中国医学创新2025，Vol.22Issue(24)：134-137,4.DOI:10.3969/j.issn.1674-4985.2025.24.031
常规MRI与MRI三维重建在肩关节脱位关节盂骨缺损评估中的应用
Application of Conventional MRI and MRI Three-dimensional Reconstruction in the Evaluation of Glenoid Bone Defects in Shoulder Dislocation
廖建 1阮玖根 1肖琼1
作者信息
- 1. 新余市人民医院影像中心 江西 新余 338000
- 折叠
摘要
Abstract
Objective:To explore the application of conventional MRI and MRI three-dimensional reconstruction in the evaluation of glenoid bone defects in shoulder dislocation.Method:The clinical data of 80 patients from Xinyu People's Hospital with shoulder dislocation from January 2022 to December 2024 were retrospectively analyzed.The three-dimensional reconstruction of CT was used as the diagnostic gold standard to evaluate the diagnostic efficacy of conventional MRI and MRI three-dimensional reconstruction technology in patients with shoulder dislocation with glenoid bone defect.The surface area of glenoid bone defect,the percentage of glenoid bone defect and the best fitting circle surface area of glenoid bone defect were compared between MRI and CT three-dimensional reconstruction techniques.Result:Among the 80 patients with shoulder dislocation,57 cases were diagnosed with glenoid bone defects by CT three-dimensional reconstruction technology.The Kappa values of conventional MRI,MRI three-dimensional reconstruction and CT three-dimensional reconstruction were 0.573 and 0.910 respectively.The diagnostic efficacy of MRI three-dimensional reconstruction was the highest,the difference was statistically significant(P<0.05).There were no statistically significant differences in the surface area of glenoid defect,the percentage of glenoid defect,and the values of the optimal fitted circular surface area between MRI three-dimensional reconstruction and CT three-dimensional reconstruction in patients with glenoid bone defect(P>0.05).Conclusion:Three-dimensional reconstruction technique may be a useful auxiliary tool for conventional MRI examination,and it can accurately evaluate the glenoid bone defect in patients with shoulder dislocation,and it is expected to be an alternative tool for CT three-dimensional reconstruction.关键词
肩关节脱位/关节盂骨缺损/诊断成像/磁共振成像/三维成像Key words
Shoulder dislocation/Glenoid bone defect/Diagnostic imaging/Magnetic resonance imaging/Three-dimensional imaging引用本文复制引用
廖建,阮玖根,肖琼..常规MRI与MRI三维重建在肩关节脱位关节盂骨缺损评估中的应用[J].中国医学创新,2025,22(24):134-137,4.
