom we reported possible normal, arthroscopy-confirmed tear in 5 patients. Sensitivity and specificity of vertical LCL as an indirect sign of ACL tear was found to be 88% and the specificity 92.85%. CONCLUSION: Vertically oriented LCL is a useful indirect MRI sign of ACL tear and aids in making a diagnosis, when ACL appearance is equivocal.
参考中文摘要：
目的：评价与前十字韧带（ACL）的相关性撕裂和拉直，垂直方向的外侧副韧带（拼箱）。材料与方法：本研究包括556名患者接受了膝盖谁MRI和形态分为ACL的基础上分为3个亚群。子集一包含明确的正常ACL的患者。 2子集包含明确的ACL眼泪病人。 3子集包含的ACL谁可疑患者进行关节镜检查。 MR图像进行回顾性和敏感性，并作为ACL的间接标志垂直方向拼箱特异性撕裂进行了计算。结果：MRI检查结果如下：1的子集，从282例，270有斜拼箱和12显示出垂直拼箱，集二，从212例，189表现出垂直拼箱和23日发现斜拼箱，集3，出62例，28例患者的拼箱垂直方向有可能的ACL撕裂。斜方向拼箱患者（34）为可能有正常的ACL报告。与关节镜相比，在28例谁我们有可能为ACL的眼泪报道，有17例患者的前交叉韧带撕裂。对其余11例未发现ACL的眼泪。在34名病人中，我们报告了可能正常，关节镜检查确诊的5例泪组。垂直灵敏度和特异性拼箱作为前交叉韧带撕裂的间接标志被发现是88％，特异性92.85％。结论：垂直方向的拼箱是一个有用的间接标志的ACL撕裂的磁共振成像和作出诊断，当ACL的外观是模棱两可艾滋病。
出 处：
Skeletal radiology. 2010 Apr
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30
参考中文标题：
对于疗效的诊断与盂肱关节不稳患者关节软骨病变的磁共振成像。
作者单位：
Department of Radiology, Mayo Clinic, Rochester, MN, USA.
PMID及链接：
20411385 http://www.syyxw.com/Archive/Detail/20411385
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摘 要：
OBJECTIVE: The purpose of this study was primarily to assess the diagnostic performance of magnetic resonance imaging (MRI) in detecting articular cartilage injuries in patients with glenohumeral instability. A secondary purpose was to assess the diagnostic performance of MRI for detection of Hill-Sachs and Bankart lesions. MATERIALS AND METHODS: A cohort of 87 consecutive patients who underwent diagnostic MRI and shoulder arthroscopy for instability from 1997 to 2006 were identified. Fifty-five patients (63.2%) underwent MRI with intra-articular contrast medium and 32 patients (36.8%) underwent MRI without contrast medium. MR images were reviewed by two radiologists and interpreted by consensus for the presence of articular cartilage lesions (including Hill-Sachs and Bankart lesions), which were then confirmed by reviewing the operative report and images recorded at arthroscopy. RESULTS: Mean patient age was 27.0 +/- 10.2 years with a mean clinical and radiographic follow-up of 29 (range 3-72) months. Cartilage injuries were detected arthroscopically in 55 patients (63%). Bankart and Hill-Sachs lesions were identified arthroscopically in 66 patients (75.9%) and 55 patients (63.2%) respectively. The overall sensitivity and specificity for detection of glenohumeral articular cartilage lesions by MRI were 87.2% and 80.6% respectively. The sensitivity and specificity of MRI in detecting Bankart lesions was 98.4% (95% CI 91.9, 99.7) and 95.2% (95% CI 77.3, 99.2) respectively. The sensitivity and specificity of MRI in detecting Hill-Sachs lesions was 96.3% (95% CI 87.6, 98.9%) and 90.6% (95% CI 75.7, 96.9) respectively. No statistically significant difference was found between MRI examinations with and without intra-articular gadolinium (p = 0.89). CONCLUSION: Magnetic resonance imaging demonstrates high sensitivity and specificity for the diagnosis of articular cartilage injuries in patients with glenohumeral instability. MRI with or without intra-articular contrast medium in this study were equally reliable as a non-invasive method for assessment of articular cartilage damage of the glenohumeral joint prior to diagnostic arthroscopy.
参考中文摘要：
出 处：
Skeletal radiology. 2010 Apr
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31
参考中文标题：
小叶毛细血管瘤在手指软组织：超音波检查。
作者单位：
Department of Radiology, Hallym University College of Medicine, Seoul, South Korea.
PMID及链接：
20428860 http://www.syyxw.com/Archive/Detail/20428860
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摘 要：
OBJECTIVE: The purpose of this study was to describe the sonographic findings of pathologically confirmed subcutaneous lobular capillary hemangioma of the finger in six patients. MATERIALS AND METHODS: The clinical records were reviewed for data, including the patients' age and gender, the clinical presentation, a history of trauma, and the tumor site. The sonographic findings were retrospectively analyzed for the specific location within the superficial tissue, the tumor's size, shape, and margin, the internal echogenicity, the internal echo texture, the presence of calcification, the presence of a hypoechoic rim, and the internal vascularity. RESULTS: The study group consisted of three men and three women, and the six patients' mean age was 39 years (age range: 13-67 years). All the patients were admitted with a painful nodule or a painless protruding nodule in the finger with easy bleeding on contact. In all cases, there was no history of trauma. The mean size of the tumors was 0.85 cm. All the tumors were ill-defined, oval, subcutaneous nodules without calcifications or any hypoechoic rim. Color Doppler sonography showed marked internal vascularity in both the central and peripheral tumor regions in three cases and scanty vascularity in the peripheral region in three cases. CONCLUSIONS: Subcutaneous lobular capillary hemangioma should be considered when an ill-defined, oval, vascular subcutaneous nodule without calcifications or a hypoechoic rim is seen in the soft tissue of the finger, especially if this tumor is a painful small nodule or a painless protruding small nodule with easy bleeding on contact.
参考中文摘要：
目的：本研究的目的是描述经病理证实的小叶皮下6例手指毛细血管瘤的超声结果。材料与方法：临床记录的数据进行了审查，包括病人的年龄，性别，临床表现，历史的创伤，以及肿瘤部位。在超声结果进行回顾性的内表面的组织的具体位置分析，肿瘤的大小，形状和边缘，内部回声，内部回声，钙化的存在，一个低回声环的存在，内部血管。结果：研究组由三男三女，和6个病人的平均年龄为39岁（年龄范围：13-67岁）。所有患者均承认一个痛苦的结节或在与接触容易出血伸出手指无痛结节。在所有情况下，有没有外伤史。该肿瘤的平均大小为0.85公分。所有的肿瘤界限不清，椭圆形，无皮下结节钙化或低回声边缘。彩色多普勒超声检查显示在周边地区的三起案件中，中央和周边3例血管瘤和稀少地区的内部血管。结论：皮下毛细血管瘤小叶时，应该考虑一个不明确的，椭圆形，皮下结节无血管钙化或低回声边缘被认为是在手指软组织，特别是如果这是一个痛苦的小肿瘤结节或小无痛突出结节与接触容易出血。
出 处：
Skeletal radiology. 2010 Apr
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参考中文标题：
布劳尔的注释：由M.引分析孙达拉姆医师July010。
作者单位：
PMID及链接：
20428861 http://www.syyxw.com/Archive/Detail/20428861
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出 处：
Skeletal radiology. 2010 Apr
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33
参考中文标题：
使用化学移磁共振成像量化在冈上肌冈上肌腱受伤，由于脂肪变性。
作者单位：
Department of Radiology, Uludag University Medical Faculty, Gorukle, Bursa, Turkey, drgokhangokalp@yahoo.com.
PMID及链接：
20428862 http://www.syyxw.com/Archive/Detail/20428862
全文链接：
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摘 要：
The objective of this study was to prospectively quantify the fatty degeneration of supraspinatus (SSP) muscle due to SSP tendon injuries by using chemical-shift magnetic resonance imaging (CS-MRI). Forty-one patients with suspected rotator cuff tear or impingement examined with MR arthrography were included in the study. The following images were obtained after injection of diluted gadolinium chelate into glenohumeral joint: fat-saturated T1-weighted spin echo in the coronal, axial, and sagittal-oblique plane; fat-saturated T2-weighted and intermediate-weighted fast spin-echo in the coronal-oblique plane; and T1-weighted spin echo in the sagittal-oblique plane. CS-MRI was performed in the coronal plane using a double-echo fast low-angle shot (FLASH) sequence. SSP tendon changes were classified as normal, tendinosis, and partial and complete tear according to MR arthrography findings. Fatty degeneration was quantified after measurement of signal intensity values within the region of interest (ROI) placed over SSP muscle. Signal intensity (SI) suppression ratio and SI index were calculated with the values obtained. Degrees of fatty degeneration depicted in normal subjects and subjects with rotator cuff injuries were compared. Median (min:max) was used as descriptive values. SI suppression ratio was -3.5% (-15.5:3.03) in normal subjects, whereas it was -13.5% (-28.55:-6.60), -30.7% (-41.5:-20.35), and -43.75% (-62:-24.90) in tendinosis, partial and complete tears, respectively. SI index was 0.75% (-6:11.5) in normal subjects. It was 10% (4.50:27), 26.5% (19.15:35.5), and 41% (23.9:57) in tendinosis, partial and complete tears, respectively. The increase in degree of fatty degeneration parallels the seriousness of tendon pathology. CS-MRI is a useful method for grading fat accumulation within SSP muscle.
参考中文摘要：
这项研究的目的是前瞻性量化冈上脂肪变性（SSP）的肌肉用化学移磁共振成像（铯磁共振成像）由于过磷酸钙肌腱损伤。 41个怀疑有肩袖撕裂的MR关节造影检查或撞击患者纳入研究。下面的图像，得到稀释后注射钆螯合物盂肱关节：脂肪饱和T1加权的冠状，轴和矢状斜平面自旋回波，脂肪，饱和T2加权和中间加权快速自旋回波冠状，斜平面;和T1加权在矢状，斜平面自旋回波。铯进行MRI检查在冠状面使用双回波快速低角度拍摄（闪光）序列。过磷酸钙肌腱被列为正常的变化，末端病，局部和完整的关节撕裂根据他的调查结果。脂肪变性是量化后的信号强度值的测量范围内的感兴趣区域（ROI）的超过过磷酸钙肌肉上。信号强度（SI）的抑制率和SI指数计算得到的数值。脂肪变性度描绘正常人和肩袖损伤对象进行比较。中位数（分：最大）被用作描述值。司抑制比为-3.51％（-15.5:3.03）在正常人，而这是-13.5％（-28.55：-6.60），-30.7％（-41.5：-20.35）和-43.75％（-62： -24.90）在末端病，局部和完整的眼泪，分别。 SI指标为0.75％（-6:11.5）在正常人。这是10％（4.50:27），26.5％（19.15:35.5），41％（23.9:57）在末端病，局部和完整的眼泪，分别。在脂肪变性程度的增加平行于肌腱病变的严重性。铯MRI是分级过磷酸钙肌肉内脂肪积聚的有效方法。
出 处：
Skeletal radiology. 2010 Apr
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34
参考中文标题：
腰椎峡部：检讨。
作者单位：
Department of Bioimaging and Radiological Sciences, Catholic University, School of Medicine, Largo A. Gemelli, 1, 00168, Rome, Italy, a.leonemd@tiscali.it.
