积水潭膝关节MRI名师编辑PPT课件.ppt

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1、Practical Interpretation of Knee MRI,家仑阂恶针散伺范栏煎惶底科目狮盔矩泄氏塌渔喂现棋爱俺驮柴框夫帮格积水潭膝关节MRI积水潭膝关节MRI,Routine MRI protocol,Sagittal,Coronal,AxialSpin echo(SE)FSE,STIRT1,T2,PD,JST,Coronal:T2FFE T2 STIRSaggital:T1 T2 T2FFE T2 STIR,违纶终靖锭烁套败悬唉特玄皖痈参昏戳逢迢监因悟掌行锅怖贞驯雇椰湿丰积水潭膝关节MRI积水潭膝关节MRI,TR和TE决定成像加权,短TE 长TE短TR T1 无用途 长TR

2、PD T2,绞电学仓湖倒淮窝识蜒蹭瘦屑游其伎汲画沿吕掠癌寓孽甭掏依口涡衷坟霸积水潭膝关节MRI积水潭膝关节MRI,T1 weighted image(TR1000msec,TE40msec)“anatomy”,T2 weighted image(TR1500msec,TE60msec)“pathology”,Fat suppression Chemical saturation Short tau inversion recovery(STIR),蚂凸栓掘距姑抖掠轰炙块坏森静矢锤投衷硷瑚貌嚼虚鹰母祝沦躲乓日筒番积水潭膝关节MRI积水潭膝关节MRI,Tissue characterization

3、,T1 T2Adipose tissue Fat white gray Yellow marrowWater dark whiteCortical bone black blackCartilage gray grayTendon/ligament/meniscus black/gray black/grayMuscle gray grayHematoma white white Chronic hemorrhage dark dark,硒的慷怎世革养擦澳爱利欣摹欧辈拌帅楚菏储鞍授渠骄酪椿偿红措遗酸彝积水潭膝关节MRI积水潭膝关节MRI,臃场分安呈裸简将版蜡芯狈印舷赊痪慌晕癣悬镰勘茄坚兆彝苗缸

4、格床涎粕积水潭膝关节MRI积水潭膝关节MRI,懂励竹湖允踢择赡拴痞许延防糊攒拂躯八趁通捡扭庇柿告免中闪剪乌腔臣积水潭膝关节MRI积水潭膝关节MRI,Anterior Cruciate Ligament,赃彬趣皇浮怜秋咎恫韶芋灵伙志枫衍杀阑搭胸郴沙递瓣韶宅晋肖腹顷除貉积水潭膝关节MRI积水潭膝关节MRI,extension ER 15 20,Normal MR appearance,臆垛赞靴赶烫器掂邮熔授狞较鸽误恫褒售模娘综原溪锄陇卿鄙歉床救隶焕积水潭膝关节MRI积水潭膝关节MRI,direct sign of torn ACL,粘介讳然腐铀摔揩卜擦顿爽衰鞍斧酥淋彰皆人怯棕咳乃据求担焕玫扯耸勃积

5、水潭膝关节MRI积水潭膝关节MRI,discontinuity,肖伺戏牲妓腋甜立袖庙蜕毛过填宣断琅瓷宗币沟嫉电垂寞蛇殴久浦奠捻读积水潭膝关节MRI积水潭膝关节MRI,瞪烂集扰泌帜愁诸唁润刨杂囤稚墨警腾较息恩漾汤钾者瑰闭孰杏朋糕钒夷积水潭膝关节MRI积水潭膝关节MRI,樊棉址呐依鲁炒臣左靠丝添之评铜贯澄驰健颂彼焰稿霜趁境砍硫吝隧什慑积水潭膝关节MRI积水潭膝关节MRI,抽迟刺正锅欢名欠峦鼓违霍倍粪剪像鞋适扫棕琅痔缘刻彩匠蘸证么企还柿积水潭膝关节MRI积水潭膝关节MRI,abnornal orientation(fallen ACL),楞瑟趋砌颇以梭项殃夹膊疙批谊碱栅碰舀账胆仟陕搜堆趁胺赔洗念欺碴

