{"id":8631,"date":"2020-09-21T14:16:28","date_gmt":"2020-09-21T19:16:28","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=8631"},"modified":"2020-09-21T14:17:39","modified_gmt":"2020-09-21T19:17:39","slug":"whats-new-in-msk-imaging-chinese-september-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/whats-new-in-msk-imaging-chinese-september-2020\/","title":{"rendered":"What&#8217;s new in MSK Imaging (Chinese) &#8211; September 2020"},"content":{"rendered":"<h5><span style=\"color: #3366ff;\"><strong>\u524d\u4ea4\u53c9\u97e7\u5e26\u91cd\u5efa\u672f\u540e\u540e\u7eed\u624b\u672f\u7684\u53d1\u751f\u7387\u53ca\u9884\u6d4b\u56e0\u7d20\u4e00\u98796\u5e74\u7684\u968f\u8bbf\u7814\u7a76<\/strong><\/span><\/h5>\n<p>MOON Knee Group<\/p>\n<p>Investigation performed at Vanderbilt University Medical Center, Nashville, Tennessee, USA<\/p>\n<p><em>American Journal of Sports Medicine<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u524d\u4ea4\u53c9\u97e7\u5e26\uff08ACL\uff09\u91cd\u5efa\u672f\u540e\u91cd\u590d\u624b\u672f\u7684\u8bf1\u56e0\u5f88\u591a\uff0c\u4f46\u662f\u91cd\u590d\u624b\u672f\u7684\u5371\u9669\u56e0\u7d20\u5c1a\u672a\u9610\u660e\u3002\u5982\u679c\u624b\u672f\u6216\u4e34\u5e8a\u56e0\u7d20\u4e0e\u91cd\u590d\u624b\u672f\u7684\u9700\u6c42\u6709\u5173\uff0c\u90a3\u4e48\u60a3\u8005\u548c\u4e34\u5e8a\u533b\u751f\u80fd\u5bf9\u9884\u540e\u53ca\u53ef\u5e72\u9884\u7684\u56e0\u7d20\u6709\u66f4\u51c6\u786e\u7684\u7406\u89e3\u4ee5\u5f71\u54cd\u98ce\u9669\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u4e34\u5e8a\u6216\u624b\u672f\u56e0\u7d20\u662f\u5426\u4f1a\u5f71\u54cd\u9996\u6b21ACL\u91cd\u5efa\u540e\u7684\u91cd\u590d\u624b\u672f\u7387\uff1f\u5728\u8fdb\u884c\u8fc7\u9996\u6b21ACL\u91cd\u5efa\u540e\u7684\u60a3\u8005\u4e2d\uff0c\u5176\u540e\u7eed\u624b\u672f\u7684\u53d1\u751f\u7387\u53ca\u7c7b\u578b\u662f\u4ec0\u4e48\uff1f\u54ea\u4e9b\u56e0\u7d20\u4e0e\u60a3\u8005\u5728\u9996\u6b21ACL\u91cd\u5efa\u540e\u8fdb\u884c\u540e\u7eed\u624b\u672f\u7684\u53d1\u751f\u7387\u6709\u5173\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u524d\u77bb\u6027\u961f\u5217\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u57282002\u5e74\u81f32008\u5e74\u95f4\uff0c\u57287\u4e2a\u4e2d\u5fc3\u4e2d\uff0c\u63a5\u53d7\u8fc7\u5355\u4fa7\u9996\u6b21\u6216\u4fee\u6b63ACL\u91cd\u5efa\u672f\u7684\u60a3\u8005\uff0c\u8fd9\u4e9b\u624b\u672f\u5747\u753117\u540d\u5916\u79d1\u533b\u751f\u7684\u5176\u4e2d\u4e00\u540d\u8fdb\u884c\u3002\u591a\u97e7\u5e26\u635f\u4f24\u4e5f\u7eb3\u5165\u7814\u7a76\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u540c\u65f6\u53cc\u4fa7ACL\u91cd\u5efa\u672f<\/p>\n<p><strong>\u65b9\u6cd5<\/strong><\/p>\n<p>\u60a3\u8005\u5728\u8fdb\u884c\u9996\u6b21ACL\u624b\u672f\u524d\u5b8c\u6210\u4e86\u95ee\u5377\u8c03\u67e5\uff0c\u5e76\u5728\u7b2c2\u5e74\u548c\u7b2c6\u5e74