PMID及链接：
20440613 http://www.syyxw.com/Archive/Detail/20440613
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摘 要：
Spondylolysis is an osseous defect of the pars interarticularis, thought to be a developmental or acquired stress fracture secondary to chronic low-grade trauma. It is encountered most frequently in adolescents, most commonly involving the lower lumbar spine, with particularly high prevalence among athletes involved in certain sports or activities. Spondylolysis can be asymptomatic or can be a cause of spine instability, back pain, and radiculopathy. The biomechanics and pathophysiology of spondylolysis are complex and debated. Imaging is utilized to detect spondylolysis, distinguish acute and active lesions from chronic inactive non-union, help establish prognosis, guide treatment, and to assess bony healing. Radiography with satisfactory technical quality can often demonstrate a pars defect. Multislice CT with multiplanar reformats is the most accurate modality for detecting the bony defect and may also be used for assessment of osseous healing; however, as with radiographs, it is not sensitive for detection of the early edematous stress response without a fracture line and exposes the patient to ionizing radiation. Magnetic resonance (MR) imaging should be used as the primary investigation for adolescents with back pain and suspected stress reactions of the lumbar pars interarticularis. Several imaging pitfalls render MR imaging less sensitive than CT for directly visualizing the pars defects (regional degenerative changes and sclerosis). Nevertheless, the presence of bone marrow edema on fluid-sensitive images is an important early finding that may suggest stress response without a visible fracture line. Moreover, MR is the imaging modality of choice for identifying associated nerve root compression. Single-photon emission computed tomography (SPECT) use is limited by a high rate of false-positive and false-negative results and by considerable ionizing radiation exposure. In this article, we provide a review of the current concepts regarding spondylolysis, its epidemiology, pathogenesis, and general treatment guidelines, as well as a detailed review and discussion of the imaging principles for the diagnosis and follow-up of this condition.
参考中文摘要：
出 处：
Skeletal radiology. 2010 May
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PubMed Google学术搜索 Google引文
中文提供：
35
参考中文标题：
浏览器的说明。
作者单位：
PMID及链接：
20446085 http://www.syyxw.com/Archive/Detail/20446085
全文链接：
在详细信息中查看
出 处：
Skeletal radiology. 2010 May
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
36
参考中文标题：
基质诱导的自体软骨细胞植入术的膝盖：中期和长期的后续行动的MR关节。
作者单位：
Department of Radiology, Insubria University, Via Guicciardini, 21100, Varese, Italy, eugegeno@libero.it.
PMID及链接：
20446086 http://www.syyxw.com/Archive/Detail/20446086
全文链接：
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摘 要：
OBJECTIVE: To define magnetic resonance (MR) arthrography imaging findings of matrix-induced autologous chondrocyte implantation (MACI) grafts of the knee in order to describe implant behaviour and to compare findings with validated clinical scores 30 and 60 months after MACI implant. MATERIALS AND METHODS: Thirteen patients were recruited (10 male, 3 female) with a total number of 15 chondral lesions. Each patient underwent an MACI procedure and MR arthrography 30 and 60 months after surgery. MR arthrography was performed using a dedicated coil with a 1.5-Tesla unit. The status of the chondral implant was evaluated with the modified MOCART scoring scale. The lining of the implant, the integration to the border zone, the surface and structure of the repaired tissue were assessed, and the presence of bone marrow oedema and effusion was evaluated. For clinical assessment, the Cincinnati score was used. RESULTS: At 60 months, the abnormality showed worsening in 1 out of 15 cases. Integration showed improvement in 3 out of 15 cases, and worsening in 3 out of 15 cases. Two surfaces of the implant showed further deterioration at 60 months, and 1 afflicted implant fully recovered after the same time interval. Implant contrast enhancement at 30 months was seen in 2 out of 15 cases, 1 of which recovered at 60 months. According to the MOCART score, 4 cases were rated 68.4 out of 75 at 30 months and 65 out of 75 at 60 months. The mean clinical score decreased from 8.6 out of 10 at 30 months to 8.1 out of 10 at 60 months. CONCLUSION: Magnetic resonance arthrography improved the evaluation of implants and facilitated the characterisation of MACI integration with contiguous tissues. The follow-up showed significant changes in MACI, even at 60 months, allowing for useful long-term MR evaluations.
参考中文摘要：
目的：确定磁共振（MR）的基质诱导的自体软骨细胞植入关节影像学表现（MCAI课件）的膝关节移植，以描述植入行为，并比较结果验证临床30分和60个月后MCAI课件的植入。材料和方法：13例患者招募（10男，3女）与15软骨病变的总数。每个病人接受1 MCAI课件的过程和MR关节造影30和60个月后手术。 MR关节进行了使用1.5特斯拉单位专用线圈。该软骨植入状况进行了评价与改良评分规模MOCART。该植入面料，在边界地带，表面和修复组织结构上的一体化进行了评估，以及骨髓水肿和积液的存在进行了评价。对于临床评估，辛辛那提评分使用。结果：在60个月，显示恶化的异常1 15例出来。集成显示出3 15例好转，15例中有3个出恶化。两个种植体表面显示在60个月进一步恶化，1折磨植入后完全康复的时间间隔相同。种植体在30个月对比增强主要出现在2 15个病例中，1其中在60个月内收回。据MOCART得分，4例被评为6840出75名30个月和65个75 60个月。平均临床评分从8.6下降了30个月的在10至810出，在60个月10。结论：磁共振关节造影提高了植入的评价，促进了MCAI课件的整合与相邻组织鉴定。的后续行动显示MCAI课件的重大变化，即使在60个月，有用长期允许议员评价。
出 处：
Skeletal radiology. 2010 May
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中文提供：
37
参考中文标题：
磁共振负重软骨下骨小梁影像评价中的膝盖。
作者单位：
Imaging Institute, HB6, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA, schneie1@ccf.org.
PMID及链接：
20449585 http://www.syyxw.com/Archive/Detail/20449585
全文链接：
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摘 要：
OBJECTIVE: Changes in weight-bearing subchondral bone are central to osteoarthritis (OA) pathophysiology. Using MR, knee trabecular bone is typically assessed in the axial plane, however partial volume artifacts limit the utility of MR methods for femorotibial compartment subchondral bone analysis. Oblique-coronal acquisitions may enable direct visualization and quantification of the expected increases in femorotibial subchondral trabecular bone. METHODS: MR acquisition parameters were first optimized at 3 Tesla. Thereafter, five volunteers underwent axial and coronal exams of their right knee. Each image series was evaluated visually and quantitatively. An anatomically standardized region-of-interest was placed on both the medial and lateral tibial plateaus of all coronal slices containing subchondral bone. Mean and maximum marrow signal was measured, and "bone signal" was calculated. RESULTS: The MR acquisition had spatial resolution 0.2 x 0.2 x 1.0 mm and acquisition time 10.5 min. The two asymptomatic knees exhibited prominent horizontal trabeculae in the tibial subchondral bone, while the one confirmed OA knee had disorganized subchondral bone and absent horizontal trabeculae. The subchondral bone signal was 8-14% higher in both compartments of the OA knee than the asymptomatic knees. CONCLUSION: The weight-bearing femorotibial subchondral trabecular bone can be directly visualized and changes quantified in the coronal-oblique plane. Qualitative and quantitative assessments can be performed using the resultant images and may provide a method to discriminate between the healthy and OA knees. These methods should enable a quantitative evaluation of the role of weight-bearing subchondral bone in the natural history of knee OA to be undertaken.
参考中文摘要：
目标：在负重的软骨下骨代谢的变化是至关重要的骨关节炎（OA）发病机制。利用磁共振，膝盖骨小梁通常是在轴面评估，但部分容积文物限制软骨下骨的胫股车厢议员分析方法的有效性。斜冠状直接收购，也可帮助可视化和软骨下骨小梁在胫股预期增加量化。方法：首先致辞采集参数优化3特斯拉。此后，5名志愿者接受了他们的右膝轴和冠状考试。每个视觉图像序列进行了评价和定量。解剖学上的一个标准化的区域的利益放在内侧和外侧都含有软骨下骨片胫骨平台的所有冠。平均和最大的骨髓信号测量，“骨信号”进行了计算。结果：已收购议员空间分辨率为0.2 × 0.2 × 1.0毫米和采集时间10.5分钟。这两个展览在无症状膝盖胫骨软骨下骨小梁突出的水平，而一证实了办公自动化膝盖软骨下骨和无序缺席水平小梁。软骨下骨的信号，在8-14％以上，比无症状膝盖关节炎膝关节都车厢。结论：负重胫股软骨下骨小梁可以直接可视化和冠状，斜平面量化的变化。定性和定量评估，可以进行使用，并可能由此产生的图像提供一个方法之间的健康和退化性膝关节炎的歧视。这些方法应该能够对负重软骨下骨关节炎的膝盖自然历史上的作用进行定量评价。
出 处：
Skeletal radiology. 2010 May
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38
参考中文标题：
精度的CT引导下疑似感染状况后全髋关节置换术后关节的愿望。
作者单位：
Department of Radiology, Hospital Clinic, Universidad de Barcelona, Villarroel 170, Barcelona, 08036, Spain, xtomas61@gmail.com.
PMID及链接：
20449586 http://www.syyxw.com/Archive/Detail/20449586
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摘 要：
OBJECTIVE: To determine the accuracy of guided computed tomography aspiration in the detection of septic hip prosthesis before surgery. MATERIALS AND METHODS: Sixty-three patients (35 women and 28 men; age range, 29-86 years; mean age, 71 years) with clinically suspected septic hip prosthesis were prospectively studied with independent review board (IRB) approval. Volume and microbiological cultures of aspirated fluid and several computed tomography imaging findings such as periprosthetic fluid collections, prosthetic acetabular malposition, and heterotopic ossification were analyzed. All patients underwent revision surgery and infection was finally diagnosed in 33 patients. RESULTS: Statistical comparative analysis was performed comparing computed tomography aspiration and surgical findings (95% CI; level of significance at P = 0.05 two-sided) with 70% sensitivity, 100% specificity, 84% accuracy, 100% positive predictive value, and 75% negative predictive value. Using Fisher's exact test, the presence of periprosthetic fluid collections (P = 0.001), prosthetic acetabular malposition (P = 0.025) and aspirated fluid volume (P = 0.009) were significantly higher in infected than in non-infected prostheses, whereas heterotopic ossification was not (P = 0.429). CONCLUSION: Computed tomography aspiration is accurate to preoperatively diagnose septic hip prosthesis on the basis of volume and bacterial cultures of aspirated joint fluid. Furthermore, imaging findings such as periprosthetic fluid collections and prosthetic acetabular malposition strongly suggest infected prosthesis.
参考中文摘要：
目的：确定在髋关节假体的感染性检测制导精度电脑断层扫描术前的愿望。材料与方法：63名患者（35名妇女和28名男子，年龄范围29-86岁，平均年龄71岁，临床怀疑感染性髋关节假体）进行前瞻性的独立审查委员会（IRB）的批准研究。数量和吸液和一些电脑断层影像表现，如假体周围的微生物培养液收集，人工髋臼错位，异位骨化，并进行了分析。所有患者接受手术和感染修订终于在33例确诊。结果：统计进行比较分析，并比较电脑断层愿望（95％CI为手术结果;水平的意义在P = 0.05双面）与70％的敏感性，特异性100％，84％的准确度，100％，阳性预测值， 75％，阴性预测值。利用Fisher的精确检验，对假体周围性（P = 0.001）流体集合存在，假肢髋臼错位性（P = 0.025）和吸液量（P = 0.009）均显着高于非感染假体感染的高，而异位骨化没有（P = 0.429）。结论：电脑断层扫描的愿望是术前诊断准确的数量依据和细菌培养液吸出联合人工髋关节感染。此外，如假体周围流体的馆藏和髋臼假体错位的影像学表现强烈建议感染假体。
出 处：
Skeletal radiology. 2010 May
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中文提供：
39
参考中文标题：
形态学成像在肌营养不良和炎症性肌病。
作者单位：
Clinique neurologique, CHU de Lille, 59037, Lille Cedex, France, a-degardin@chru-lille.fr.
