正常成人股骨头的磁共振成像及变异.pdf

8 2009 1 15 1 M ed ical R ecap itu late, Jan 2009, Vo.l 15, No. 1 * 赵凤朝, 李子荣 , 张念非, 郭万首, 刘朝晖, 孙 伟 ( , 100029 ) : R681 : A : 1006-2084 ( 2009) 01-0008-04 : 探讨正常成人股骨头的磁共振成像(MR I) 及其变异, 以提高早期股骨头坏死诊断 1. 2. 1 的准确性 对 157 ( 293 髋) 严重急性呼吸综合征( SARS) 患者的髋关节MR I进行分析 157( 293 ) SARS MRI序列为冠状面 T 1, 短时反转恢复序列( STIR) 和轴位 T 1 157 患者 293 髋共有 1597 个 2003 12 2004 可分析层面, 有 6种图像类型这些图像在随访时会有部分类型发生改变, 但均未出现典型的股骨 头坏死改变, ST IR 序列也无坏死改变 成人无病变的股骨头MRI存在着各种变异, 股骨头坏 1 1 MR I X 死的诊断应综合MR I的各 个层面和各 个序列表现 , : 磁共振成像; 股骨头; 严重急性呼吸综合征 SignalVariability inMR Imaging ofNormalAdultH ip ZHAO Feng-chao, LI Z i-rong, ZHANG N ian- [ 3-5] , f e,i GUO Wan-shou, LIUZ hao-hui, SUN Wei. (Ch ina-Jap an Frien ship H osp ital, B eij ing 100029, Ch ina) Abstract: Objective To exp lore the ignal variab ility in MR mi ag ing of norm al adu lt h ip and to mi - 2007 6 ~ 8 p rove the accu racy in d iagno i of o teonecro i of fem oral head. M ethods One hundred and fifty- even pa- MR I X , tien t w ith evere acu te re p iratory yndrom e ( SARS) w ere d iagno ed a norma l accord ing to mi age of MRI and X-ray by om e p eciali t . MR mi aging w a perform ed on a 0. 5-T uperconductive un it. Coronal and axi- X alT 1-w eigh ted p in-echo mi age and coronal STIR ( hort tmi e inver ion recovery) w ere obtain ed and ana- lyzed. Results There are 1597 lice on MR mi ag ing in 293 h ip of 157 patient w h ich can be analyzed. S ix : type of mi age w ere ob erved. Though om e mi age changed at fo llow-up, w e d id not ob erve any typ ical mi a- ge of necro i. onclusion The ig