世界复合医学2024,Vol.10Issue(5) :164-167.DOI:10.11966/j.issn.2095-994X.2024.10.05.41

磁共振3D-WATS序列对膝关节软骨损伤的诊断价值

Diagnostic Value of Magnetic Resonance 3D-WATS Sequence in Knee Cartilage Injury

魏民 韩猛
世界复合医学2024,Vol.10Issue(5) :164-167.DOI:10.11966/j.issn.2095-994X.2024.10.05.41

磁共振3D-WATS序列对膝关节软骨损伤的诊断价值

Diagnostic Value of Magnetic Resonance 3D-WATS Sequence in Knee Cartilage Injury

魏民 1韩猛1
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作者信息

  • 1. 南京市溧水区中医院医学影像科,江苏 南京 211200
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摘要

目的 探讨磁共振3D-WATS序列对膝关节软骨损伤的诊断价值.方法 选取2022年1-12月南京市溧水区中医院收治的80例疑似膝关节软骨损伤患者为研究对象,所有患者均行3D-WATS序列、T2-mapping序列及PDWI序列成像检查,以关节镜检查结果作为金标准,对比3D-WATS序列、T2-mapping序列及PDWI序列的诊断价值.结果 3D-WATS序列灵敏度(93.75%)高于T2-map-ping序列(79.69%)及PDWI序列(65.63%),准确度(93.75%)高于T2-mapping序列(80.00%)及PDWI序列(67.50%),漏诊率(6.25%)低于T2-mapping序列(20.31%)及PDWI序列(34.38%),差异有统计学意义(χ2=20.562、18.372、19.288,P均<0.05).对比关节镜分期诊断结果,3D-WATS序列分期诊断结果的诊断符合率高于T2-mapping序列和PDWI序列,差异有统计学意义(P均<0.05).结论 磁共振3D-WATS序列在膝关节软骨损伤的诊断中准确度更高,漏诊率更低,具有较高的诊断价值,可作为首选诊断方式之一.

Abstract

Objective To investigate the diagnostic value of magnetic resonance 3D-WATS sequence in knee cartilage injury.Methods A total of eighty patients with suspected knee cartilage injury treated in Nan-jing Lishui District Hospital of Traditional Chinese Medicine from January to December 2022 were selected as the study objects.All patients underwent 3D-WATS,T2-mapping and PDWI imaging.Using the results of ar-throscopy as the gold standard,the diagnostic value of 3D-WATS sequence,T2-mapping sequence and PDWI sequence was compared.Results The sensitivity of 3D-WATS sequence(93.75%)was higher than that of T2-mapping sequence(79.69%)and PDWI sequence(65.63%),the accuracy(93.75%)was higher than that of T2-mapping sequence(80.00%)and PDWI sequence(67.50%),and the missed diagnosis rate(6.25%)was lower than that of T2-mapping sequence(20.31%)and PDWI sequence(34.38%),and the differences were statisti-cally significant(χ2=20.562,18.372,19.288,all P<0.05).Compared with the results of arthroscopic staging,the diagnostic coincidence rate of 3D-WATS sequence was higher than that of T2-mapping sequence and PDWI sequence,the differences were statistically significant(all P<0.05).Conclusion Magnetic resonance 3D-WATS sequence has higher accuracy and lower missed diagnosis rate in the diagnosis of knee cartilage in-jury,which has higher diagnostic value and can be used as one of the preferred diagnostic methods.

关键词

磁共振/膝关节软骨损伤/诊断价值

Key words

Magnetic resonance/Knee cartilage injury/Diagnostic value

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出版年

2024
世界复合医学

世界复合医学

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