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能谱CT和MRI在手肌腱病变中的应用
引用本文:李伟,张成琪,王新怡,庞涛,范医鲁,王君君.能谱CT和MRI在手肌腱病变中的应用[J].医学影像学杂志,2011,21(11):1759-1762.
作者姓名:李伟  张成琪  王新怡  庞涛  范医鲁  王君君
作者单位:1. 山东大学附属千佛山医院影像科 山东济南250014
2. 山东大学附属千佛山医院医学工程部 山东济南250014
基金项目:山东省自然科学基金项目(编号:ZR2009CL013)
摘    要:目的:初步探讨能谱CT的宝石能谱成像(gemstone spectral imaging,GSI)模式和MRI在手肌腱正常解剖以及基本病变中的应用。方法:30例手肌腱病变患者,手肌腱正常,因其他疾病需手部CT扫描者5例作为解剖对照,分别行GSI和MRI检查,通过能谱分析软件,选择适宜单能量值(KeV),将混合能量图像转换为单能量图像,运用多种图像重组方式,观察能谱CT图像,并和MRI对照分析。结果:GSI能显示肌腱的形态,连续走行,止点,特别在显示肌腱,骨骼,肌肉的三维空间关系上,较MRI有优势。对于肌腱断裂,增粗,缺失,受压的显示,GSI与MRI比较,,差异无统计学意义(P〉0.05)。对肌腱粘连、变性、腱鞘病变的显示不如MRI清晰,差异有统计学意义(P〈0.05)。结论:宝石能谱CT在手部肌腱解剖及病变显示方面有较大应用价值,能为临床提供有力的影像学支持;而MRI在肌腱变性、粘连及腱鞘病变中,优势明显。

关 键 词:肌腱  体层摄影术  X线计算机  宝石能谱成像  磁共振成像

Applications of spectral computed tomography and magnetic resonance imaging in hand tendon injury
LI Wei,ZHANG Cheng-qi,WANG Xin-yi,PANG Tao,FAN Yi-lu,WANG Jun-jun.Applications of spectral computed tomography and magnetic resonance imaging in hand tendon injury[J].Journal of Medical Imaging,2011,21(11):1759-1762.
Authors:LI Wei  ZHANG Cheng-qi  WANG Xin-yi  PANG Tao  FAN Yi-lu  WANG Jun-jun
Institution:LI Wei1,ZHANG Cheng-qi1,WANG Xin-yi1,PANG Tao1,FAN Yi-lu2,WANG Jun-jun1 1.Department of Medical Imaging,Qianfoshan Hospital Affiliated to Shandong University,Jinan 250014,P.R.China 2.Department of Medical Engineering,P.R.China
Abstract:Objective:To perform a preliminary investigation of the value of gemstone spectral imaging(GSI),a mode of spectral computed tomography(CT),and magnetic resonance imaging(MRI) in hand tendon anatomy and disease diagnosis.Methods:Thirty patients who received either GSI or MRI were enrolled.Mixed-energy images were inverted to single-energy ones in appropriate single-energy value(KeV) using energy spectrum software.These images were compared and analyzed with multiple image reconstruction modes and read to pre...
Keywords:Tendon  Tomography  X-ray computed  Gemstone spectral imaging  Magnetic resonance imaging  
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