PMID及链接：
20449587 http://www.syyxw.com/Archive/Detail/20449587
全文链接：
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摘 要：
OBJECTIVE: To determine if magnetic resonance imaging (MR imaging) is useful in the diagnostic workup of muscular dystrophies and idiopathic inflammatory myopathies for describing the topography of muscle involvement. MATERIALS AND METHODS: MR imaging was performed in 31 patients: 8 with dystrophic myotony types 1 (n = 4) or 2 (n = 4); 11 with limb-girdle muscular dystrophy, including dysferlinopathy, calpainopathy, sarcoglycanopathy, and dystrophy associated with fukutin-related protein mutation; 3 with Becker muscular dystrophy; and 9 with idiopathic inflammatory myopathies, including polymyositis, dermatomyositis, and sporadic inclusion body myositis. RESULTS: Analysis of T1 images enabled us to describe the most affected muscles and the muscles usually spared for each muscular disease. In particular, examination of pelvis, thigh, and leg muscles demonstrated significant differences between the muscular diseases. On STIR images, hyperintensities were present in 62% of our patients with muscular dystrophies. CONCLUSION: A specific pattern of muscular involvement was established for each muscular disease. Hyperintensities observed on STIR images precede fatty degeneration and are not specific for inflammatory myopathies.
参考中文摘要：
目的：确定是否磁共振成像（磁共振成像）是描述地形的肌肉参与的肌营养不良和特发性炎性肌病的诊断检查有用。材料与方法：磁共振成像表现31例：8营养不良myotony类型1（4例）或2（4例）; 11例肢带型肌营养不良症，包括dysferlinopathy，calpainopathy，sarcoglycanopathy，并与营养不良有关fukutin相关蛋白突变; 3 Becker型肌营养不良症;及特发性炎性肌病9例，包括多发性肌炎，皮肌炎，包涵体肌炎和零星。结果：T1的图象的分析使我们能够描述受影响最严重的肌肉和肌肉通常每个肌肉疾病幸免。特别是，检查骨盆，大腿，小腿肌肉和肌肉疾病之间的表现差异显着。在STIR图像，高密度显影62人出席在肌营养不良的患者％。结论：肌肉参与的具体模式是建立每个肌肉疾病。高密度显影观察图像先搅拌脂肪变性，炎性肌病是不特定的。
出 处：
Skeletal radiology. 2010 May
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40
参考中文标题：
磁共振成像后续免费后的拇指肌腱尺侧副韧带移植重建。
作者单位：
Department of Radiology, Helsinki University Hospital, PL 900, 00029 HUS, Helsinki, Finland, martina.lohman@fimnet.fi.
PMID及链接：
20449588 http://www.syyxw.com/Archive/Detail/20449588
全文链接：
在详细信息中查看
摘 要：
OBJECTIVE: Our aim was to analyse whether MRI is useful in the follow-up of reconstruction of the ulnar collateral ligament (UCL) of the metacarpophalangeal joint of the thumb, to describe normal postoperative findings, and to evaluate different MR sequences. MATERIAL AND METHODS: Our study material consists of 10 patients who, because of a chronic rupture of the ulnar collateral ligament of the thumb, had been operatively treated using a free tendon graft. The patients were, in addition to the clinical examination and radiographs, also imaged using MRI both pre- and postoperatively. The postoperative MRI controls, undertaken at 2, 12 and 24 months were analysed without knowledge of the clinical or radiographic findings. RESULTS: The reconstructed UCL was well visualised on MRI. One graft rupture was diagnosed on MRI and was later operatively confirmed. No increase in osteoarthritis of the metacarpophalangeal (MP) joint of the thumb was seen during the follow-up. The single most informative MR sequence was T2TSE in the coronal plane. CONCLUSION: Magnetic resonance imaging may provide a clinically valuable means of assessing graft integrity in patients with suspected postoperative graft failure after UCL reconstruction, although we do not consider MRI necessary in the routine follow-up of patients with an uneventful recovery.
参考中文摘要：
目的：我们的目标是要分析是否MRI是在后续工作的尺侧副韧带的拇指掌指关节（UCL）的重建了有用的，来描述正常的术后结果，并评价不同MR序列。材料与方法：我们研究的材料由10名谁，因为一对拇指尺侧副韧带慢性破裂，手术治疗已被使用免费肌腱移植的病人。该患者，除了临床检查和X光片，还用磁共振成像前和术后。术后MRI检查对照，在2进行，12和24个月的未经临床或放射学的知识进行分析的结果。结果：重建的伦敦大学学院是不错的磁共振成像可视化。一个移植破裂的MRI诊断为手术，后来证实。无掌指关节炎的增加（议员）的拇指关节出现在后续行动。最丰富的单一序列议员是在冠状面T2TSE。结论：磁共振成像可提供评估怀疑伦敦大学学院的重建术后移植后功能衰竭患者移植一个完整的临床价值的手段，尽管我们不认为MRI在例行后续病人的术后恢复与必要。
出 处：
Skeletal radiology. 2010 May
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41
参考中文标题：
锇naviculare：一个正常的变异多听小骨的配置。
作者单位：
Department of Radiology, University Hospital, Heraklion, Greece.
PMID及链接：
20454960 http://www.syyxw.com/Archive/Detail/20454960
全文链接：
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摘 要：
OBJECTIVE: To describe the multi-ossicle appearance of the os naviculare on MRI and CT examinations and to correlate this appearance with the published classification of this well-known skeletal variant. MATERIALS AND METHODS: We retrospectively reviewed 148 patients, examined within a 2-year period (170 CT and MRI studies of the foot-ankle), for the presence of os naviculare. This variant was classified according to a widely used system (type I, II, III). In addition, each navicular variant was further reclassified according to the presence of one or more ossicles. The presence of bone marrow edema was also recorded. RESULTS: Accessory navicular bone was identified in 34 cases (20%) of the 170 exams. It was detected in 14 male and 14 female patients with the following incidence: 11.15% type I (19 cases), 4.11% type II (7 cases) and 4.74% type III (8 cases). In six cases the location was bilateral. Among patients with os naviculare, a multi-ossicle appearance with a total incidence of 14.7% (8.8% two ossicle configuration and 5.9% three ossicle configuration) was observed. In two type II cases studied with MRI, there was bone marrow edema suggesting a painful pseudarthrosis. CONCLUSION: The presence of multiple accessory navicular bone ossicles, not previously described with cross-sectional imaging, is reported herein. The pathogenesis and clinical relevance of this uncommon variant needs to be elucidated with further studies.
参考中文摘要：
目的：描述了MRI和CT检查，并与此相关的这条著名的骨骼变出版分类外观操作系统naviculare多听小骨的外观。材料与方法：我们回顾148例，在2年期间审查（170 CT和脚踝MRI研究），为操作系统存在naviculare。这种变异被列为按照一种广泛使用的系统的类型（一，二，三）。此外，每舟变种是进一步重新分类根据一个或多个小骨的存在。骨髓水肿的存在也记录。结果：配件舟骨发现34例（20％的170考试）。这是检测到下列现象：在14个男性和14名女患者的11.15％，I型（19例），4.11％，II型（7例）和4.74％，Ⅲ型（8例）。在6起案件的地点是双边的。在与OS naviculare，一个有14.7％（8.8％2听小骨的配置和5.9％三个听小骨配置）总发病多听小骨，观察病人的外观。在两个II型磁共振成像研究的案件，有骨髓水肿暗示一个痛苦的假关节。结论：多种配件舟骨小骨的存在，而不是先前所描述的横断面成像，报道本。的发病机制及临床意义这一罕见的变异需要进一步研究阐明。
出 处：
Skeletal radiology. 2010 May
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42
参考中文标题：
简化方法，类风湿腕关节的MR图像定量：一个试验性研究。
作者单位：
Department of Radiology, Hokkaido University Hospital, N15 W7, Kita-Ku, Sapporo City, 060-0815, Japan, ktamotamo2@yahoo.co.jp.
PMID及链接：
20454961 http://www.syyxw.com/Archive/Detail/20454961
全文链接：
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摘 要：
OBJECTIVES: To determine an optimal threshold in a simplified 3D-based volumetry of abnormal signals in rheumatoid wrists utilizing contrast and non-contrast MR data, and investigate the feasibility and reliability of this method. MATERIALS AND METHODS: MR images of bilateral hands of 15 active rheumatoid patients were assessed before and 5 months after the initiation of tocilizumab infusion protocol. The volumes of abnormal signals were measured on STIR and post-contrast fat-suppressed T1-weighted images. Three-dimensional volume rendering of the images was used for segmentation of the wrist by an MR technologist and a radiologist. Volumetric data were obtained with variable thresholding (1, 1.25, 1.5, 1.75, and 2 times the muscle signal), and were compared to clinical data and semiquantitative MR scoring (RAMRIS) of the wrist. Intra- and interobserver variability and time needed for volumetry measurements were assessed. RESULTS: The volumetric data correlated favorably with clinical parameters almost throughout the pre-determined thresholds. Interval differences in volumetric data correlated favorably with those of RAMRIS when the threshold was set at more than 1.5 times the muscle signal. The repeatability index was lower than the average of the interval differences in volumetric data when the threshold was set at 1.5-1.75 for STIR data. Intra- and interobserver variability for volumetry was 0.79-0.84. The time required for volumetry was shorter than that for RAMRIS. CONCLUSIONS: These results suggest that a simplified MR volumetric data acquisition may provide gross estimates of disease activity when the threshold is set properly. Such estimation can be achieved quickly by non-imaging specialists and without contrast administration.
参考中文摘要：
目标：确定在一个简化的3D为基础的在利用对比度和非类风湿对比数据议员手腕异常信号容量法的最优阈值，并探讨其可行性和方法的可靠性。材料与方法：对15类风湿患者双侧手部MR图像进行了评估前5个月后，tocilizumab输液协议启动。异常信号的成交量就搅拌后和对比测量脂肪抑制T1加权图像。三维图像的渲染量是用于分割的手腕由议员技师及放射科医生。容积数据，获得可变阈值（1，1.25，1.5，1.75，和2倍的肌肉信号），并进行了比较，临床资料和半定量计分议员（RAMRIS的手腕）。区域内和观察者间变异性和容量法测量需要时间进行评估。结果：体积与临床相关数据参数毫不逊色，几乎整个预先确定的阈值。区间差异相关的有利与RAMRIS当超过阈值的1.5倍，体积比肌肉信号设置数据。重复性指数比容量数据在不同的时间间隔平均水平的阈值时，设置在1.5-1.75搅拌数据。内部和容量法观察者变异性0.79-0.84。为容量法所需的时间明显短的RAMRIS。结论：这些结果表明，一问采集容积数据简化可能提供疾病活动总预算时，阈值设置正确。这种估计很快就可以实现非成像专家和管理无对比。
出 处：
Skeletal radiology. 2010 May
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43
参考中文标题：
Midcarpal不稳定：1放射性观点。
作者单位：
Department of Radiology, Norfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich, Norfolk, NR4 7UY, UK, andoni.toms@nnuh.nhs.uk.
PMID及链接：
20467868 http://www.syyxw.com/Archive/Detail/20467868
全文链接：
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摘 要：
Midcarpal instability (MCI) is the result of complex abnormal carpal motion at the midcarpal joint of the wrist. It is a form of non-dissociative carpal instability (CIND) and can be caused by various combinations of extrinsic ligament injuries that then result in one of several subtypes of MCI. The complex patterns of injury and the kinematics are further complicated by competing theories, terminology and classifications of MCI. Palmar, dorsal, ulna midcarpal instability, and capitolunate or chronic capitolunate instability are all descriptions of types of MCI with often overlapping features. Palmar midcarpal instability (PMCI) is the most commonly reported type of MCI. It has been described as resulting from deficiencies in the ulna limb of the palmar arcuate ligament (triquetrohamate-capitate) or the dorsal radiotriquetral ligaments, or both. Unstable carpal articulations can be treated with limited carpal arthrodesis or the ligamentous defects can be treated with capsulorrhaphy or ligament reconstruction. Conventional radiographic abnormalities are usually limited to volar intercalated segment instability (VISI) patterns of carpal alignment and are not specific. For many years stress view radiographs and videofluoroscopy have been the methods of choice for demonstrating carpal instability and abnormal carpal kinematics respectively. Dynamic US can be also used to demonstrate midcarpal dyskinesia including the characteristic triquetral "catch-up" clunk. Tears of the extrinsic ligaments can be demonstrated with MR arthrography, and probably with CT arthrography, but intact yet redundant ligaments are more difficult to identify. The exact role of these investigations in the diagnosis, categorisation and management of midcarpal instability has yet to be determined.