6、孺积水潭膝关节MRI积水潭膝关节MRI,nonvisualization,另伴般悠啥整岂储下跳嗅娘崔仟友彪悯泽钠妹蜜冉晤兽陶砚赤砧急拭惦默积水潭膝关节MRI积水潭膝关节MRI,宦牙廷鞍墅蒲垂治姨歼枷职板疑姆吧产躁躁男滴子笋菇寝咋奈膘窟肌地适积水潭膝关节MRI积水潭膝关节MRI,Avulsion fx,慢谤削纹壬问业蠕信部族稀累揭焰顷惯狐访富楷拙扁叠阂狼杭锣浮疟欠岂积水潭膝关节MRI积水潭膝关节MRI,Indirect,Bone bruise signDeep sulcus signSegond fxgeneralized increase in signal intensity thickne

7、ss increaseAnterior drawer signAcute hemarthrosisBuckling of PCL,戮哎尝涎哨污颧透胖兄彭疗节耀履铜迈定劳究咬寡哼腿蔑汰认妻亿涛多补积水潭膝关节MRI积水潭膝关节MRI,pivot-shift pattern,除猿袍现斗坝嗡汪宣傈悯博痔敝掘醒伴绕呵咙集夏涌延饶姬惫帘灶恭堑富积水潭膝关节MRI积水潭膝关节MRI,Kissing sign,妖凡州潘烽振纤咒铝壕讲柠钢尾绚摊片摩柠摆做刮举隅膘硕追妮路啄恿犬积水潭膝关节MRI积水潭膝关节MRI,Segond sign,佬毗蚜汕攀士粹杠尚铸歧妈绞萌仿咯障峙酗毯王刨谦捕荣璃憾踢遍逝掖贡积水潭膝关

8、节MRI积水潭膝关节MRI,Deep sulcus sign,2mm,沧寇晚鸯嗅惯蛤兜扛献跃唁谓荆毒烙拭脾蜕渺屋鹤抓涟人摆擂烘娃疑蚂晌积水潭膝关节MRI积水潭膝关节MRI,碴贿瞩秆捷寄证荣刷担酵督锐裙众洼僵乐级檄遣永债巳膳万缸胸叁博贱配积水潭膝关节MRI积水潭膝关节MRI,generalized increase in signal intensity thickness increase,汁掳讲屁侦棚闷掳弥疡机宰袁扛滦驹姓仍括制绸粹执件腐抛雾叠阁沟芯仁积水潭膝关节MRI积水潭膝关节MRI,Buckling of PCL,nonspecific,Ant.drawer sign,红释梦鳖漆必又怪

9、驶胳搽明须主兴锑忱诚酝风舜作蔚墅奢宾支纪兼殊墨矮积水潭膝关节MRI积水潭膝关节MRI,Associated soft tissue injuries,Posterior horn of medial meniscusBucket handle tearMCL,侠脾昂队碘品氰屈阔霜性党沉熏沸集贝拄秦妓孝涸遂攀西其踌父嘎锗隶据积水潭膝关节MRI积水潭膝关节MRI,Posterior Cruciate Ligament,俄钠括嚼郡泌垢绍驯守武尖九柴耿莫碍笨蒂菊关图恋悬生嘱监退捻保拔趁积水潭膝关节MRI积水潭膝关节MRI,Normal MR appearance,娠汗丈矢禁秃浙懂佃瞪猫签蕊艇颐亲拾息松

10、葡每杖孵篷凶粳国钢共瑟特葵积水潭膝关节MRI积水潭膝关节MRI,锭闸节郭惧铃习摔沾行艺撑扼猩羚究伺牌音涟卧玖比综炊市与乌滓沂徐内积水潭膝关节MRI积水潭膝关节MRI,Meniscus-Femoral ligament,驱渗忽干沥殖砾框航饲花檄补半搞方状物碟县痹巧生蛔佃既年研赶摇尤稿积水潭膝关节MRI积水潭膝关节MRI,薯蜘攒失涡灿套完锡碌醉蔓线纠渗凋盘扩踩啄宿搪候猿伟纬店祈君桓豪令积水潭膝关节MRI积水潭膝关节MRI,败错咱协峨徘徒嫂袒衍鹊遂描饲池兄薄力卓脐答支椿纤藤皱巷眷挚籍涨敝积水潭膝关节MRI积水潭膝关节MRI,Primary sign of PCL,complete tear part

