[1]张洪胜,许祖闪,于萍萍.股骨头无菌坏死弥散加权成像的临床应用[J].国际放射医学核医学杂志,2010,34(2):122-125.[doi:10.3760/cma.j.issn.1673-4114.2010.02.018]
　ZHANG Hong-sheng,XU Zu-shan,YU Ping-ping.Clinical application of diffusion-weighted imaging in the femoral head necrosis patients[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(2):122-125.[doi:10.3760/cma.j.issn.1673-4114.2010.02.018]
点击复制

股骨头无菌坏死弥散加权成像的临床应用(/HTML)
分享到：

《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
34
期数:
2010年第2期
页码:
122-125
栏目:
临床放射医学
出版日期:
1900-01-01

文章信息/Info

Title:
Clinical application of diffusion-weighted imaging in the femoral head necrosis patients
作者:
张洪胜;  许祖闪;  于萍萍
山东省威海市文登中心医院影像科, 264400
Author(s):
ZHANG Hong-sheng;  XU Zu-shan;  YU Ping-ping
Department of Radiology, Wendeng Central Hospital of Weihai, Wendeng 264400, China
关键词:
股骨头坏死; 磁共振成像; 弥散
Keywords:
Femur head necrosis; Diffusion magnetic resonance imaging
DOI:
10.3760/cma.j.issn.1673-4114.2010.02.018
摘要:
目的 对股骨头无菌性坏死(FHN)患者的磁共振弥散加权成像(DWI)的影像学特征进行总结分析,为FHN的诊断提供依据。方法 对22名股骨头正常者及42例FHN患者的磁共振信号分布及表观弥散系数(ADC)进行分析比较。结果 股骨头正常者T1加权像及T2加权像呈均匀高信号,DWI为低信号;FHN患者的T1加权像呈低信号和稍低信号,T2加权像呈不均匀高信号和稍高信号,DWI呈不均匀高信号。股骨头正常者、FHN患者病变周围区和中央区的ADC分别为(0.000~0.036)×10-3mm2/s、(0.111~0.311)×10-3mm2/s和(0.845-1.397)×10-3mm2/s,三者间的差异具有统计学意义(F=1384.28,P<0.05).结论 FHN患者的DWI信号分布及ADC与股骨头正常者相比,具有明显的特异性,可用于对FHN患者的明确诊断,并可根据ADC的测量对骨髓病变进行量化分析。
Abstract:
Objective To summarize and analyze the imaging features of diffusion-weighted imaging(DWI) in femoral head necrosis(FHN) patients and provide the basis for the diagnosis of FHN. Methods The magnetic resonance signal distribution and apparent diffusion coefficient(ADC) in 22 normal person and 42 FHN patients were analyzed and compared. Results The homogeneous high signal was showed in T1WI and T2WI imaging for normal person and low signal in DWI. The slightly low and low signal in T1WI, the high signal and slightly in homogeneous signal in T2WI and the heterogeneous high signal in DWI were showed for FHN patients. The ADC normal value of normal person, the around area and central area of FHN patients were(0.000-0.036)×10-3mm2/s, (0.111-0.31l)×10-3mm2/s and(0.845-1.397)×10-3mm2/s respectively, there was statistically significant difference among three areas(F=1384.28, P<0.05).Conclusion There is specificity in DWI signal distribution and ADC normal value in FHN patients compared with normal person. DWI can be used for the diagnosis of FHN patients and the ADC value can be used for quantify analysis of bone marrow lesions.

参考文献/References:

[1] Nonomura Y,Yagumoto M,Yoshimura R,et al.Relationship be-tween bone marrow cellularity and apparent diffusion coefficient.J Magn.Reson.Imaging,2001,13(5):757-760.
[2] Raya JG,Dietrich O,Reiser MF,et al.Techniques for diffusion-weighted imaging of bone marrow.Eur J Radiol,2005,55(1):64-73.
[3] Herneth AM,Friedrich K,Weidekamm C,et al.Diffusion weighted imaging of bone marrow pathologies.Eur J Radiol,2005,55(1):74-83.
[4] Raya JG,Dietrich O,Reiser MF,et al.Methods and applications of diffusion imaging of vertebral bone marrow.J Magn Reson Imaging,2006,24(6):1207-1220.
[5] Koo KH,Kim R.Quantifying the extent of osteonecrosis of the femoral head.A new method using MRI.J Bone Joint Surg Br,1995,77(6):875-880.
[6] 刘斯润,朱天缘,陈汉方,等.MR扩散加权成像诊断膝关节骨关节病髌骨软骨病变的价值.中华放射学杂志.2006,40(10):1098-1101.
[7] Ward R,Caruthers S,Yablon C,et al.Analysis of diffusion changes in posttraumatic bone marrow using navigator-corrected diffusion gradients.AJR Am J Roentgenol,2000,174(3):731-734.