参考中文摘要：
Midcarpal不稳定（MCI）的是异常复杂的腕运动在手腕midcarpal联合的结果。这是一个非游离腕关节不稳定（CIND）的形式，可以通过外在韧带受伤，然后在MCI的几个亚型引起的一个结果的各种组合。受伤的复杂形态和运动学是更加复杂的竞争理论，术语和MCI的分类。掌，背，尺骨midcarpal不稳定，capitolunate或慢性capitolunate不稳定往往是重叠的特点与MCI的所有类型的描述。掌midcarpal不稳定（PMCI）是最常见的类型MCI的。它被形容为从在手掌弓状韧带（triquetrohamate - capitate尺骨造成肢体缺陷）或背radiotriquetral韧带，或两者兼而有之。腕关节不稳定可以治疗的腕关节或有限的韧带缺陷可以用囊紧缩或韧带重建治疗。常规X线异常，通常仅限于掌侧插段不稳定（网站正式成立）腕对齐模式，不具体。多年来强调的看法和电视透视X光片已显示出不稳定和不正常腕腕运动学分别选择的方法。动态美国也可以用来证明midcarpal运动障碍包括特征triquetral“迎头赶上”弹响。外在韧带的眼泪可以证明的MR关节，并可能与CT关节造影，但尚未完整冗余韧带更难以确定。这些调查的诊断，分类和管理的midcarpal不稳定的确切作用还没有确定。
出 处：
Skeletal radiology. 2010 May
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44
参考中文标题：
经皮sacroplasty与C型臂采用平板探测器的CT：技术可行性和临床疗效。
作者单位：
Department of Radiology, Seoul National University Bundang Hospital, 300 Gumidong, Bundang-Gu, Seongnam-si, Gyeonggi-do, 463-707, Korea, koreaeun@gmail.com.
PMID及链接：
20473493 http://www.syyxw.com/Archive/Detail/20473493
全文链接：
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摘 要：
PURPOSE: Sacroplasty for sacral insufficiency fractures (SIFs) has been performed mostly under computed tomography (CT) or fluoroscopy guidance. The purposes of this study are to describe technical tips and clinical outcomes of sacroplasty under C-arm flat panel detector CT (C-arm CT) guidance, and to compare the cement distributions shown on C-arm CT with those on multi-detector CT (MDCT). MATERIALS AND METHODS: This study consisted of patients who underwent sacroplasty for SIF using C-arm CT from May 2006 to May 2009. Technical success was assessed in terms of cement filling and leakage. Clinical outcome was assessed at short-term (less than 1 month) and long-term (more than 1 month) follow-up using a four-grade patient satisfaction scale: poor, fair, good, and excellent. After sacroplasty, all patients underwent MDCT and three radiologists compared MDCT images with C-arm CT images in consensus, focusing on the cement distribution and cement leakage. RESULTS: Sacroplasties were performed on both sacral alae in all 8 patients (male:female = 2:6, mean age = 76.9, range = 63-82). The technical success rate was 100%. At short-term follow up, 6 patients (87.5%) reported significant improvement. Five patients (62.5%) were available for long-term follow-up and all 5 patients reported a reduced pain and an improved ability to ambulate. Using MDCT as the standard of reference, the cement distribution was visualized equally well by C-arm CT. CONCLUSION: Sacroplasty under C-arm CT showed excellent technical success and good clinical outcome. There was an excellent correlation between C-arm CT and MDCT in evaluating cement distribution and cement leakage.
参考中文摘要：
目的：为骶骨不全骨折Sacroplasty（应力强度因子）下进行了计算机断层扫描（CT）或X线透视引导为主。本研究的目的是描述技术技巧和在C型臂平板探测器的CT（C型臂CT）的指导sacroplasty临床结果，并比较了水泥在C型臂与多探测器的电脑断层分布的CT表现（多排螺旋CT）。材料与方法：本研究包括谁的病人接受sacroplasty应力强度因子从2006年5月用C型臂CT在2009年5月的。技术的成功，评估方面的水泥灌浆和泄漏。临床评估结果在短期（少于1个月）和长期超过1个月（）的后续使用4级病人满意度：贫穷，公平，良好，优秀。 sacroplasty后，所有患者进行MDCT和3比放射科医师在达成共识C臂CT图像多层螺旋CT图像，对水泥及水泥渗漏分布集中。结果：Sacroplasties都分别进行各8例（男：女= 2:6，骶阿拉平均年龄= 76.9，范围= 63-82）。该技术成功率100％。在短期随访，6例（87.5％）报告显着改善。 5例患者（62.5％）为长期的后续行动和所有5例报告了减少疼痛和改进的能力，可行走。利用多层螺旋CT的参照标准，水泥分布可视化同样深受C臂CT检查。结论：在C型臂Sacroplasty CT表现出色的技术成就和良好的临床效果。有一间C型臂CT和多排螺旋CT在评价水泥及水泥渗漏优秀分布的相关性。
出 处：
Skeletal radiology. 2010 May
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45
参考中文标题：
代谢及冷冻治疗的临床疗效评估骨肿块（18）F -脱氧葡萄糖正电子发射断层/计算机断层扫描（PET / CT）和视觉模拟评分法（VAS）：初步经验。
作者单位：
Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital Tor Vergata, Rome, Italy.
PMID及链接：
20490789 http://www.syyxw.com/Archive/Detail/20490789
摘 要：
Various therapy modalities have been proposed as standard treatments in management of bone metastases. Radiation therapy remains the standard of care for patients with localized bone pain, but up to 30% of them do not experience notable pain relief. Percutaneous cryoablation is a minimally invasive technique that induces necrosis by alternately freezing and thawing a target tissue. This technique is successfully used to treat a variety of malignant and benign diseases in different sites. (18)F-FDG positron emission tomography/computed tomography ((18)F-FDG PET/CT) is a single technique of imaging that provides in a "single step" both morphological and metabolic features of neoplastic lesions of the bone. The aim of this study was to evaluate the efficacy of the cryosurgical technique on secondary musculoskeletal masses according to semi-quantitative PET analysis and clinical-test evaluation with the visual analogue scale (VAS). We enrolled 20 patients with painful bone lesions (score pain that exceeded 4 on the VAS) that were non-responsive to treatment; one lesion per patient was treated. All patients underwent a PET-CT evaluation before and 8 weeks after cryotherapy; maximum standardized uptake value (SUV(max)) was measured before and after treatment for metabolic assessment of response to therapy. After treatment, 18 patients (90%) showed considerable reduction in SUV(max) value (>50%) suggestive of response to treatment; only 2 patients did not show meaningful reduction in metabolic activity. Our preliminary study demonstrates that quantitative analysis provided by PET correlates with response to cryoablation therapy as assessed by CT data and clinical VAS evaluation.
参考中文摘要：
各种治疗方式已被提出作为管理的标准治疗骨转移。放射治疗仍然是患者的治疗，局部骨疼痛患者的标准，但高达30％的人没有经历过显着缓解疼痛。经皮冷冻消融是一种微创技术，通过诱导冻融交替坏死组织的目标。这种技术被成功地用于治疗在不同地点的恶性和良性疾病。 （18）F -脱氧葡萄糖正电子发射断层/计算机断层扫描（（18）的F - FDG PET显像/ CT）是一个单一的成像技术，在一个“单步提供”既形态和代谢的骨肿瘤病灶的功能。这项研究的目的是评估对二级骨骼群众低温外科技术功效根据半定量分析和聚酯临床试验评价与视觉模拟评分法（VAS）。我们收集了20个痛苦的骨病变（疼痛评分超出的增值服务4例），这些不符合要求的待遇，一个是每名患者的病灶治疗。所有患者接受冷冻治疗后，之前的PET - CT评价和8周，最大标准摄取值（SUV（max））为检测前，后的治疗反应代谢评估治疗。经过治疗，18例（90％）显示，SUV的大量减少（最大）值（> 50％）对治疗的反应暗示，只有2例未显示有意义的代谢活性下降。我们初步研究表明，定量分析提供相关性聚酯经CT数据增值业务和评估临床评估与响应冷冻治疗。
出 处：
Skeletal radiology. 2010 May
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中文提供：
46
参考中文标题：
阿元分析（18）FDG - PET检查，MRI和骨显像诊断骨转移瘤与乳腺癌患者。
作者单位：
Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, No188, Shizi Street, Suzhou, 215006, People's Republic of China.
PMID及链接：
20495798 http://www.syyxw.com/Archive/Detail/20495798
摘 要：
OBJECTIVE: To perform a meta-analysis comparing the diagnostic value of (18)FDG-PET, MRI, and bone scintigraphy (BS) in detecting bone metastases in patients with breast cancer. MATERIALS AND METHODS: MEDLINE, EMBASE, Scopus, ScienceDirect, SpringerLink, Web of Knowledge, EBSCO, and the Cochrane Database of Systematic Review databases were searched for relevant original articles published from January 1995 to January 2010. Inclusion criteria was as follows: (18)FDG-PET, MRI or (99m)Tc-MDP BS was performed to detect bone metastases (the number of published CT studies was inadequate for meta-analysis and therefore could not be included in this study); sufficient data were presented to construct a 2 x 2 contingency table; histopathological analysis and/or close clinical and imaging follow-up for at least 6 months were used as the reference standard. Two reviewers independently assessed potentially eligible studies and extracted relevant data. A software program called "META-DiSc" was used to obtain the pooled estimates for sensitivity, specificity, diagnostic odds ratio (DOR), summary receiver operating characteristic (SROC) curves, and the *Q index for each modality. RESULTS: Thirteen articles consisting of 23 studies fulfilled all inclusion criteria. On a per-patient basis, the pooled sensitivity estimates for MRI (97.1%) were significantly higher than those for PET (83.3%) and BS (87.0%; P <0.05). There was no significant difference between PET and BS (P <0.05). The pooled specificity estimates for PET (94.5%) and MRI (97.0%) were both significantly higher than those for BS (88.1%; P <0.05). There was no significant difference between PET and MRI (P >0.05). The pooled DOR estimates for MRI (298.5) were significantly higher than those for PET (82.1%) and BS (49.3%; P <0.05). There was no significant difference between PET and BS (P >0.05). The SROC curve for MRI showed better diagnostic accuracy than those for PET and BS. The SROC curve for PET was better than that for BS. The*Q index for MRI (0.935), PET (0.922), and BS (0.872) showed no significant difference (P >/=0.05). On a per-lesion basis, the pooled sensitivity estimates for BS (87.8%) were significantly higher than those for PET (52.7%; P <0.05). The pooled specificity estimates for PET (99.6%) were significantly higher than those for BS (96.1%; P <0.05).The pooled DOR estimates for PET (283.3) were significantly higher than those for BS (66.8%; P <0.05). The SROC curve for PET showed better diagnostic accuracy than that for BS. The*Q index for PET (0.941) was significantly higher than that for BS (0.893; P <0.05). CONCLUSION: Magnetic resonance imaging was found to be better than (18)FDG-PET and BS for diagnosis of bone metastases in patients with breast cancer on a per-patient basis. On a per-lesion basis, (18)FDG-PET had lower sensitivity, higher specificity, a higher DOR, and a higher *Q index than BS.
参考中文摘要：
出 处：
Skeletal radiology. 2010 May
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47
参考中文标题：
症的股骨颈坑：一个femoroacetabular冲击射线的指标呢？
作者单位：
Department of Radiology, Kyung Hee University Medical Center, Kyung Hee University, Hoeki-dong 1, Dongdaemoon-ku, Seoul, 130-702, Korea, jinah_k@hanmail.net.