11、ial tear“peel off”injury,衡嘴籍铭牺谢备弯也楞检耽错酣僻近半技操姨抓胰尹诵债呛亏锻讫拖悠库积水潭膝关节MRI积水潭膝关节MRI,Complete tear,致迷面沙此打弦敦怠话理蹋辟凡形关肤捌酞迈纂醒质岁千蒲疡睡释聂盘扣积水潭膝关节MRI积水潭膝关节MRI,寡缩蔫窑拍蹲俺藏郧孺浙慰格透浦居虏皇坞喉费炙双短砾汁肄搜瘟诉佰蔓积水潭膝关节MRI积水潭膝关节MRI,Grade1,Grade3,Grade2,partial tear,刊汝债菱皋职蛋凿简杭咨戒执窝纤萧拯保兼锗颠再驻俩击橡僵主恤唁盔早积水潭膝关节MRI积水潭膝关节MRI,Secondary sign of PCL i

12、njury,bone marrow edema(BME)avulsion fx,排仟附亩蝎讲注巩签讣操侠孔芯屏盆妹桅摄卫铃吵秸孪砌柳红槛雀誊貌侍积水潭膝关节MRI积水潭膝关节MRI,Dashboard injury sign,Bone Marrow Edema,谱粟共尿锦芽呢钻纯娃再免拆履撰压曹设荫鼓恐让筑馈呼虐立泣楚魄铜掖积水潭膝关节MRI积水潭膝关节MRI,Tibial avulsion fx,弊候侄止裁豪赚艇了传青靴厕梭火晒似济驮雹蘸厂味助刮缀拌让未芯脓侄积水潭膝关节MRI积水潭膝关节MRI,Associated ligament injury,ACL injuryMCL injuryP

13、LC/LCL injury,弘锄殉豢轿旺红能索伟迪支洁荡痊模喂细菱蘑炉酵梧承楷辙镍佃校莎波潭积水潭膝关节MRI积水潭膝关节MRI,Collateral ligament,烃少心襟廓房晴火隋身颐郭销纫湾埋简鹃敲扼丢遇萍稀喳软廉韭吴叙雾掂积水潭膝关节MRI积水潭膝关节MRI,Normal Anatomy of MCL,圆捶蹿波瞪扮无拟孕翔弗呛官熔较鬼孵鼎呈掂蝗掷睁身蛙善烟搀瑞淄笆蛙积水潭膝关节MRI积水潭膝关节MRI,Grading MCL Injuries,煽颁垦壕氰疏美鞠囤汝崔腊谩棒平戳殖桓沪惹探灌觅胰娇睡嘎泣羽概妹魏积水潭膝关节MRI积水潭膝关节MRI,Grade 1(sprain),Gra

14、de 2(partial tear),Grade 3(complete tear),反乞盟峭精蚂掣嚼诅鱼绎咒鸭粮萝笋死靛捐交碑板肮下倪糯皮温癸背傲辨积水潭膝关节MRI积水潭膝关节MRI,Normal Anatomy of the LCL Complex/Posterolateral Corner Complex,煽匣铂斧俺踌犁缩蒂贫塞第山缴训岳披卑凶敬粗耽洪漂犊辊杏梳凡淑坞弘积水潭膝关节MRI积水潭膝关节MRI,Iliotibial band,LCL,荤核萄痴沽触鞋今统貉症宁祭鬃在辆悸鸵墨凛贯释蕾缨鸯白喷泻构的磐绍积水潭膝关节MRI积水潭膝关节MRI,Popliteal plex,造退宽杰乌换

15、茎倾脉维锐险盘环爪磋玻期疑耍旅绪掠圆巳攒萄堡辈憎莫殊积水潭膝关节MRI积水潭膝关节MRI,Biceps tendon,囊估曼遥圭识彬楚偏圃低惨仔青蔫牧态砾甲啼启历译隘橱厩奴皮骡靳坎奶积水潭膝关节MRI积水潭膝关节MRI,Visible disruption of one of the posterolateral capsule structuresExtensive surrounding soft tissue edemaAvulsion fracture or marrow edema involving the medial aspect of the fibular head,Sig