\u8fdb\u884c\u4e86\u968f\u8bbf\u3002\u8054\u7cfb\u60a3\u8005\u4ee5\u786e\u5b9a\u662f\u5426\u6709\u4efb\u4f55\u60a3\u8005\u81ea\u9996\u6b21\u624b\u672f\u4ee5\u6765\u63a5\u53d7\u4e86\u91cd\u590d\u624b\u672f\u3002\u83b7\u5f97\u4e86\u624b\u672f\u62a5\u544a\uff0c\u5e76\u5bf9\u6240\u6709\u624b\u672f\u7a0b\u5e8f\u8fdb\u884c\u4e86\u5206\u7c7b\u548c\u8bb0\u5f55\u3002\u5efa\u7acbLogistic\u56de\u5f52\u6a21\u578b\u6765\u9884\u6d4b\u54ea\u4e9b\u60a3\u8005\u7684\u4eba\u53e3\u5b66\u548c\u624b\u672f\u56e0\u7d20\u4e0e\u4ed6\u4eec\u7684\u9996\u6b21ACL\u91cd\u5efa\u540e\u8fdb\u884c\u540e\u7eed\u624b\u672f\u7684\u53d1\u751f\u7387\u76f8\u5173\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>\u8be5\u961f\u5217\u5305\u62ec3276\u540d\u60a3\u8005\uff08\u7537\u602756.3\uff05\uff09\uff0c\u4e2d\u4f4d\u5e74\u9f84\u4e3a23\u5c81\u3002\u5bf991.5\uff05\uff082999\/3276\uff09\u7684\u60a3\u8005\u8fdb\u884c\u4e86\u4e3a\u671f6\u5e74\u7684\u5173\u4e8e\u540e\u7eed\u624b\u672f\u7684\u53d1\u751f\u7387\u548c\u9891\u7387\u4fe1\u606f\u7684\u968f\u8bbf\u3002\u603b\u4f53\u800c\u8a00\uff0c\u670920.4\uff05\uff08612\/2999\uff09\u7684\u60a3\u8005\u5728\u9996\u6b21\u624b\u672f\u540e\u76846\u5e74\u5185\uff0c\u5728\u540c\u4fa7\u819d\u5173\u8282\u8fdb\u884c\u8fc7\u81f3\u5c111\u6b21\u540e\u7eed\u624b\u672f\u3002ACL\u91cd\u5efa\uff1a\u6700\u5e38\u89c1\u7684\u540e\u7eed\u5916\u79d1\u624b\u672f\u6d89\u53ca\u534a\u6708\u677f\uff0811.9\uff05\uff09\uff0c\u4fee\u6b63ACL\u91cd\u5efa\uff087.5\uff05\uff09\uff0c\u8fd0\u52a8\u4e27\u5931\uff087.8\uff05\uff09\u548c\u5173\u8282\u8f6f\u9aa8\uff086.7\uff05\uff09\u3002\u5f15\u8d77\u540e\u7eed\u534a\u6708\u677f\u76f8\u5173\u624b\u672f\u7684\u660e\u663e\u7684\u5371\u9669\u56e0\u7d20\u662f\uff0c\u5728\u8fdb\u884c\u9996\u6b21\u624b\u672f\u540c\u65f6\u8fdb\u884c\u4e86\u5185\u4fa7\u534a\u6708\u677f\u4fee\u590d\uff0c\u4f7f\u7528\u81ea\u4f53\u6216\u5f02\u4f53\u808c\u8171\u8fdb\u884c\u91cd\u5efa\uff0c\u57fa\u7840Marx\u6d3b\u52a8\u6c34\u5e73\u66f4\u9ad8\uff0c\u5e74\u9f84\u8f83\u5c0f\u4ee5\u53ca\u6212\u70df\u3002\u5305\u62ec\u5173\u8282\u8f6f\u9aa8\u7684\u540e\u7eed\u624b\u672f\u7684\u91cd\u8981\u9884\u6d4b\u56e0\u7d20\u662f\u9ad8\u4f53\u91cd\u6307\u6570\uff0c\u9ad8Marx\u6d3b\u52a8\u6c34\u5e73\uff0c\u4f7f\u7528\u81ea\u4f53\u6216\u5f02\u4f53\u808c\u8171\u8fdb\u884c\u91cd\u5efa\uff0c\u9996\u6b21\u624b\u672f\u65f6\u8fdb\u884c\u4e86\u534a\u6708\u677f\u4fee\u590d\uff0c\u6216\u8005\u5728\u9996\u6b21ACL\u91cd\u5efa\u65f6\uff0c\u5206\u7c7b\u4e3a3\/4\u7ea7\u5173\u8282\u8f6f\u9aa8\u5f02\u5e38\u3002\u7531\u4e8e\u8fd0\u52a8\u4e27\u5931\u5f15\u8d77\u7684\u540e\u7eed\u624b\u672f\u7684\u5371\u9669\u56e0\u7d20\u662f\u5e74\u9f84\u8f83\u5c0f\uff0c\u5973\u6027\uff0c\u57fa\u7840\u819d\u5173\u8282\u635f\u4f24\u8f83\u8f7b\u548c\u9aa8\u5173\u8282\u708e\u7ed3\u679c\u8bc4\u5206\u75c7\u72b6\u8bc4\u5206\u8f83\u4f4e\uff0c\u