PMID及链接：
20495799 http://www.syyxw.com/Archive/Detail/20495799
摘 要：
The purpose was to assess the significance of herniation pits in the femoral neck for radiographic diagnosis of femoroacetabular impingement (FAI). Eighty hips in 62 patients (bilateral in 18) with neutral pelvic orientation were enrolled. Herniation pits were diagnosed when they were located at the anterosuperior femoral neck, close to the physis, and with a diameter of >3 mm. The five radiographic signs of FAI were used: lateral center edge angle (LCE) >39 degrees , acetabular index (AI) </=0, extrusion index (EI) <25%, acetabular retroversion, and pistol-grip deformity. Patients with radiographs suggesting FAI were retrospectively correlated with their clinical symptoms. Positive radiographic signs were observed in 7 hips with LCE, 7 with AI, and 80 with EI criteria. Only 3 hips out of 80 (3.8%) showed all of the signs. The acetabular retroversion and pistol-grip deformity were seen in 12/80 and 3/80 hips, respectively. The total number of hips that met radiographic criteria for FAI, including pincer type and cam type, was 18 (23%). However, none of these hips were clinically diagnosed with FAI. All symptomatic hips (11/80) presented only with nonspecific pain, and 2 hips out of 11 showed radiographic signs of FAI. The low frequency of positive radiographic signs suggesting FAI with related symptoms among patients with herniation pits suggests that herniation pits have limited significance in the diagnosis of FAI. Therefore it can be concluded that an incidental finding of herniation pits does not necessarily imply a correlation with FAI.
参考中文摘要：
其目的是评估在供femoroacetabular撞击（辉）X线诊断股骨颈疝坑的意义。 80 62例骨盆中立方向（18双边）髋关节的患者。症坑被诊断时，他们在位于小腿前股骨颈，physis之接近，并与一个直径> 3毫米。固定资产的五个X线标志被用于：横向中心边缘角（伦）> 39度，髋臼指数（AI） </=0, extrusion index (EI) <25%, acetabular retroversion, and pistol-grip deformity. Patients with radiographs suggesting FAI were retrospectively correlated with their clinical symptoms. Positive radiographic signs were observed in 7 hips with LCE, 7 with AI, and 80 with EI criteria. Only 3 hips out of 80 (3.8%) showed all of the signs. The acetabular retroversion and pistol-grip deformity were seen in 12/80 and 3/80 hips, respectively. The total number of hips that met radiographic criteria for FAI, including pincer type and cam type, was 18 (23%). However, none of these hips were clinically diagnosed with FAI. All symptomatic hips (11/80) presented only with nonspecific pain, and 2 hips out of 11 showed radiographic signs of FAI. The low frequency of positive radiographic signs suggesting FAI with related symptoms among patients with herniation pits suggests that herniation pits have limited significance in the diagnosis of FAI. Therefore it can be concluded that an incidental finding of herniation pits does not necessarily imply a correlation with FAI.
出 处：
Skeletal radiology. 2010 May
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48
参考中文标题：
共有身高估计使用安纳托利亚骶骨白种人身高：多排电脑断层扫描为基础的虚拟人体测量学。
作者单位：
Department of Radiology, Inonu University Medical Faculty, Turgut Ozal Medical Center, Malatya, Turkey.
PMID及链接：
20495800 http://www.syyxw.com/Archive/Detail/20495800
摘 要：
OBJECTIVE: Estimation of total body height is a major step when a subject has to be identified from his/her skeletal structures. In the presence of decomposed skeletons and missing bones, estimation is usually based on regression equation for intact long bones. If these bones are fragmented or missing, alternative structures must be used. In this study, the value of sacrum height (SH) in total body height (TBH) estimation was investigated in a contemporary population of adult Anatolian Caucasians. MATERIALS AND METHODS: Sixty-six men (41.6 +/- 14.9 years) and 43 women (41.1 +/- 14.2 years) were scanned with 64-row multidetector computed tomography (MDCT) to obtain high-resolution anthropometric data. SH of midsagittal sections was electronically measured. The technique and methodology were validated on a standard skeletal model. RESULTS: Sacrum height was 111.2 +/- 12.6 mm (77-138 mm) in men and 104.7 +/- 8.2 (89-125 mm) in women. The difference between the two sexes regarding SH was significant (p < 0.0001). SH did not significantly correlate with age in men, whereas the correlation was significant in women (p < 0.03). The correlation between SH and the stature was significant in men (r = 0.427, p < 0.0001) and was insignificant in women. For men the regression equation was [Formula: see text] (r = 0.54, SEE = 56.9, p < 0.0001). CONCLUSION: Sacrum height is not susceptible to sex, or to age in men. In the presence of incomplete male skeletons, SH helps to determine the stature. This study is also one of the initial applications of MDCT in virtual anthropometric research.
参考中文摘要：
目的：总身高估计是重要的一步时，当事人可从他/她的骨骼结构鉴定。在骨骼的分解和失踪骨头的存在，估计是通常是基于完整的长骨回归方程。如果这些骨头碎片或丢失，必须使用替代结构。在这项研究中，骶骨高度（上海）共体高值（TBH）估计是在安纳托利亚白种人的成人当代人口调查。材料与方法：将60名男性（41.6 + / - 14.9岁）和43名妇女（41.1 + / - 14.2岁），扫描64行多排计算机断层扫描（多排螺旋CT），以获得高清晰度人体测量数据。正中矢状节是上海的电子测量。该技术和方法进行了验证在标准骨骼模型。结果：骶骨高度为111.2 + / - 12.6毫米（77-138毫米）的男子和104.7 + / - 8.2（89-125毫米）的妇女。两者之间的关于上海男女差异显着（p <0.0001）。上海并没有显着相关性与男性的年龄，而女性的相关性显着（P <0.03）。上海之间的相关性和显着的地位，男性相关（r = 0.427，磷<0.0001），并在妇女微不足道。男子的回归方程为[公式：见文本]相关（r = 0.54，见= 56.9，磷<0.0001）。结论：骶骨高度不会受到性别，年龄或男性。在不完整的男性骨架的存在，上海有助于确定地位。本研究亦是多排螺旋CT在虚拟人体研究的初步应用之一。
出 处：
Skeletal radiology. 2010 May
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49
参考中文标题：
的可靠性和髌骨不稳定的放射性评估的有效性。一个系统性回顾和meta -分析。
作者单位：
Faculty of Health, University of East Anglia, Queens' Building, Norwich, NR4 7TJ, UK, toby.smith@uea.ac.uk.
PMID及链接：
20496065 http://www.syyxw.com/Archive/Detail/20496065
摘 要：
OBJECTIVE: To determine the discriminative validity and reliability of the evidence base using meta-analysis. MATERIALS AND METHODS: A review of published sources using the databases AMED, CINHAL, EMBASE, MEDLINE, Scopus and the Cochrane Library, and for unpublished material was conducted. All studies assessing the reliability, validity, sensitivity or specificity of magnetic resonance imaging (MRI), computed tomography (CT) or ultrasound (US) of the patellofemoral joint of patients following patellar dislocation, subluxation or instability, were included. A meta-analysis was performed to assess the difference in radiological measurements between healthy controls and subjects with patellar instability in order to assess discrimination validity. A narrative assessment was used to evaluate the inter- and intra-observer reliability as well as the sensitivity and specificity of specific radiological measurements. RESULTS: A total of 27 studies were reviewed. The findings indicated that there was acceptable inter-observer and intra-observer reliability and validity for different methods of assessing patellar height and the sulcus angle with X-ray, MRI and CT methods, and the tibial tubercle-trochlear groove (TT-TG) assessed using CT. There was poor reliability or validity for the assessment of severity of trochlear dysplasia and the sulcus angle using US. CONCLUSION: There is insufficient evidence to determine the reliability, validity, sensitivity or specificity of tests such as the congruence angle, lateral patellar displacement, lateral patellar tilt, trochlear depth, boss height, the crossing sign or Wiberg patellar classification. A critical appraisal of the literature identified a number of recurrent methodological limitations. Further study is recommended to evaluate the reliability and validity of these radiological outcomes using well-designed radiological trials.
参考中文摘要：
目的：确定歧视性有效性和可靠性的证据基础使用Meta分析。材料与方法：使用公布的资料来源审查的数据库AMED，CINHAL，医学文摘库，检索MEDLINE，Scopus和Cochrane图书馆，以及未发表的材料进行。所有的研究评估的可靠性，有效性，敏感性或特异性磁共振成像（MRI检查），电脑断层扫描（CT）或超声髌股关节的病人（美国）以下髌骨脱位，半脱位或不稳定，被包括在内。阿元分析的目的是评估在健康对照组之间以及与髌骨不稳定的科目，以评估放射性测量的有效性歧视差异。阿叙事评估来评估之间和内部的观察员可靠性以及具体的敏感性和特异性放射性测量。结果：共有27个研究进行了综述。研究结果表明，是可以接受的跨观察员和国内观察员的可靠性和评估髌骨高度，用X射线，沟角度不同方法的有效性核磁共振和CT方法，以及胫骨结节，滑车沟（电汇，甘油三酯）评估的CT。有可靠性差，或为不典型增生的滑车沟角和使用美国的严重程度评估的有效性。结论：没有足够的证据，以确定的可靠性，有效性，敏感性或特异性的测试，如一致性的角度，横向髌骨移位，髌骨外侧倾斜，滑车深度，老板的高度，穿越标志或维贝格髌骨分类。一个重要的文学评价方法确定了经常性的一些限制。建议进一步研究，以评估的可靠性和使用这些放射性成果的有效性和设计的放射试验。
出 处：
Skeletal radiology. 2010 May
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50
参考中文标题：
双指导（CT和X线透视）椎体：辐射剂量放射科医师。多少，在哪里？
作者单位：
Radiology Department, Centre hospitalier universitaire, Nice, 06200, France, amorettinicolas@yahoo.fr.
PMID及链接：
20496066 http://www.syyxw.com/Archive/Detail/20496066
摘 要：
OBJECTIVE: The goal of this study was to evaluate the radiation received by the practitioner when performing percutaneous vertebroplasty guided by CT and fluoroscopy for specific anatomical sites: orbits, hands, ankles, and thorax (under lead-lined apron). MATERIALS AND METHODS: Twenty-four vertebroplasties were performed on 18 patients. RESULTS: The anatomical site that was most exposed to radiation was the right hand (0.37 mSv on average). This study demonstrates a significant correlation between the irradiation dose and fluoroscopy duration, reflecting both the quantity of primary-beam radiation and backscattered radiation. The right hand (P = 0.03), left hand (P = 0.02), and the left orbit (P < 0.0001) are the anatomical zones that are the most affected by the combination of these two types of radiation, with cumulative irradiation doses of 0.45, 0.2, and 0.14 mSv, respectively. There was a significant correlation between the patient weight and radiation of the left hand (P = 0.03), the left orbit (P = 0.03), and the thorax (P = 0.02), confirming the major influence of backscattered radiation. CONCLUSIONS: The most irradiated anatomical sites limiting the number of interventions are the left orbit and the right hand.
参考中文摘要：
目的：本研究的目的是评估执业时所表现的CT引导下经皮椎体成形术和透视特定的解剖网站：收到的辐射轨道，手，脚和胸部领导下的林荫围裙（）。材料与方法：24名vertebroplasties分别进行18例。结果：解剖的网站，是最容易受到辐射的是右手（平均为0.37毫希）。本研究显示照射剂量之间的X线透视时间和显着相关，反映了基层束辐射和散射辐射量。右手性（P = 0.03），左手性（P = 0.02），左侧轨道性（P <0.0001）是解剖区是受灾最严重的由辐射这两种类型的组合，累计辐射剂量0.45，0.2和0.14毫希，分别。有一个病人之间的重量和左手性（P = 0.03）辐射，左轨道明显相关（P = 0.03）和胸部性（P = 0.02），证实了散射辐射产生重大影响。结论：最照射限制发言次数解剖部位是左侧轨道和右手。
出 处：
Skeletal radiology. 2010 May
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中文提供：
51
参考中文标题：
质子密度加权膝关节磁共振成像：脂肪抑制与无脂肪抑制。
作者单位：
Department of Radiology, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Korea, capella27@catholic.ac.kr.
