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磁共振定量分析在早期膝关节炎软骨损伤情况中的研究进展OA

Progress in Research on Magnetic Resonance Quantitative Analysis in Early Cartilage Damage of Knee Osteoarthritis

中文摘要英文摘要

膝关节骨性关节炎(Knee Osteoarthritis,KOA)是一种不可逆的退行性变,早期主要累及软骨部分,软骨的病理改变远早于其形态学改变,常规磁共振成像对其作用有限.磁共振(Magnetic Resonance,MR)定量分析能够依据软骨不同成分的变化对关节软骨早期损伤进行定量分析.本文系统梳理了多种MR定量成像方法在KOA早期诊断中的应用现状,分析了不同MR定量方法在敏感度、特异性、成像时间、硬件要求等方面的优势与局限性,指出应在缩短数据采集时间,提高图像质量,降低射频能量积累等方面做出提升,并展望了该领域与人工智能相结合发展方向,以期为KOA早期干预及疗效监测提供参考与借鉴.

Knee Osteoarthritis(KOA)is an irreversible degenerative disease.In the early stage,it mainly involves the cartilage,and the pathological changes of cartilage occur much earlier than its morphological changes,making conventional magnetic resonance imaging of limited value.Magnetic resonance(MR)quantitative analysis enables quantitative assessment of early articular cartilage damage based on changes in different components of the cartilage.This paper systematically reviewed the current application status of various MR quantitative imaging methods in the early diagnosis of KOA,and analyzed the advantages and limitations of different MR quantitative methods in terms of sensitivity,specificity,imaging time,and hardware requirements.It is pointed out that improvements should be made in shortening data acquisition time,improving image quality,and reducing radiofrequency energy accumulation.Additionally,the development direction of integrating this field with artificial intelligence was prospected,aiming to provide references for early intervention and efficacy monitoring of KOA.

边传振;吴寒;花立春;张晓军

南京医科大学附属儿童医院 放射科,江苏 南京 210008南京医科大学附属儿童医院 放射科,江苏 南京 210008南京医科大学附属儿童医院 放射科,江苏 南京 210008南京医科大学附属儿童医院 放射科,江苏 南京 210008

医药卫生

膝关节骨性关节炎(KOA)MR定量分析早期软骨损伤弥散加权成像(DWI)蛋白聚糖(PG)

knee osteoarthritis(KOA)MR quantitative analysisearly cartilage damagediffusion-weighted imaging(DWI)proteoglycan(PG)

《中国医疗设备》 2025 (8)

177-182,6

江苏省妇幼保健协会科研项目(FYX201918)江苏卫生健康委科研项目(K2023057).

10.3969/j.issn.1674-1633.20241582

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