Comparing the effects of different MRI sequences scanning on diagnostic grading and fat infiltration score of rotator cuff injury

doi:10.3877/cma.j.issn.2095-5782.2019.03.014

Abstract

Abstract:

Objective:

To compare the effects of different MRI sequences scanning on diagnostic grading and fat infiltration score of rotator cuff injury.

Methods:

From January 2018 to January 2019, 100 patients diagnosed as rotator cuff injury clinically in our hospital were collected. The patients were imaged by different MRI combined sequences and scanning orientations to diagnose rotator cuff injury and to measure fat fraction.

Results:

The oblique coronal MRI had the highest detection rate on scapular sleeve injury, The oblique coronary SITR sequence showed the best for rotator cuff injury imaging (χ²=19.425, P<0.001) . The number of diagnosed cases of supraspinatus tendon injury (51 cases) , infraspinatus tendon (34 cases) , and subscapularis tendon (15 cases) imaged using oblique coronal MRI (SITR) were significantly higher than that using oblique coronal T₁WI (12, 28, 6 cases) or T₂WI (37, 19, 9 cases) . The preoperative fat infiltration score (2.58±0.23) in rotator cuff assess by oblique coronal MRI was significantly higher than that (1.72±0.17) during operation (t=7.320, P=0.002) .

Conclusions:

The oblique coronal SITR sequence is superior to other sequences in the diagnosis and grading of rotator cuff injury and fat infiltration score. It has a high diagnostic rate for rotator cuff injury and is worth popularizing.

Key words: Nuclear magnetic resonance, Rotator cuff injury, Fat infiltration score, Diagnostic value

Yan Zhao, Yi Sun, Zhixian Sun, Jingfang Liu, Qianfei Shi, Jinxin Wan. Comparing the effects of different MRI sequences scanning on diagnostic grading and fat infiltration score of rotator cuff injury[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2019, 07(03): 239-242.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2019.03.014

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2019/V07/I03/239

Figures/Tables 2

References 20

[1]	刘岩，余曦，何红晨，等.肩袖损伤修复中的生物治疗[J].中国组织工程研究，2019，23(20): 3248-3254.
[2]	曹青刚，赵建宁，包倪荣.肩袖修补术后关节内注射倍他米松联合罗哌卡因的临床疗效对比[J].医学研究生学报，2018，31(12): 1289-1292.
[3]	方业汉，周钢，黄晖，等.关节镜下同期治疗肩袖损伤与冻结肩的临床分析[J].中国运动医学杂志，2018，37(7): 565-569.
[4]	赵妍，孙志先，汪志超，等.MRI优化组合序列在肩袖损伤诊断中的应用价值[J].中外医疗，2017，36(7): 170-172.
[5]	高博，彭如臣，石逸杰.肩袖损伤合并肩峰下撞击综合征的MRI表现[J].磁共振成像，2016，7(12): 937-941.
[6]	张庭，史晨辉，李刚，等.肩袖损伤诊断中体格检查和MRI检查的可靠性评价[J].广东医学，2016，37(13):1968-1970.
[7]	Tashjian RZ. AAOS clinical practice guideline: optimizing the management of rotator cuff problems[J]. J Am Acad Orthop Surg，2011，19(6): 380-383.
[8]	Zlatin M, Lannoti JP, Roberts MC，etal. Rotator cuff tears: diagnostic performance of MR imaging[J]. Radiology，1989，172(1):223-9.
	娄晓宇，张振勇，王海波，等.磁共振肩关节造影在肩袖损伤的临床应用[J].现代医用影像学，2016，25(2): 157-161.
[10]	张熙光，张亚生.中西医结合治疗肩周炎30例[J].四川中医，2015，33(3): 133-135.
[11]	王毓佳，冯晓荣，梁韬，等.磁共振成像在肩关节周围炎的病情评价中的应用[J].中国CT和MRI杂志，2017，15(10): 125-127,131.
[12]	邵明磊，孙嘉阳，阮庆，等.肩袖损伤诊治的研究进展[J].中国实验诊断学，2015，19(9): 1607-1609.
[13]	刘彪.肩关节MRI在肩袖损伤诊断中的应用分析[J].中国CT和MRI杂志，2016，14(12):124-126.
[14]	余钟建，吴兆生，朱玲.探讨MRI检查及各扫描方位在肩袖损伤诊断中的临床价值[J].现代医用影像学，2018，27(6):1842-1844.
[15]	侯照成，丁建，姚建，等.肩袖损伤的MRI分级在临床治疗中的意义[J].医学影像学杂志，2015，25(9): 1659-1661.
[16]	高庆峰，成雪，马震胜，等.关节镜下部分修补老年性巨大肩袖损伤[J].首都医科大学学报，2016，37(6): 821-825.
[17]	袁键冰，熊俭，马俊昌，等.MRI在肩袖损伤中的应用研究[J].微创医学，2015，10(4):432-434.
[18]	陈松，周洁，梁治平，等.肩袖损伤的磁共振诊断及不同扫描方位对病变检出率的研究[J].中国CT和MRI杂志，2013，11(3): 103-105.
[19]	王志斌，春洋，张乐，等. MRI、MR肩关节造影及高频超声诊断肩袖损伤的差异性分析[J].国际医学放射学杂志，2017，40(4):386-390.
[20]	张磊，刘志奎，马震胜，等.斜矢状位MRI增强扫描对肩袖损伤脂肪浸润程度的诊断价值[J].中国骨与关节损伤杂志，2017，32(11):1199-1200.