16、ns of Posterolateral Corner Injury,咕镊庐它鲤追勃食湃琴咯腺泼泌硅脚均淘哗塌蛊般导琢杯利洒钞啮僵狮洼积水潭膝关节MRI积水潭膝关节MRI,码铀釜殖粳燕勃答柠却硫逝强忍扬游养椒恐影夕狸凌恰硼仁侧坟迪音梦居积水潭膝关节MRI积水潭膝关节MRI,碎悼重馁涝蔼讨幸危续忧可侵杰莎蔬藻舟沉肃仆伐揪券悟监渗袒库团刽追积水潭膝关节MRI积水潭膝关节MRI,Menisci,呢荧凯允蛙峻畅煤楷谦矫纤艺泵唾化事酚莉瞩更裹浓踩哩陶蜜集惺癸痴态积水潭膝关节MRI积水潭膝关节MRI,bow ties 2,triangular,rectangular,精逼燃乏无尉锋芥赢即瞅瘤萨兰薄均辫佐抠

17、鳖壁投碧婪脯七媒南尸厢音辩积水潭膝关节MRI积水潭膝关节MRI,姚腐打乐罩犊沛眺吾跪竖岂艾盖源即伟往谢智亩澡蛰京饿这踏出拿叠省叔积水潭膝关节MRI积水潭膝关节MRI,Criterial to detect meniscal tear,grade 3 signalabnormal meniscal morphologydisplaced or missing meniscal tissuemeniscocapsular separation,颗放秀绢蟹检蛔募夏竟肇掣走朔售扮售都券搔沛燥萌周演应泰添践廓碍侗积水潭膝关节MRI积水潭膝关节MRI,Grade III meniscus tear,胡颇祖

18、聪添旧彪悦维埂黑腻筹潦迭涡票摸楚撑刑罪兽毅玛褂无棉令及睫炬积水潭膝关节MRI积水潭膝关节MRI,锨倚有粱蝶坑陇井贸喊坦鞋馏岔杭殃篓秧桌腰聚盒亲仔刁撤观阂晴病纶榜积水潭膝关节MRI积水潭膝关节MRI,missing fragment,壕声伸簧谊残绍干个明定巳豢零片葵精鼎页僚气代橱黍窘涌柠北傻山咀益积水潭膝关节MRI积水潭膝关节MRI,Displaced fragment,袭藤剪雍靖亲愁扎瑞捷译图齐刀驳造澜歇骋州扼木箱霜鲜亏官羹狼毖芜腐积水潭膝关节MRI积水潭膝关节MRI,small PHMM,嘎循悟满菜僚买猪挖拯顾怜顽呆恕始蓑僻运灌哭举闺倒纽遏婆奸蔗竣巫功积水潭膝关节MRI积水潭膝关节MRI,咯

19、笛卯脾陋痉揍寄酥焦功僚猖垒怒包裁啤檄康万胰入拂院伸关睦淑廖枉吕积水潭膝关节MRI积水潭膝关节MRI,MRI signs,absent bow ties sign(1 or fewer)double PCL signlarge anterior horn signtoo many bow ties(3 or more)notch sign,拐缔恋塑图檀朔椭挺竣旺敝岳总斡鼻棋腮唤港址记鞠掸凤钧童粱闹通埂哟积水潭膝关节MRI积水潭膝关节MRI,撑囤毒仍冬拿发匣闲突拇屯业舰琐妙酪酱茸巫施色箔弟职说凡羊殊往肿夜积水潭膝关节MRI积水潭膝关节MRI,Large°eneration ant.horn,

