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首页> 外文期刊>Topics in Magnetic Resonance Imaging >Magnetic resonance imaging in musculoskeletal assessment: a surgeon's perspective.
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Magnetic resonance imaging in musculoskeletal assessment: a surgeon's perspective.

机译：肌肉骨骼评估中的磁共振成像：外科医生的观点。

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摘要

Magnetic resonance (MR) imaging is a significant advance in musculoskeletal noninvasive visualization, especially for the soft tissues including the menisci. The purpose of this article is to give the radiologist a surgeon's perspective on the role of this technology in clinical practice. For MR imaging to be cost effective, it must accurately define anatomy, and reveal changes that have an impact on patient care--i.e., be clinically relevant. For MR imaging to be accurate, optimum software, hardware, and an experienced radiologist are essential. However, even if an MR examination has high accuracy, the abnormal findings of this evaluation may not be related to the clinical problem that the patient presents with. This is supported by the demonstration that asymptomatic patients may have grade 3 meniscal tears, herniated discs, and rotator cuff changes. The MR examination may not change patient management even if it demonstrates pathologies such as a meniscal tear. The patient may tolerate the dysfunction and pain. The most cost-effective method of providing musculoskeletal care is still a careful history and competent physical examination.
机译：磁共振（MR）成像是肌肉骨骼非侵入性可视化的重大进展，尤其是对于包括半月板在内的软组织。本文的目的是使放射科医生对这项技术在临床实践中的作用的看法。为了使MR成像具有成本效益，它必须准确地定义解剖结构，并揭示对患者护理产生影响的变化 - 即在临床上相关。为了使MR成像是准确的，最佳软件，硬件和经验丰富的放射科医生至关重要。但是，即使MR检查的精度很高，该评估的异常发现可能与患者提出的临床问题无关。这证明了无症状的患者可能有3级半月板撕裂，椎间盘椎间盘和肩袖的变化支持这一点。 MR检查可能不会改变患者的管理，即使表现出诸如半月板撕裂之类的病理。患者可以忍受功能障碍和疼痛。提供肌肉骨骼护理的最具成本效益的方法仍然是仔细的病史和有能力的身体检查。

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