PMID及链接：
20512570 http://www.syyxw.com/Archive/Detail/20512570
摘 要：
OBJECTIVE: To prospectively evaluate the diagnostic accuracy of proton density-weighted imaging with and without fat suppression for detecting meniscal tears. MATERIALS AND METHODS: The study involved 48 patients who underwent arthroscopy less than 3 months after proton density-weighted imaging with and without fat suppression. Sagittal images were independently reviewed by two radiologists for the presence of meniscal tears. Medial and lateral menisci were separately analyzed in terms of anterior horn, body, and posterior horn. Interobserver agreement was assessed using kappa coefficients. The McNemar test was used to determine any differences between the two methods in terms of sensitivity and specificity. Arthroscopy findings were used as the diagnostic reference standard. RESULTS: Arthroscopy revealed 71 tears involving 85 meniscal segments: 34 medial meniscal segments and 51 lateral meniscal segments. The sensitivity, specificity, and accuracy of each radiologist were 95% (81/85), 92% (186/203), and 93% (267/288), and 93% (79/85), 93% (189/203), and 93% (268/288) when using fat-suppressed proton density-weighted imaging, and 91% (77/85), 93% (189/203), and 92% (266/288), and 91% (77/85), 93% (188/203), and 92% (265/288) when using proton density-weighted imaging without fat suppression, respectively. Interobserver agreement for meniscal tears was very high with proton-weighted imaging with (kappa = 0.87) or without (kappa = 0.86) fat suppression. There were no significant differences for detection of medial meniscal tears when using proton density-weighted imaging with or without fat suppression for both readers (p > 0.05). CONCLUSION: Fat-suppressed proton density-weighted imaging can replace proton density-weighted imaging without fat suppression for the detection of meniscal tears.
参考中文摘要：
目的：前瞻性评价质子密度加权成像诊断的准确性和检测半月板损伤无脂肪抑制。材料与方法：本研究涉及的48例关节镜谁后不到3质子密度加权成像和脂肪抑制个月没有接受。矢状图像进行独立审查了两个半月板撕裂存在的放射科医师。内，外侧半月板分别分析了前角，身体条件和后角。观察者一致认为，评估采用Kappa系数。该麦克尼马尔测试是用来确定敏感性和特异性方面两种方法之间的任何分歧。关节镜检查结果被用来作为诊断参考标准。结果：关节镜检查发现71个，涉及85个半月板部分泪水：34内侧半月板外侧半月板段和51段。其敏感性，特异性，准确性和每个放射科医师分别为95％（85分之81），92％（二百零三分之一百八十六），93％（二百八十八分之二百六十七），93％（八十五分之七十九），93％（189 / 203）和93％（288分之268）在使用脂肪抑制质子密度加权成像，和91％（八十五分之七十七），93％（二百○三分之一百八十九），92％（288分之266），和91 ％（85分之77），93％（203分之188），92％（二百八十八分之二百六十五）当使用不带脂肪抑制质子密度加权成像，分别。观察者为半月板损伤协议是非常质子加权成像与高（Kappa值= 0.87）或无（Kappa值= 0.86）脂肪抑制。有内侧半月板损伤的检测时并没有使用或不为读者性（P脂肪抑制质子密度加权成像显着差异> 0.05）。结论：脂肪抑制质子密度加权成像可以代替无对半月板撕裂的检测脂肪抑制质子密度加权成像。
出 处：
Skeletal radiology. 2010 May
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中文提供：
52
参考中文标题：
肢体短缩的骨囊肿治疗孤立- 1的比较研究过程中。
作者单位：
Department of Paediatric Orthopaedics, Karol Marcinkowski University of Medical Sciences, ul. 28 Czerwca 1956 135/147, 61-545, Poznań, Poland, glowackimaciej@o2.pl.
PMID及链接：
20521146 http://www.syyxw.com/Archive/Detail/20521146
摘 要：
OBJECTIVE: The aim of this paper is to evaluate the frequency of limb shortening in the course of solitary bone cyst treatment. The correlation between the mode of treatment as well as the occurrence of pathological fracture, cyst location, volume, and locularity were examined. MATERIALS AND METHODS: A retrospective analysis was carried out on 135 patients where 80 underwent curettage and bone grafting and 55 were administered methylprednisolone injection with a mean time to follow-up of 12 years. RESULTS: Based on clinical and radiological evaluation, limb shortening was found in ten patients when the data before and after treatment was compared. Limb shortening ranging from 1 to 5 cm during the course of the treatment was observed: six in humerus, two in femur, two in tibia. Those with epiphyseal changes, magnetic resonance imaging to evaluate the degree of growth plate damage was performed. Patients with and without limb shortening did not differ statistically regarding the applied method of treatment. The cyst volume was significantly larger in the group of patients with limb shortening when compared to the group of patients with no limb shortening. CONCLUSIONS: In patients treated with curettage and bone grafting, the mode of treatment does not increase the frequency of occurrence of iatrogenic limb shortening. In patients with limb shortening, a statistically significant larger volume of the cyst was observed.
参考中文摘要：
目的：本文的目的是评估在孤立性骨囊肿的治疗过程中，肢体缩短频率。之间的处理方式以及相关的病理性骨折，囊肿的位置，体积发生，locularity进行了研究。材料与方法：回顾性分析135例在那里进行80行刮宫术和骨中有55个，平均时间管理甲泼尼龙注射随访12年。结果：根据临床和影像学评价，肢体缩短在10时，发现患者在治疗前的数据进行比较。肢体不等期间缩短疗程1日至5厘米，观察：6肱骨，两个股骨，胫骨2。与骺变化，磁共振成像，以评估这些生长板损伤程度进行。患者无肢体短缩关于统计上没有差异的治疗采用的方法。囊肿体积明显较大的患者组相比，肢体缩短，无肢体缩短到病人。结论：与刮除并植骨治疗的患者，治疗的模式不会增加医源性肢体短缩发生的频率。在肢体缩短，一显着体积较大的囊肿患者的观察。
出 处：
Skeletal radiology. 2010 Jun
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中文提供：
53
参考中文标题：
影像模式在成人颅骨病变。
作者单位：
Department of Diagnostic and Interventional Neuroradiology, Montreal Neurological Institute and Hospital-McGill University Health Center, 3801 Rue University, Montreal, Quebec, Canada, jarred.garfinkle@mail.mcgill.ca.
PMID及链接：
20526773 http://www.syyxw.com/Archive/Detail/20526773
摘 要：
Calvarial lesions often present themselves as clinically silent findings on skull radiographs or as palpable masses that may cause localized pain or soreness. This review aims to explore the radiographic, computed tomography (CT), and magnetic resonance imaging (MRI) characteristics of calvarial neoplastic, inflammatory, and congenital lesions that are common in adults in order to facilitate a structured approach to their diagnosis and limit the differential diagnosis. In addition to reviewing the literature, we reviewed the records of 141 patients of the Montreal Neurological Institute and Hospital with radiologically documented calvarial lesions between 2001 and June 2009. CT is ideal for detecting bony lesions and is helpful in precisely localizing a lesion pre-surgically. MRI is best at identifying intradiploic lesions before they affect the cortical tables and is able to establish extraosseous involvement, especially when paramagnetic contrast is employed.
参考中文摘要：
颅骨病变常常目前自己是对颅骨X光片或可能造成局部疼痛或疼痛明显的群众无临床症状的调查结果。这项检讨旨在探讨X线，电脑断层扫描（CT）和磁共振成像（MRI）的颅骨肿瘤，炎症和先天性病变是常见于成年人，以促进结构化方法，其诊断和鉴别特征限制诊断。除了文献回顾，我们审查了141蒙特利尔神经学研究所和医院，以2001年至2009年6月X线记录颅骨病变的记录。 CT是理想的骨病变的检测，并在病灶精确定位一个预手术治疗有帮助。 MRI是找出intradiploic病变影响了前最佳的表皮层，并能建立extraosseous参与，尤其是当顺磁对比是就业。
出 处：
Skeletal radiology. 2010 Jun
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中文提供：
54
参考中文标题：
锁骨和肩锁关节损伤：一个成像，治疗的审查，及并发症。
作者单位：
Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
PMID及链接：
20526774 http://www.syyxw.com/Archive/Detail/20526774
摘 要：
Fractures of the clavicle account for 2.6-5% of all fractures. Clavicular fractures have traditionally been treated conservatively, however, there has recently been increased interest in surgical repair of displaced clavicular fractures, with resultant lower rates of nonunion and malunion. Treatment of acromioclavicular (AC) separation has traditionally been conservative, with surgery reserved for patients with chronic pain or significant dislocation and acute soft tissue injury. It is important for the radiologist to become familiar with the surgical techniques used to fixate these fractures as well as the post-operative appearance and potential complications.
参考中文摘要：
锁骨骨折的帐户的所有骨折的2.6-5％。锁骨骨折向来保守治疗，然而，最近有增加，因而降低了骨不连及畸形愈合率流离失所锁骨骨折手术修复的兴趣。治疗肩锁（交流）分离历来保守，对慢性疼痛或重大混乱和急性软组织损伤患者保留手术。它是重要的放射科医师成为用来注视这些骨折以及术后并发症的出现和潜在的手术技巧熟悉。
出 处：
Skeletal radiology. 2010 Jun
相关链接：
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中文提供：
55
参考中文标题：
重点对棕色肿瘤的MRI表现：附5例报告。
作者单位：
Department of Radiology, The Catholic University of Korea, College of Medicine, Bucheon St. Mary's Hospital, Sosa-dong, Bucheon, Kyunggi-do, 420-717, Korea.
PMID及链接：
20549204 http://www.syyxw.com/Archive/Detail/20549204
摘 要：
OBJECTIVE: Brown tumors are focal reactive osteolytic lesions that are encountered in patients with primary or secondary hyperparathyroidism, and these tumors have nonspecific magnetic resonance (MR) imaging findings. However, there are only a few reports on MR imaging of brown tumors. The purpose of this study is to describe the spectrum of MR imaging findings of brown tumors. MATERIALS AND METHODS: The MR imaging features of five patients with clinical and pathological evidence of brown tumor were retrospectively reviewed by two radiologists. The patients had primary hyperparathyroidism, which was confirmed as parathyroid adenoma (n = 2) and parathyroid carcinoma (n = 3). The MR images were evaluated for the presence of solid or cystic portions, the signal intensity of the lesions, the contrast enhancement pattern and the presence of cortex destruction and fluid-fluid levels. RESULTS: Twelve bone lesions were detected on the MR images of five patients; three lesions in two patients, four lesions in one patient, and one lesion in two patients. The tumor was solid in three lesions, mixed solid and cystic in four, and cystic in five. All the solid lesions were accompanied by mixed lesions. Discontinuity of the cortex and adjacent soft-tissue enhancement were seen in all the solid lesions. Fluid-fluid levels were seen in two cases within the cystic component of the mixed lesions and cystic lesions. CONCLUSIONS: The five patients with brown tumor demonstrated a wide spectrum of MR imaging findings. There are few lesions that are osteolytic on the radiographs and that show a short T2 on MR imaging, such as brown tumor. Multiple cystic or mixed lesions are the expected findings of brown tumors.
参考中文摘要：
目的：棕色肿瘤溶骨性病变的反应协调中心正在与小学或中学甲状旁腺功能亢进症患者的困难，而这些肿瘤有非特异性磁共振成像（MRI）结果。然而，只有对棕色肿瘤的磁共振成像数报告。这项研究的目的是描述的棕色肿瘤的MRI表现谱。材料与方法：5个临床和病理证据棕色肿瘤患者磁共振成像的特点进行回顾性分析由两位放射科医师。患者有原发性甲状旁腺功能亢进症，这是作为甲状旁腺腺瘤2例（确认）和甲状旁腺癌（3例）。磁共振图像的固体或囊性部分存在评价，对病灶的信号强度，对比增强模式及皮质破坏和液体的液面高度存在。结果：12对骨骼病变患者的MR影像五个检测，3个病灶2例，1例4个病灶，1病变2例。肿瘤是固体3病灶，囊实性混合在四，五囊性。所有的实性病变伴有混合性病变。皮层和邻近的软组织增强间断主要出现于所有的实性病变。流体液面高度主要出现在两起案件内的混合病变囊性病变囊性组成部分。结论：用棕色肿瘤患者的5磁共振成像表现出了广泛的调查结果。但是也有一些X光片上的溶骨性病变，并没有几个，像棕色瘤的磁共振成像，短T2。多个囊性或混合性病变，是棕色肿瘤的预期结果。
出 处：
Skeletal radiology. 2010 Jun
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中文提供：
56
参考中文标题：
一个对前，后斜远端胫腓联合磁共振图像平面的附加价值。
作者单位：
Department of Radiology, Erasmus University Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands, jjhermans@gmail.com.
