SWI 序列诊断膝关节半月板撕裂可行性的研究.docVIP

SWI序列诊断膝关节半月板撕裂的可行性研究 赵 骏1，陈 伟1，周代全，彭 旭2，段小军2，黎 川3，文亚名3(400038 重庆，第三军医大学西南医院放射科、关节外科) [摘要] 目的 探讨MRI-SWI技术诊断膝关节半月板撕裂的可行性。方法 对40名临床怀疑半月板损伤患者，行MRI T1WI和T2WI-FS、SWI序列扫描，以膝关节镜为金标准对照，比较SWI与T1WI及T2WI-FS诊断半月板撕裂的敏感性、特异性、准确性和诊断效果。结果 T1WI序列敏感性为76.3%，特异性为50%，准确性为75%；T2WI-FS序列敏感性为71.1%，特异性为100%，准确性为72.5%；SWI序列敏感性为94.7%，特异性为50%，准确性为92.5%。T1WI序列和T2WI-FS序列与SWI相比一致性较差，Kappa值分别为0.391和0.288，诊断效果有显著性差异(P0.05)。结论 SWI序列能够应用于膝关节半月板撕裂的诊断，且敏感性和准确性优于T1WI序列和T2WI-FS序列。 [关键词] SWI;半月板;关节镜 [中图法分类号] R445 [文献标志码] A The diagnosis of the meniscal tear of knee by the sequence of SWI: a feasibility study Zhao Jun1, Chen Wei1, Zhou Daiquan, Peng Xu2, Duan Xiaojun2 ,Li Chuan3, Wen Yaming3, (Department of Radiology and joint surgery，Southwest Hospital，Third Military Medical University，Chongqing，400038，China) [Abstract] Objective To discuss the feasibility of the SWI technique of MRI on the diagnosis of meniscus tear. Methods 40 cases with suspected meniscus tear were performed with MRI, by sequences of T1WI, T2WI-FS and SWI. The sensitivities, specificity, accuracy and effect of T1WI, T2WI-FS and SWI were analyzed as compared to the golden standard of arthroscopy. Results The sensitivities, specificity and accuracy of T1WI were 76.3%, 50% and 75%, respectively; those of T2WI-FS were 71.1%, 100% and 72.5%, respectively; and those of SWI were 94.7%, 50% and 92.5%, respectively. There were significant differences between T1WI and SWI (P0.05) on the diagnosis of meniscus tear, with bad conformity (κ=0.391). There were significant differences between T2WI-FS and SWI (P0.05) on the diagnosis of meniscus tear too, with bad conformity (κ=0.288). Conclusion The sequence of SWI can be used into diagnosis of meniscus tear, with better sensitivity and accuracy than the sequences of T1WI and T2WI-FS. [Key words] SWI, meniscus, arthroscopy Corresponding author：el：86-23 E-mail: zhoudq77@ [通信作者] 周代全，电话：(023E-mail: zhoudq77@ 膝关节半月板撕裂是由于外伤或者半月板退变，使得股骨和胫骨之间出现剪切力，患者可出现剧烈