损伤肌腱	显示情况	横轴位	斜矢状位	斜冠状位
冈上肌腱	信号异常	69	33	91
?	信号正常	31	67	9
冈下肌腱	信号异常	38	44	83
?	信号正常	62	56	17

损伤肌腱	显示情况	横轴位	斜矢状位	斜冠状位
冈上肌腱	信号异常	69	33	91
?	信号正常	31	67	9
冈下肌腱	信号异常	38	44	83
?	信号正常	62	56	17

[1]	Zehui Fu, Siqi Wang, Yejun Lu, Jian Zhang, Ye He, Hui Chen. Differential diagnosis of easily misdiagnosed benign and malignant isoechoic and hyperechoic thyroid nodules by ultrasound [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(05): 517-523.
[2]	Junxian Wu, Junjie Zeng, Youyin Xu, Bo Yuan. Effect of extracorporeal shock wave therapy on post-operative shoulder stiffness after rotator cuff suture [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 571-576.
[3]	Junjie Zeng, Shaolong Zhang, Dong Ma, Yumin Li, Bo Yuan. Arthroscopic single-row suture versus Mason-Allen suture in repair of mild and moderate rotator cuff tears [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 165-172.
[4]	Tao Yuan, Hong Qian, Shaoqiang Yang, Chengdeng Lai, Jia Meng, Hui Jiang, Jianning Zhao, Nirong Bao. Effect of all-inside repair technique on articular supraspinatus tendon avulsion [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(05): 611-615.
[5]	Yinnan Li, Gan Wang, Bin Sun. Correlation between bladder wall thickness, detrusor wall thickness and overactive bladder in elderly women [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(02): 178-182.
[6]	Kun Yang, Huan Liang, Hongjing Cao, Yueru Li, Chunmei Kou, Hong Tang, Xiuyan Wang, Lin Li, Yuanli Wang, Xiaofang Ding. Application of auricular point sticking and pressing therapy in perioperative analgesia of elderly patients with shoulder paralysis [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2023, 11(02): 150-154.
[7]	Liqing Liu, Fei Yang, Xinming Lu, Ziyu Zhao. Application value of musculoskeletal high-frequency ultrasound in the diagnosis of elbow joint soft tissue injury [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2023, 11(01): 24-29.
[8]	Chen Zhao, Rui Hu, Hong Zhou, Fang Wang, Zhen Hu, Fan Weng. Clinical study on the effect of coupling exercise and shoulder-brachial rhythm adjustment on conservative treatment of rotator cuff injury [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(03): 226-231.
[9]	Guodong Chen, Meiyan Zheng, Jun Zhang, Yiming Zeng. Rotator cuff injury combined with shoulder adhesion: primary repair with adhesiolysis or repair after adhesiolysis? [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(02): 122-128.
[10]	Yuanzhen Zhang, Yi Zhang, Chao Xue, Qiuchen Cai, Biao Cheng. Analysis of prognostic factors after arthroscopic rotator cuff repair [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(01): 3-6.
[11]	Shuai Wang, Suping Wang, Tao Song. Research progress of platelet-rich plasma in the treatment of rotator cuff injury [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(06): 374-379.
[12]	Yuan Yuan, Liangping Zhao, Zhihui Liu, Liping Zhang, Limei Tan, Mengqin Xia. Relationship between miR-25-3p and PTEN expression and pathological parameters in endometrial cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(9): 1016-1020.
[13]	Yanxia Lin, Caibiao Wu, Xiaoxia Wang. Diagnostic value of real-time contrast-enhanced ultrasound quantitative analysis in focal lesions initially discovered in physical examination [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(02): 176-181.
[14]	Wei Li, Xiaoli Chen, Rensong Cai, Li Zhu, Suting Yan, Xiaoli Xing. Diagnostic value of gastric mucosal morphology changes detected by white light gastroscopy in Helicobacter pylori infection [J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(02): 152-156.
[15]	Qingdao Zhang, Hualong Wang. Identification value of MRI apparent diffusion coefficient and voxel incoheren motion parameters for pulmonary nodules in middle-and-old age patients [J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2023, 10(01): 26-29.

Please choose a citation manager

Content to export