中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (3): 296-300.

• 断层影像解剖 • 上一篇    下一篇

3D-FS-SPGR序列在膝关节软骨病变的临床应用研究

林志春1, 翟 磊2, 陈燕萍3, 张雪林3   

  1. 武警医学院附属医院 1. PET-CT中心, 2. 骨科,  天津   300162;
    3. 南方医科大学附属南方医院影像中心,  广州   510515
  • 收稿日期:2010-11-20 出版日期:2011-05-25 发布日期:2011-05-21
  • 通讯作者: 陈燕萍, 博士, E-mail: chenyp@fimmu.com E-mail:zhichunlin@126.com
  • 作者简介:林志春(1974-),男,江苏泰州人,医学博士,主要从事影像诊断与核医学方面的研究

Clinical application of 3D-FS-SPGR sequence on the disease of knee articular cartilage

LIN Zhi-chun1 , ZHAI Lei2, CHEN Yan-ping 3, ZHANG Xue-lin 3   

  1. 1.PET-CT Center, The Affiliated Hospital of the Chinese People's Armed Police Force of Medical College, Tianjin 300162,China;  2. Department of Orthopaedics,the Affiliated Hospital of the Chinese People's Armed Police Force of Medical College, Tianjin 300162, China; 3.Imaging Diagnostic Center, Nanfang Hospital, Southern Medical University , Guangzhou 510515, China
  • Received:2010-11-20 Online:2011-05-25 Published:2011-05-21

摘要:

目的 利用3D-FS-SPGR序列测量各期膝关节OA软骨厚度,探讨OA膝关节软骨厚度与病变进展的关系。  方法 62例OA患者行膝关节MRI检查,用3D-FS-SPGR序列测量不同部位关节软骨的厚度,并与20名对照组膝关节MRI检查结果进行比较。  结果 轻度OA组关节软骨厚度与正常组之间无统计学差异(P>0.05),而重度OA组大部分软骨区域软骨厚度与正常组有统计学差异(P<0.05)。软骨厚度的改变可能受到多方面因素的影响,年龄、体重及BMI等与软骨厚度改变之间存在负相关。  结论 关节软骨负重面大部分区域随着OA病情的加重,其软骨厚度变薄,软骨厚度改变可能还受到体重、年龄及性别等因素的影响。

关键词: 骨性关节炎, 膝关节, 软骨, 磁共振成像, 3D-FS-SPGR序列

Abstract:

Objective To detect cartilage thickness and pathological progress at various phases of osteoarthritis (OA) happened in articular genus using MR 3D-FS-SPGR sequence. Methods 62 cases of OA were included in this study for detecting articular cartilage thickness by MR 3D-FS-SPGR sequence, followed by MRI scan. 20 young healthy volunteers were taken as controls and performed MRI detection. Results For gentle OA cases, there was no statistical difference of articular cartilage thickness with that in normal volunteers, however, articular cartilage in serious OA cases was significant different from that in the normal volunteers. In addition, multiple factors, such as sex, age, weight and BMI, might affect the thickness of knee articular cartilage. Conclusions By comparing of articular cartilage thickness between OA cases and healthy volunteers, the articular cartilage thickness in a bulk of cartilage weigh-loading surface attenuated gradually, following with the aggregated OA disease. Except for the degree of disease, it might be affected by multiple factors, such as weight, age, sex, and so on. 

Key words: Osteoarthritis (OA), Articular genu, Cartilage, Magnetic resonance imaging, 3D-FS-SPGR sequence

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