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肩区类风湿性关节炎的低场MRI表现
引用本文:孙红梅,杨庆康,岑蔚,金志鹃,赵汗青,唐雯娟,徐文兴,徐凤祥,王先桃,潘颂华,SUN Hong-mei.肩区类风湿性关节炎的低场MRI表现[J].上海医学影像,2009,18(2):147-149.
作者姓名:孙红梅  杨庆康  岑蔚  金志鹃  赵汗青  唐雯娟  徐文兴  徐凤祥  王先桃  潘颂华  SUN Hong-mei
作者单位:1. 上海市长宁区光华中西医结合医院放射科,200052
2. 华东医院
3. Department of Radiology, The Changning District Guang Hua Hospital of Shanghai, 200052, China
摘    要:目的探讨肩区类风湿性关节炎(RA)的低场(0.2T)四肢MRI表现。方法回顾性总结31例临床确诊,影像证实的肩部RA。34例普通关节病做对照。分析病变早期E—MRI特征。结果肩RAMRI阳性表现,滑膜增生血管翳形成(93.5%),骨侵蚀(77.9%),软骨侵蚀(90.3%)等,以滑膜和骨髓改变诊断肩RA,其敏感性、特异性、正确率分别为:69.0%、76.7%、72.3%。结论E—MRI对肩RA定位、定性和分期诊断具有重要价值。

关 键 词:肩关节  类风湿性关节炎  四肢低场强磁共振

Low field MRI findings of rheumatoid arthritis in shoulder region
SUN Hong-mei.Low field MRI findings of rheumatoid arthritis in shoulder region[J].Shanghai Medical Imaging,2009,18(2):147-149.
Authors:SUN Hong-mei
Institution:(Department of Radiology, The Changning District Guang Hua Hospital of Shanghai, 200052, China)
Abstract:Objective To study the appearance of extremity magnetic resonance imaging of the rheumatoid arthritis(RA) in shoulder joint. Methods 31 cases with RA in shoulder joint which had been diagnosed clinically and radiologically were analyzed retrospectively, 34 cases with osteoarthritis were taken as control, early appearance of E-MRI of RA in shoulder joint were summarized. Results positive findings of MRI in shoulder joint as follow, synovitis and enhanced bilateral pannus (93.5%), bone erosion (77.9%), cartilage erosion (90.3%),change of synovium and bone marrow was taken as diagnostic standard, the sensitivity, specificity, accuracy, 69.0%、 76.7%、72.3%. Conclusion E-MRI have important value in the diagnosis of RA in shoulder joint.
Keywords:Shoulder joint  Rheumatoid arthritis  Extremity magnetic resonance imaging (E-MRI)
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