PMID及链接：
20549205 http://www.syyxw.com/Archive/Detail/20549205
摘 要：
OBJECTIVE: The optimal MRI scan planes of collateral ligaments of the ankle have been described extensively, with the exception of the syndesmotic ligaments. We assessed the optimal scan plane for depicting the distal tibiofibular syndesmosis. MATERIALS AND METHODS: In order to determine the optimal oblique caudal-cranial and lateral-medial MRI scan plane, two fresh frozen cadaveric ankles were used. The angle of the scan plane that demonstrated the anterior and posterior distal tibiofibular ligament uninterrupted in their full length was determined. In a prospective study this oblique scan plane was then used in addition to the axial and coronal planes, for MRI scans of both ankles in 21 healthy volunteers. Two observers independently evaluated the anterior tibiofibular ligament (ATIFL) and posterior tibiofibular ligament (PTIFL) regarding the continuity of the individual fascicles, thickness and wavy contour of the ligaments in both the axial and the oblique plane. Kappa was calculated to determine the interobserver agreement. McNemar's test was used to statistically quantify the significance of the two scan planes. RESULTS: In the axial plane the ATIFL was in 31% (13/42) partly and in 69% (29/42) completely discontinuous; in the oblique plane the ATIFL was continuous in 88% (37/42) and partly discontinuous in 12% (5/42). Compared with the axial plane, the oblique plane demonstrated significantly less discontinuity (p < 0.001), but not significantly less thickening (p = 1.00) or less wavy contour (p = 0.06) of the ATIFL. In the axial scan plane the PTIFL was continuous in 76% (32/42), partially discontinuous in 19% (8/42) and completely discontinuous in 5% (2/42); in the oblique plane the PTIFL was continuous in 100% (42/42). Compared with the axial plane, the oblique plane demonstrated significantly less discontinuity (p = 0.002), but not significantly less thickening (p = 1.00) or less wavy contour (p = 0.50) of the PTIFL. The interobserver agreement score and kappa (kappa) regarding the continuity for the ATIFL in the axial and oblique planes was 91% (kappa = 0.79) and 91% (kappa = 0.55) respectively; for the PTIFL it was 86% (kappa = 0.65) and 100% (kappa = not defined). CONCLUSION: The ATIFL and PTIFL are routinuely scanned in the orthogonal planes. The advantage of MRI scanning in an oblique image plane of about 45 degrees permits a better evaluation of the ligaments compared with the axial plane, particularly a better interpretation of ligament continuity, thickening and wavy contour. This may lead to a reduction in false-positive results, especially regarding partial or complete ligament ruptures. This can be of considerable aid in therapeutic management.
参考中文摘要：
出 处：
Skeletal radiology. 2010 Jun
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中文提供：
57
参考中文标题：
磁共振成像骨软组织感染：扩散加权成像工具检测脓肿形成。
作者单位：
Department of Radiology, McMaster University, Hamilton, Ontario, Canada, L8N 2A6, sriniharish@gmail.com.
PMID及链接：
20552358 http://www.syyxw.com/Archive/Detail/20552358
摘 要：
PURPOSE: Our objectives were to assess if diffusion-weighted imaging (DWI) can help identify abscess formation in the setting of soft tissue infection and to assess whether abscess formation can be diagnosed confidently with a combination of DWI and other unenhanced sequences. METHODS: Eight cases of soft tissue infection imaged with MRI including DWI were retrospectively reviewed. RESULTS: Two male and six female patients were studied (age range 23-50 years). Unenhanced MRI including DWI was performed in all patients. Post-contrast images were obtained in seven patients. All patients had clinically or surgically confirmed abscesses. Abscesses demonstrated restricted diffusion. DWI in conjunction with other unenhanced imaging showed similar confidence levels as post-contrast images in diagnosing abscess formation in four cases. In two cases, although the combined use of DWI and other unenhanced imaging yielded the same confidence levels as post-contrast imaging, DWI was more definitive for demonstrating abscess formation. In one case, post-contrast images had a better confidence for suggesting abscess. In one case, DWI helped detected the abscess, where gadolinium could not be administered because of a contraindication. CONCLUSION: This preliminary study suggests that DWI is a useful adjunct in the diagnosis of skeletal soft tissue abscesses.
参考中文摘要：
目的：我们的目标是评估是否扩散加权成像（DWI）能帮助确定在软组织感染设置脓肿形成，并评估是否脓肿形成，可诊断为DWI及其他平扫序列组合充满信心。方法：八个软组织感染包括弥散磁共振成像例进行回顾性分析。结果：两男六女患者进行了研究（年龄范围23-50岁）。非增强磁共振弥散加权成像是进行包括所有患者。会后，获得的图像对比度7例。所有病人在临床或手术证实脓肿。脓肿表现限制扩散。与其他平扫表现为弥散成像结合后对比图像诊断4例脓肿形成类似的信心水平。在两起案件，虽然DWI及其他平扫成像联合使用后取得了作为对比成像同样的信心水平，更用行动证明，弥散脓肿形成明确的。在一个案例中，后对比图像有更好的建议脓肿的信心。在一个案例中，发现脓肿弥散帮助，其中钆不能因为一个禁忌管理。结论：初步研究表明，弥散是在骨软组织脓肿诊断有用的辅助手段。
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
58
参考中文标题：
如果一个69岁的男子长期大腿肿块。
作者单位：
Edinburgh University College of Medicine and Veterinary Medicine, The Chancellor's Building 2nd Floor, 49 Little France Crescent, Edinburgh, EH16 4SB, UK, beggs1@googlemail.com.
PMID及链接：
20559631 http://www.syyxw.com/Archive/Detail/20559631
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
59
参考中文标题：
经常性的骨样骨瘤：间质激光烧蚀根据磁共振成像指导。
作者单位：
Department of Radiology, Charité, Humboldt-Universit?t zu Berlin, Charitéplatz 1, 10117, Berlin, Germany, florian.streitparth@charite.de.
PMID及链接：
20563575 http://www.syyxw.com/Archive/Detail/20563575
摘 要：
Thermal ablation has become a therapy of choice in the treatment of osteoid osteomas. To date, computed tomography has been the standard imaging modality for minimally invasive treatment regimes. We report a case of a 46-year-old man with a recurrent osteoid osteoma in the right tibial head after CT-guided drill excision and repeat treatment with laser ablation under open high-field MRI guidance. We describe the steps of the interventional MRI procedure and discuss related innovative guidance and monitoring features, and potential benefits of MRI compared with CT-guided techniques. In conclusion, MR-guided laser ablation was proved to be safe and effective.
参考中文摘要：
热消融已成为一种选择的骨样骨瘤的治疗疗法。迄今为止，电脑断层一直是微创治疗方案标准的成像方式。我们报告一个经常在右后CT引导下切除术和激光钻下开高场磁共振引导消融治疗胫骨头重复骨样骨瘤的一名46岁男子。我们描述的介入磁共振成像过程的步骤，并讨论与创新的指导和监控功能，以及MRI与CT引导技术相比，潜在的好处。总之，MR引导下激光烧蚀被证明是安全有效的。
出 处：
Skeletal radiology. 2010 Jun
相关链接：
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中文提供：
60
参考中文标题：
肩磁共振关节造影：钆与生理盐水精度为肩袖和labral病理学。
作者单位：
Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC, 27710, USA, clyde.helms@duke.edu.
PMID及链接：
20563802 http://www.syyxw.com/Archive/Detail/20563802
摘 要：
OBJECTIVE: The purpose of this study was to evaluate the necessity of intra-articular gadolinium versus saline alone in magnetic resonance arthrography (MRA) of the shoulder. MATERIALS AND METHODS: Our database was reviewed for 100 consecutive shoulder MRA examinations performed between January 2007 and December 2007. Patient information was blinded and images were retrospectively reviewed by at least two radiologists with dedicated musculoskeletal training. T2-weighted (T2W) images were initially analyzed in isolation to simulate MRA with saline alone. After a delay, the full study was analyzed including T1-weighted (T1W) and T2W images. If there was a significant discordance between the two analyses with regard to rotator cuff or labral pathology, the study was again reviewed by all evaluators in consensus to determine if the T1W images offered additional diagnostic information and increased diagnostic confidence. RESULTS: Of the 100 MRA examinations, there were 15 discordant cases. Two cases were discordant with regard to rotator cuff pathology and 13 were discordant on the basis of labral pathology. When the discordant cases were reviewed in consensus, the T2W images appeared to display rotator cuff and labral pathology as definitively as the T1W images. Interobserver and intraobserver variability was favored to have played a role in causing the discordances. CONCLUSIONS: MRA of the shoulder performed with joint distention provided by saline alone appears to offer equivalent diagnostic information to MRA performed with gadolinium enhancement. This protocol modification improves efficiency by eliminating several image series and provides a small cost savings by eliminating gadolinium.
参考中文摘要：
目的：本研究的目的是评估关节内的必要性与生理盐水中钆磁共振造影的肩膀（MRA）检查单。材料与方法：我们的数据库进行了审查，连续承担了100 MRA的2007年1月至2007年12月进行考试。患者信息被蒙蔽和图像进行回顾性至少由两个专门的训练肌肉骨骼放射审查。 T2加权（T2加权）图像进行初步分析，模拟与生理盐水隔离单独MRA检查。经过延迟，全面研究分析了包括T1加权（序列T1WI）和T2加权图像。如果有两种分析之间就重大不一致肩袖或labral病理学，这项研究是在协商一致再次评估审查，以确定是否扫描的T1WI提供更多的诊断信息，提高了诊断的信心。结果：在100 MRA的考试，有15不和谐的情况。两方面的不协调例，以肩袖病理和13人在labral病理基础不和谐。当不和谐的案件审查中达成共识，在T2加权图像出现显示肩袖和明确的扫描的T1WI labral病理为。观察者和被观察者变异有利于发挥了作用，造成脱节的。结论：与生理盐水联合扩张提供单独执行的肩膀MRA的出现相当于提供诊断信息，钆增强MRA检查与执行。此协议改性提高了效率，消除几种图像系列，并提供消除钆一个小的成本节约。
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
61
参考中文标题：
如果一个69岁的男子长期大腿肿块。
作者单位：
Edinburgh University College of Medicine and Veterinary Medicine, The Chancellor's Building 2nd Floor, 49 Little France Crescent, Edinburgh, EH16 4SB, UK, beggs1@googlemail.com.
PMID及链接：
20567968 http://www.syyxw.com/Archive/Detail/20567968
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
62
参考中文标题：
骨死骨：核医学科审查。
作者单位：
Department of Radiology, Lariboisière Hospital, 2 rue Ambroise Paré, 75475, Paris, Cedex 10, France, fejennin@yahoo.fr.
PMID及链接：
20571796 http://www.syyxw.com/Archive/Detail/20571796
摘 要：
According to a pathological definition, a bony sequestrum is defined as a piece of devitalized bone that has been separated from the surrounding bone during the process of necrosis. However, the radiological definition of a sequestrum is different and refers to an image of calcification visible within a lucent lesion, completely separated from the surrounding bone, without referring to the vascular status and histological nature of the calcified tissue. The term "button sequestrum" has been used in calvarial lesions. The prototype conditions that may present with a bony sequestrum are osteomyelitis and skeletal tuberculosis. Other conditions such as radiation necrosis, eosinophilic granuloma, metastatic carcinoma, primary lymphoma of bone, aggressive fibrous tumors may also manifest as osteolytic lesions containing a sequestrum. In addition, some primary bone tumors produce a matrix that may mineralize and sometimes simulate a bone sequestrum. These include osteoid tumors (osteoid osteoma, osteoblastoma), cartilaginous tumors (chondroma and chondroblastoma), lipomatous tumors (lipoma), and benign fibrous tumors (fibromyxoma, myxoma, and desmoplastic fibroma). Therefore, various conditions may present at imaging as a small area of osteolysis containing central calcifications. However, a careful analysis of the sequestrum as well as the associated clinical and radiological findings often enables to point toward a limited number of conditions.
