MRI各序列上的信号特点差异在诊断类风湿性关节炎中的价值探讨.pdfVIP

·39 CHINESE JOURNAL OF CT AND MRI, MAY2015, Vol 13, No 5 Total No 67 论 著 D 1 0 . 3 9 6 9 / j . i s s n . 1 6 7 2 - 5131.2015.05.013 QI Yan, YUAN Li-hua. Medical Imaging Center of Laiwu City Peoples Hospital in Shandong Province, 271199 t O ve To study the RA (rheumatoid arthritis) in patients with MRI signal differences in the sequence. M Retrospective analysis of our hospital from 2008 September to 2014 May, clinical data of 73 patients with RA in our department examination as the study group, and 65 cases of healthy volunteers were selected in the control group the same time period, the study group patients with parietal axial scans were performed comparing the signal difference. the study group patients with dynamic enhanced MRI, tendon, joint capsule synovial pannus, compared with the control group, both showed thickening performance (P0.05),and the sequence of MRI signal were different (P0.05). on on Dynamic enhanced MRI implementation of RA patients, the synovial membrane thickness, Slopemax, ERmax, TIC and other indicators, combined with early MRI features, can clear the pathological changes, and different sequence of MRI signal, has the features and characteristics of RA, the early diagnosis, treatment, prognosis and so on, have a very important clinical value, should be combined with the specific circumstances of patients, given the promotion. r RA; MRI Signal Sequence Differences; Performance; Synovial Thickness; Synovial Slopemax; ERmax RA(类风湿关节炎)为累及多关节的一种炎症性免疫疾病，能够导 致骨、关节软骨、关节外系统等受损，当发病2年未予治疗，常发生 关节畸形 [1] 。据文献报道，RA早期诊断、治疗，可以有效控制病情进 展，防止骨关节破坏，同时还可以降低该病的致残率 [2] 。MRI凭借对 软组织具有较高分辨率的特点，能够对正常结构骨关节及其病理变化 给予清晰显示 [3] 。并且研究发现，MRI不同序列下扫描，对各部位RA 诊断，均具有较高的敏感性及特异性 [4] 。本文回顾分析我院自2008年 9月至2014年5月以来，于我科检查的73例RA患者临床资料，旨在研究 RA(类风湿关节炎)MRI信号差异在各序列表现的临床价值。报道如下。 1 资料与方法 我院自2008年9月至2014年5月以来，于我科检查 的73例RA患者临床资料作为研究组，对照组选择同时间段的65例健康 志愿者，研究组男性患者48例，女性患者25例，患者年龄最大62岁， 最小21岁，平均年龄为(46.5±3.5)岁，对照组男性31例，女性34例， 年龄最大64岁，最小23岁，平均年龄(45.5±2.5)岁，两组均签署检查 知情同