相似文献/References:

[1]岳进,苏丽萍.全身MRI与PET/CT在淋巴瘤骨髓浸润诊断及预后中的作用[J].国际放射医学核医学杂志,2016,40(1):50.[doi:10.3760/cma.j.issn.1673-4114.2016.01.010]
　Yue Jin,Su Lipin.Function of whole-body MRI and PET/CT in the diagnosis and prognosis of lymphoma with bone marrow infiltration[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):50.[doi:10.3760/cma.j.issn.1673-4114.2016.01.010]
[2]李敏,蒋涛,彭朋,等.直肠内注入模拟粪便的动态MRI对女性盆底痉挛综合征的诊断价值[J].国际放射医学核医学杂志,2016,40(3):165.[doi:10.3760/cma.j.issn.1673-4114.2016.03.001]
　Li Min,Jiang Tao,Peng Peng,et al.Value of dynamic MRI with rectum injection in the diagnosis of female spastic pelvic floor syndrome[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):165.[doi:10.3760/cma.j.issn.1673-4114.2016.03.001]
[3]唐令胜,刘朝晖,李红梅,等.低场磁共振DWI技术与常规MRI扫描对超急性脑梗死的诊断灵敏度的比较[J].国际放射医学核医学杂志,2016,40(3):187.[doi:10.3760/cma.j.issn.1673-4114.2016.03.006]
　Tang Lingsheng,Liu Zhaohui,Li Hongmei,et al.Comparison of the diagnostic sensitivity of low-field magnetic resonance diffusion weighted imaging technology and conventional MRI scanning for super acute cerebral infarction[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):187.[doi:10.3760/cma.j.issn.1673-4114.2016.03.006]
[4]贺小红,周新韩,高明勇,等.模型模拟修改部分扫描参数加速MR扫描的方法可行性探讨[J].国际放射医学核医学杂志,2016,40(4):267.[doi:10.3760/cma.j.issn.1673-4114.2016.04.006]
　He Xiaohong,Zhou Xinhan,Gao Mingyong,et al.Feasibility of accelerating MR scan by modifying part of scanning parameters：a phantom simulation study[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):267.[doi:10.3760/cma.j.issn.1673-4114.2016.04.006]
[5]卢瑞梁,贺小红,蔡华清,等.不同MRI序列检出聚丙烯酰胺水凝胶注射隆乳患者乳腺病变效能的比较研究[J].国际放射医学核医学杂志,2016,40(6):435.[doi:10.3760/cma.j.issn.1673-4114.2016.06.007]
　Lu Ruiliang,He Xiaohong,Cai Huaqing,et al.The different MRI sequences to detect breast lesions in polyacrylamide hydrogel injection for augmentation patients: a comparative study[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):435.[doi:10.3760/cma.j.issn.1673-4114.2016.06.007]
[6]廖光星,冷志欣,肖国有.前列腺癌骨转移影像诊断方法研究进展[J].国际放射医学核医学杂志,2016,40(6):464.[doi:10.3760/cma.j.issn.1673-4114.2016.06.012]
　Liao Guangxing,Leng Zhixin,Xiao Guoyou.Progress of imaging in the diagnosis of bone metastases of prostate cancer[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):464.[doi:10.3760/cma.j.issn.1673-4114.2016.06.012]
[7]马彦云,张辉.磁共振体素内不相干运动扩散加权成像的原理及应用进展[J].国际放射医学核医学杂志,2016,40(6):469.[doi:10.3760/cma.j.issn.1673-4114.2016.06.013]
　Ma Yanyun,Zhang Hui.The basic principle and application progress of intravoxel incoherent motion imaging[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):469.[doi:10.3760/cma.j.issn.1673-4114.2016.06.013]
[8]周金鑫,张一帆.胰岛细胞移植监测的分子影像学进展[J].国际放射医学核医学杂志,2015,39(6):478.[doi:10.3760/cma.j.issn.1673-4114.2015.06.009]
　Zhou Jinxin,Zhang Yifan.Research progress of molecular imaging in monitoring islet transplantation[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(2):478.[doi:10.3760/cma.j.issn.1673-4114.2015.06.009]
[9]樊鹏,甄俊平,王峻.MR示踪技术在干细胞移植治疗软骨缺损中的研究进展[J].国际放射医学核医学杂志,2015,39(6):497.[doi:10.3760/cma.j.issn.1673-4114.2015.06.013]
　Fan Peng,Zhen Junping,Wang Jun.The progress of magnetic resonance cell tracing technique in stem cells transplantation treatment of cartilage defects[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(2):497.[doi:10.3760/cma.j.issn.1673-4114.2015.06.013]
[10]张学花,翟昭华.胰腺微囊性腺瘤影像学报道一例[J].国际放射医学核医学杂志,2015,39(6):516.[doi:10.3760/cma.j.issn.1673-4114.2015.06.019]

备注/Memo

备注/Memo:
收稿日期:2009-11-28。
通讯作者:张洪胜(E-mail:zhanghongsheng74@sohu.com)
更新日期/Last Update: 1900-01-01