No1412014422骨骼正常与基本病变7.ppt

足底血管瘤(hemangioma in sole of foot 髌下滑液囊肿 Synovial cyst calcification and mineralization Make Diagnosis Location(部位) Range(范围) Border(边缘) Character(特征) Number(数目) Clinical(临床) Thank you! * 12k: Wrist, T1 3D VIBE, transversal, water excitation TR 11.2 ms, TE 4.8 ms, TA 5:44 min, eff. SL 0.4 mm, partitions 112 , matrix 512, FoV 100 mm, mode C , coils WR Courtesy of * 13a: Hip, T2 3D DESS coronal, PAT 2, isotropic, necrosis TR 19.2 ms, TE 6.9 ms, TA 10:25 min, eff. SL 0.7 mm, partitions 104, matrix 576, FoV 340 mm, mode D, coils BO, SP 13b:Hip, MPR of T2 3D DESS sagittal, PAT 2, isotropic, necrosis TR 19.2 ms, TE 6.9 ms, TA 10:25 min, eff. SL 0.7 mm, partitions 101, matrix 576, FoV 208 mm, mode D, coils BO, SP * More images with pathology * * * 一种垂直纵形撕裂，其内部的碎片移向膝关节髁间切迹。 B：高信号为关节液 内侧半月板桶柄状撕裂较外侧多见。半月板首先是纵向撕裂，主要是垂直型，若撕裂线内侧的半月板碎片向内异位，形成类似桶柄形态。矢状面像上半月板体部失去正常的双凹镜形态，前后角萎缩或截断并见信号改变，在近髁间嵴层面见低信号的半月板碎片。冠状面像上半月板分为两个部分，原位部分明显萎缩，向内移位半月板碎片位于髁间棘旁。 * Need more info about the technique and advantages… 上臂脂肪瘤 右小腿平滑肌肉瘤 男性77岁右小腿肿块1年，近一月来进行性增大肿块质硬，压痛不明显。 滑膜肉瘤 关节基本病变 关节肿胀(swelling of joint) 关节破坏(destruction of joint) 关节退行性变(degeneration of joint) 关节强直(ankylosis of joint) 关节脱位(dislocation of joint) Swelling of joint destruction of joint degeneration of joint ankylosis of joint dislocation of joint Ⅲ级撕裂（b级） A B 桶柄样撕裂内侧较外侧多见。半月板首先是纵向撕裂，主要是垂直型，若撕裂线内侧的半月板碎片向内移位，形成类似桶柄形态。矢状面像上半月板体部失去正常的双凹镜形态，前后角萎缩或截断并见信号改变，在近髁间嵴层面见低信号的半月板碎片。冠状面像上半月板分为两个部分，原位部分（桶）明显萎缩，向内移位半月板碎片（柄）位于髁间棘旁 M 柄 桶 内侧副韧带损伤 内侧副韧带撕裂后，内侧支持带松弛 损伤AT MRI 正常AT MRI 跟腱损伤的 MRI表现 * * MRI Better soft tissue contrast Injury Metastasis is sensitive in MRI Range of the lesion is more clear 异常MRI征 骨骼：骨水肿、骨增生、骨破坏、骨膜增生，骨髓异常，骨梗死 关节：关节肿胀、软骨破坏、骨性关节破坏、半月板损伤、韧带损伤、关节退变、关节脱位 软组织：（另述） 骨挫伤 前交叉韧带完全撕裂2 关节软骨变薄 关节软骨消失 关节软骨肿胀 Other advanced applicationT2-Mapping with Tools for T2 Time calculation Spin Multi Echo with up to 32 echoes to form individual images with different echo time. T2-time calculation in dynamic analysis syngo Fusion for T2-maps wit