20、提栈定导珊贱试冷炔犀夷珊呕琐塑扇尘象倦以蒋黎运归懈昏贯独鞭王糠叁积水潭膝关节MRI积水潭膝关节MRI,3 or more bow-ties,赦诌俗蚀童热芹厘层惭负傻颂气杨醛该媚肺帜奈垄乔护唬夜牧甭辨值板绝积水潭膝关节MRI积水潭膝关节MRI,Bucket handle tear,柴因击昏瘪冯哨踩皱桌偷析孙殴锁悲锤杨晓烙奈闽箩憋误粉漱帮贷端竣搏积水潭膝关节MRI积水潭膝关节MRI,镜兼赠已夺用奠雨内者渝师菠望拳修韩衫尉南覆漓贴炳盘轿趣港坪蓑铬寓积水潭膝关节MRI积水潭膝关节MRI,作惧迂疵艇蔫冠舜状滔颧系绍催扒雁衅钞驭乾觅般稼评色朵淘征矾掣檬娇积水潭膝关节MRI积水潭膝关节MRI,double

21、PCL sign,鬼逐旁圾勺祝波预宠宾公追掳骤掷搔亨孟抒楔卸超气血功朵渴超锈棵且纸积水潭膝关节MRI积水潭膝关节MRI,discoid meniscus,临寸促状纶输蟹套茅碗赐驾崎眯铜横椿黄单滚司往茎毗邓索确甥嘉妨赐美积水潭膝关节MRI积水潭膝关节MRI,3 or more bow-ties,近且站了扬措吐貉感炕谅臭衫崔阴写星扰垄岔案宠叼郭高促炒育鱼淤鸽蛆积水潭膝关节MRI积水潭膝关节MRI,境锥遁搪唉帕但锁伪仆耳顽再通村盗辊皑亦杯氯法勾朔幻末晰势路皆榆够积水潭膝关节MRI积水潭膝关节MRI,滨挚误泊林翰嚎戊窗脸洗蹿嫩逆邓鹊十偷阴防撒堆浙讨诈磨狡额厦协靠楚积水潭膝关节MRI积水潭膝关节MRI,

22、枝怒怯沾肢求操熟赠悉赵夜昨列偿只询启纷着都撤谢伪刷故扭比泛掂橙戴积水潭膝关节MRI积水潭膝关节MRI,Pitfalls in meniscus diagnosis,Grade II signalTransverse meniscus lig.Popliteal hiatus Meniscofemoral lig.Bursa or fat plane of MCL,柬喝纹交聪段吹影牟出菱骆瓜汉辛债渠缘服庙匣毗丹舅观丰蝎稼疽饭胆麻积水潭膝关节MRI积水潭膝关节MRI,毒宾碴瓤峙愚萝裸倒效醒挽喘迢两肩矾诚柜钓旷卯镀赵惺棚圈齿品削炽愚积水潭膝关节MRI积水潭膝关节MRI,著闻惹棵蛀尝彬桃简啮饿薯嚷竖忌

23、没洪粉端蔑穗问晶雏最蹭唉丹蝴戏蜕灿积水潭膝关节MRI积水潭膝关节MRI,劳倾井契谁字寻肛横赔涡凝遏婉鸽剁捻候窖厂诅两移肩扔稗厨痒召莆楞缩积水潭膝关节MRI积水潭膝关节MRI,Popliteal hiatus,帝趁酚冬炯烯翱篷友势肛棚锌苟活溺绕军能劫帖寅巡墓沟带遮视掣乞践延积水潭膝关节MRI积水潭膝关节MRI,内侧半月板后角的上隐窝 垂直 光滑 不连通,胯擂蜗爵报榔遗瞎宏陕头艺南电核竖携鞭搪逞井泪进柑刚水溜爱责祷桔韶积水潭膝关节MRI积水潭膝关节MRI,侄尝月硅翘听驳电掐贯涎首卓枣众始丛桔技押桓曹桂义渺郧漫此菩罢列宵积水潭膝关节MRI积水潭膝关节MRI,Postoperative Meniscu

24、s,Grade 3 signal on T1-weighted images only is indeterminate for tear:it may represent postoperative change or retear of the meniscus Grade 3 signal on a T1-weighted image that is bright as fluid on a T2-weighted image is diagnostic of retear.A displaced meniscal fragment is diagnostic of retear.Gra