参考中文摘要：
据病理定义，骨死骨被定义为一种灭活骨已从周围骨分离过程中的坏死部分。然而，一死骨放射性定义是不同的，是指在一个透亮的钙化病变图像可见，完全脱离周围的骨头没有提到地位和血管钙化组织病理性质。术语“按钮死骨”已被用于颅骨病变。该样机目前的条件，可能是一个骨骨髓炎死骨和骨结核。如辐射坏死，嗜酸性肉芽肿，转移性癌，原发性骨淋巴瘤，也可作为攻击载有溶骨性病变明显死骨纤维瘤的其他条件。此外，一些初级骨肿瘤产生一个矩阵，有时可能矿化模拟骨死骨。这些措施包括骨样瘤（骨样骨瘤，骨母细胞瘤），（软骨瘤软骨和软骨母细胞瘤），脂肪瘤肿瘤（脂肪瘤），而良性的（纤维黏液瘤，黏液瘤纤维瘤，纤维瘤和韧带）。因此，在各种条件下可能会出现一个包含中央钙化的骨溶解小面积成像。然而，仔细分析的死骨，以及相关的临床和影像学结果往往使矛头指向一个条件有限。
出 处：
Skeletal radiology. 2010 Jun
相关链接：
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中文提供：
63
参考中文标题：
腰椎小关节：对现有知识的审查：第二部分：诊断和管理。
作者单位：
NYU School of Medicine, Rusk Institute of Rehabilitation Medicine, 317 East 34th Street, 5th Floor, New York, NY, 10016, USA.
PMID及链接：
20577735 http://www.syyxw.com/Archive/Detail/20577735
摘 要：
This article is the second article in a two-part review on lumbar facet joint pathology. In this review, we discuss the current concepts and controversies regarding the proper diagnosis and management of patients presenting with presumed facet-mediated lower back pain. All efforts were made to include the most relevant literature from the fields of radiology, orthopaedics, physiatry, and pain management. Our focus in this article is on presenting the evidence supporting or refuting the most commonly employed injection-based therapies for facet-mediated lower back pain.
参考中文摘要：
本文是在对腰椎小关节病变两部分组成的审查第二篇文章。在这篇综述中，我们讨论了当前有关争议的概念和正确的诊断和治疗病人的推定面介导下背痛介绍。作了一切努力，包括从放射学领域最相关的文献，骨科，康复科和疼痛管理。我们的重点是在这篇文章中提出的证据支持或反驳最常用的注射剂为基础的面介导下背部疼痛的治疗方法。
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
64
参考中文标题：
“发现异常病变的斜坡”：介绍。
作者单位：
Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium, filip.vanhoenacker@telenet.be.
PMID及链接：
20577736 http://www.syyxw.com/Archive/Detail/20577736
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
65
参考中文标题：
重培训MRI表现接触体育运动员的无症状竞争耻骨地区的影响较非运动员的控制。
作者单位：
Department of Surgery, Kuopio University Hospital, 70211, Kuopio, Finland, hannu.paajanen@kuh.fi.
PMID及链接：
20582412 http://www.syyxw.com/Archive/Detail/20582412
摘 要：
OBJECTIVE: Bone marrow edema (BME) at the pubic symphysis on magnetic resonance imaging (MRI) is usually associated with groin pain and stress injury of the pubic bone. Little is known of the pubic MR imaging findings of asymptomatic heavy training athletes in contact sports. MATERIALS AND METHODS: Pelvic MRI of male asymptomatic soccer (n = 10), ice hockey (n = 10), bandy (n = 10) and female floor-ball players (n = 10) were compared with non-athlete controls (10 males, 10 females) without groin pain to analyse the presence of BME (on a four-point scale). To study the possible changes of BME directly following heavy physical activity, 10 bandy players underwent MRI before and immediately after a 2-h training session. RESULTS: Magnetic resonance imaging showed minimal BME (grade 1) at the pubic symphysis in 19 of the 40 athletes (48%). Two soccer and 2 ice hockey players (20%) had moderate grade 2 pubic edema, but severe grade 3 BME findings were not found. Also 10 out of 20 (50%) of controls had grade 1 BME. The extent of increased signal was equally distributed in the asymptomatic athletes of different contact sports and controls. A heavy 2-h training session did not cause any enhanced signal at the pubic symphysis. CONCLUSIONS: This study indicates that the presence of grade 1 pubic BME was a frequent finding in contact sports and comparable to that in non-athletes. Grade 2 BME was found only in asymptomatic athletes undergoing heavy training.
参考中文摘要：
目的：骨髓水肿磁共振成像对耻骨联合（生物医学工程）（MRI）是通常与腹股沟疼痛和应力耻骨损伤。几乎没有人知道的耻骨无症状议员接触大量训练，运动员的运动影像表现。材料与方法：骨盆男性无症状足球（10例MRI检查），冰上曲棍球（10例），班迪（10例）和女性的地板球的球员（10例）进行比较与非运动员的控制（10男，女10无腹股沟疼痛），分析了存在于生物医学工程的四点量表（）。为了研究生物医学工程可能发生的变化直接重体力活动后，10班迪球员进行MRI检查前，后2 - H的培训会议。结果：磁共振成像显示，在40名运动员（48％）19最小的生物医学工程（一级）在耻骨联合。两个足球和冰球运动员2（20％）有中度2阴部水肿，但严重的3级生物医学工程研究结果没有找到。还有10个在20个（50％的控制）有1级生物医学工程。但增加的信号范围也同样分布在不同的接触运动和控制无症状的运动员。一个沉重的2 - H的训练并没有造成任何在耻骨联合增强信号。结论：本研究表明，生物医学工程1级阴毛的存在是一个体育和接触频繁寻找可比非运动员了这一点。二级生物医学工程，发现只有在发生重培训无症状的运动员。
出 处：
Skeletal radiology. 2010 Jun
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中文提供：
66
参考中文标题：
科学论文会议。
作者单位：
PMID及链接：
20585944 http://www.syyxw.com/Archive/Detail/20585944
出 处：
Skeletal radiology. 2010 Jun
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
67
参考中文标题：
不寻常的斜坡病变：诊断和讨论。
作者单位：
Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium, filip.vanhoenacker@telenet.be.
PMID及链接：
20585945 http://www.syyxw.com/Archive/Detail/20585945
出 处：
Skeletal radiology. 2010 Jun
相关链接：
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中文提供：
68
参考中文标题：
关节镜下全内半月板修复，半月板是否愈合？ ：阿临床和放射后续研究，以验证半月板愈合使用3 - T的磁共振成像。
作者单位：
Department of Traumatology and Sports Injuries, 5020, Muellner Hauptstrasse 48, Salzburg, Austria, t.hoffelner@salk.at.
PMID及链接：
20589497 http://www.syyxw.com/Archive/Detail/20589497
摘 要：
OBJECTIVE: The purpose of this study was to correlate clinical and radiological results using a 3-T MRI to verify meniscal healing after arthroscopic all-inside meniscus repair. MATERIALS AND METHODS: We selected 27 patients (14 men and 13 women) with an average age of 31 +/- 9 years and retrospective clinical examinations and radiological assessments using a 3-T MRI after all-inside arthroscopic meniscal repair were conducted. Repair of the medial meniscus was performed in 19 patients and of the lateral meniscus in eight. In 17 patients (63%), we performed concomitant anterior cruciate ligament reconstruction. The mean follow-up period was 4.5 +/- 1.7 years. The Lysholm score and Tegner activity index were used for clinical evaluation. Four grades were used to classify the radiological signal alterations within the meniscus: central globular (grade 1); linear horizontal or band-like (grade 2); intrameniscal alterations and linear signal alterations communicating with the articular surface (grade 3); and complex tears (grade 4). RESULTS: At follow-up, the average Lysholm score was 76 +/- 15 points, with ten of the patients placed in group 6 based on the Tegner activity index. MRI examinations revealed no signal alteration in three patients, grade 1 in 0, grade 2 in five, grade 3 in 13, and grade 4 in six. The MRI findings correlated positively with the clinical scores in 21 patients (78%). CONCLUSIONS: Correlation of clinical and radiological examination was performed using 3-T MRI. In spite of satisfactory clinical outcomes at follow-up, a radiological signal alteration may still be visible on MRI, which was believed to be scar tissue, but could not be proven definitively. Imaging with a 3-Tesla MRI after meniscal suture surgery provides good but no definitive reliability on meniscus healing and therefore gives no advantage compared to 1.5-T MRI, with good clinical outcome using an all-inside arthroscopic meniscal repair. CLINICAL RELEVANCE: 3T-MRI can not substitute diagnostic arthroscopy in patients with persistent complaints after arthroscopic all-inside meniscal repair. LEVEL OF EVIDENCE: Retrospective case series (EBM Level IV).
参考中文摘要：
出 处：
Skeletal radiology. 2010 Jul
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
69
参考中文标题：
扩散张量成像的周围神经。
作者单位：
SUNY Stony Brook University Medical Center, Stony Brook, NY, USA.
PMID及链接：
20593175 http://www.syyxw.com/Archive/Detail/20593175
摘 要：
Magnetic resonance diffusion tensor imaging (DTI) allows the directional dependence of water diffusion to be studied. Analysis of the resulting image data allows for the determination of fractional anisotropy (FA), apparent diffusion coefficient (ADC), as well as allowing three-dimensional visualization of the fiber tract (tractography). We visualized the ulnar nerve of ten healthy volunteers with DTI. We found FA to be 0.752 +/- 0.067 and the ADC to be 0.96 +/- 0.13 x 10(-3) mm(2)/s. A nuts-and-bolts description of the physical aspects of DTI is provided as an educational process for readers.
参考中文摘要：
磁共振扩散张量成像（DTI）的允许水分子扩散方向依赖性进行研究。由此产生的图像数据进行分析可以用于确定分数各向异性（FA）的，表观弥散系数（ADC），以及允许三维纤维束（束成像可视化）。我们的可视化与英国贸工部10名健康志愿者尺神经。我们发现足协将0.752 + / - 0.067和ADC为0.96 + / - 0.13 × 10（-3）毫米（2）/秒一个螺母和螺栓的英国贸工部的物理方面介绍给读者提供的教育过程。
出 处：
Skeletal radiology. 2010 Jul
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
70
参考中文标题：
心脏粘液瘤腺骨转移性癌转移的模仿。
作者单位：
Department of Pathology, Tata Memorial Hospital, E. Borges Road, Parel, Mumbai, 400 012, India, drsguppin@yahoo.co.in.
PMID及链接：
20593176 http://www.syyxw.com/Archive/Detail/20593176
摘 要：
Skeletal metastasis from a cardiac myxoma is rare. We describe an extremely unusual case of a cardiac myxoma metastasing to the femur in a 46-year-old female presenting with pain in the right hip. Radiographs showed an expansile lytic lesion with pathological fracture involving the neck and proximal shaft of the right femur. Histology revealed features of cardiac myxoma with heterologous glandular elements, which was initially mistaken for a metastatic mucin-secreting adenocarcinoma.
参考中文摘要：
从心脏黏液瘤骨转移是罕见的。我们描述了一个心脏metastasing在46岁的在正确的髋关节疼痛呈现女性对股骨黏液瘤极为罕见的病例。 X线片显示与病理涉及颈部和右股骨近端骨折膨胀溶骨性病变。组织学发现心脏粘液瘤的特征与异源腺元素，它最初是为一转移性黏液分泌腺癌错误的。
出 处：
Skeletal radiology. 2010 Jul
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
71
参考中文标题：
浏览器的说明，由M.引分析孙达拉姆，医师2010年9月。
作者单位：
PMID及链接：
20607235 http://www.syyxw.com/Archive/Detail/20607235
出 处：
Skeletal radiology. 2010 Jul
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
72