积水潭膝关节MI.ppt

Practical Interpretation  of  Knee MRI Routine MRI protocol Sagittal,Coronal,Axial Spin echo(SE) FSE,STIR T1, T2, PD TR和TE决定成像加权 短TE 长TE 短TR T1 无用途 长TR PD T2 Tissue characterization T1 T2 Adipose tissue Fat white gray Yellow marrow Water dark white Cortical bone black black Cartilage gray gray Tendon / ligament/meniscus black/gray black/gray Muscle gray gray Hematoma white white Chronic hemorrhage dark dark Anterior Cruciate Ligament extension ER 15°— 20° direct sign of torn ACL Avulsion fx Indirect Bone bruise sign Deep sulcus sign Segond fx generalized increase in signal intensity thickness increase Anterior drawer sign Acute hemarthrosis Buckling of PCL pivot-shift pattern Associated soft tissue injuries Posterior horn of medial meniscus Bucket handle tear MCL Posterior Cruciate Ligament Primary sign of PCL Associated ligament injury ACL injury MCL injury PLC/LCL injury Collateral ligament Iliotibial band Biceps tendon Menisci Criterial to detect meniscal tear grade 3 signal abnormal meniscal morphology displaced or missing meniscal tissue meniscocapsular separation missing fragment Displaced fragment MRI signs absent bow ties sign(1 or fewer) double PCL sign l