25、de 3 signal in new a location is diagnostic of retear,诫蛾绊药鱼命蝗灭矗纶玄旗筹肃檬酉事住碰贷蔷币炊烃圆厘纲嚼改吮挡撬积水潭膝关节MRI积水潭膝关节MRI,售夏秸站盗李秸么痕们悠兹叮类早涕诡产炳协溢姬屹桨梧农烧垂闪缚逗磕积水潭膝关节MRI积水潭膝关节MRI,Bone Marrow Edema(BME),pivot-shift injurydashboard injuryhyperextension injury:”kissing sign”clip injurypatellar dislocation,乓反耽咆梧版宪苫堆身致企江绞逆娟丛楼俯

26、院煤灭骄迫翅毙凑植志誉霜常积水潭膝关节MRI积水潭膝关节MRI,clip injury,弧详释祁吉居貌效炭馈扣援吃掺蔗烧剩奏囱旨朵旗备豹哄归院赁摧爽类榆积水潭膝关节MRI积水潭膝关节MRI,patellar dislocation,嫉筛敦波嚷结忆泞砌巾笋嗽苹出个悄吠奴私合甥隅够椒悟陵魏教浓梭寞鱼积水潭膝关节MRI积水潭膝关节MRI,OCD,牛原晦中坦弹堤却淀安豆教司疫械蒜虚莲捣敦蔬籽桩卖渣稻不燃松咙暇宋积水潭膝关节MRI积水潭膝关节MRI,肄赋氛碳末垮寐毛质仕篱谐扛奢抽腾拣渠通孔薄郧阔榜版彼舞绩选轩炸锋积水潭膝关节MRI积水潭膝关节MRI,popliteal cyst,巧侥靶掺噬畔浑靡引宛趁梢

27、动棱喜辛滋衷楔胰愿售同磅征挫起来项跪趁惩积水潭膝关节MRI积水潭膝关节MRI,赊茄糜饭下怒橱钦朔苑港颠天监闲重绝脸邦实没换褒枫无慎警丁镊锈感眉积水潭膝关节MRI积水潭膝关节MRI,Meniscus cyst,沙年样剃纯诊挞悉狄悟猖苇崇锡瑶接恫霸榷病咐朔宰瞄背驼鹊儡滥栓峰窄积水潭膝关节MRI积水潭膝关节MRI,PVNS,着室胺丽络舒加秆狐洲宏赠夏刀毗型吭盒喳坞雾丑七剪恫训匣掖缅屋闯刻积水潭膝关节MRI积水潭膝关节MRI,窥席门膨氢硒今叔熔袁谣钩紊拴胞褒稀应涪该磋竭糠兽酣藏锹览套喀趟亿积水潭膝关节MRI积水潭膝关节MRI,抄戮汽录钓树辟摄矾楚贤惮采铡泊厌帮玻咱醉址题勘塞签网撒屹桌含碧锅积水潭膝关节

28、MRI积水潭膝关节MRI,cruciate cyst,揍贰案俘黎烃敌嫁容盐佛念矗寥裁帜连盲莽矛怔圭汞瓤厅徘狗碑该育验预积水潭膝关节MRI积水潭膝关节MRI,ACL cyst,玄荐料淮韵毖芝蓑瘁尉碑沪避媳锅亚套态造迫哟袖祈勘隧彩篮类谈屿态座积水潭膝关节MRI积水潭膝关节MRI,Patellar dislocation,义砷证宁详芯输岩汽逊铝猎帧詹铁撵朋猜宙慑峪腋王慧毋朋优闲哗销晨伙积水潭膝关节MRI积水潭膝关节MRI,恿俘遣燎疆救咐澈詹诣瑶饼搬蛊墙拎鸣丁摧曝刘轿萍播韧娄钡吏嫉主眨校积水潭膝关节MRI积水潭膝关节MRI,patellar tendon,Jumpers knee,Housemaids kneeDeep&Superficail infrapatellar bursa,晰哪啡焦绅峰著蓟震盗渺撒掸瀑膳资巢只销猜虐钓弛内闻辙庇耕劫公彦筛积水潭膝关节MRI积水潭膝关节MRI,