4ee5\u53ca\u4f7f\u7528\u540c\u79cd\u5f02\u4f53\u8f6f\u7ec4\u7ec7\u8fdb\u884c\u91cd\u5efa\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>\u5e74\u8f7b\u60a3\u8005\uff0c\u5973\u6027\u60a3\u8005\uff0c\u57fa\u7840\u819d\u5173\u8282\u635f\u4f24\u8f83\u8f7b\uff0c\u9aa8\u5173\u8282\u708e\u7ed3\u679c\u8bc4\u5206\u75c7\u72b6\u8bc4\u5206\u8f83\u4f4e\uff0c\u4ee5\u53ca\u4f7f\u7528\u540c\u79cd\u81ea\u4f53\u8f6f\u7ec4\u7ec7\u8fdb\u884c\u91cd\u5efa\u53ef\u80fd\u662f\u5bfc\u81f4\u60a3\u8005\u5728ACL\u91cd\u5efa\u540e\u9700\u8981\u8fdb\u884c\u91cd\u590d\u624b\u672f\u7684\u5371\u9669\u56e0\u7d20\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1177\/0363546520935867\">https:\/\/doi.org\/10.1177\/0363546520935867<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u8fd9\u9879\u7814\u7a76\u662f\u4e00\u9879\u91cd\u8981\u7684\u5de5\u4f5c\uff0c\u60a3\u8005\u91cf\u5927\uff0c\u5e76\u4e14\u586b\u8865\u4e86\u6709\u5173ACL\u4fee\u6b63\u7684\u77e5\u8bc6\u7a7a\u767d\u3002\u4f46\u662f\uff0c\u5b83\u5177\u6709\u6b64\u7c7b\u5e26\u6709\u56de\u987e\u6027\u504f\u501a\u7684\u7814\u7a76\u90fd\u6709\u7684\u5c40\u9650\u6027\u3002\u8bb8\u591a\u5176\u4ed6\u56e0\u7d20\uff0c\u4f8b\u5982\u518d\u635f\u4f24\uff0c\u60a3\u8005\u6d3b\u52a8\u6216\u819d\u5173\u8282\u4e0d\u7a33\u72b6\u6001\uff0c\u60a3\u8005\u9700\u6c42\u6216\u5bf9\u9996\u6b21\u624b\u672f\u7684\u4e0d\u6ee1\u610f\uff0c\u4ee5\u53ca\u79c1\u4eba\u4fdd\u9669\u72b6\u51b5\u7b49\u4e5f\u662f\u5176\u4ed6\u660e\u663e\u7684\u6df7\u6742\u56e0\u7d20\u3002<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5b66\u5458\u7684\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u5f53\u4f60\u56de\u987e\u672f\u540e\u4fee\u6b63\u7684ACL\u7684MRI\u65f6\uff0c\u5bc6\u5207\u5173\u6ce8\u4ee5\u4e0b\u5185\u5bb9\uff0c\u56e0\u4e3a\u5b83\u4eec\u53ef\u80fd\u5f71\u54cd\u5c06\u6765\u7684ACL\u79fb\u690d\u7269\u7684\u4fee\u6b63\u3002<\/p>\n<ul>\n<li>\u5185\u4fa7\u534a\u6708\u677f\u4fee\u590d<\/li>\n<li>\u8f6f\u9aa8\u635f\u4f24\uff08\u7279\u522b\u662f3\/4\u7ea7\uff09<\/li>\n<li>\u8f6f\u9aa8\u4fee\u590d\u7684\u90e8\u4f4d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5728\u5e74\u8f7b\u4eba\u7fa4\u4e2d\uff0c\u540c\u79cd\u5f02\u4f53\u4f9b\u4f53\u7684\u7279\u5f81\u663e\u8457\u5f71\u54cd\u524d\u4ea4\u53c9\u97e7\u5e26\u91cd\u5efa\u672f\u540e\u7684\u79fb\u690d\u7269\u7834\u88c2<\/strong><\/span><\/h5>\n<p>Sarah Shumborski, BSc, MD, Lucy J. Salmony BAppSci (Physio), PhD, Claire Monk, BAppSci (ExPhys), Emma Heath, MPhty, Justin P. Roe MBBS, and Leo A. Pinczewski, AM, MBBS<\/p>\n<p><em>American Journal of Sports Medicine<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u7531\u4e8e\u5e74\u8f7b\u4eba\u7684\u518d\u53d7\u4f24\u6982\u7387\u5f88\u9ad8\uff0c\u5728\u5e74\u8f7b\u6d3b\u8dc3\u7684\u4eba\u7fa4\u4e2d\u524d\u4ea4\u53c9\u97e7\u5e26\uff08ACL\uff09\u672f\u79fb\u690d\u7269\u7684\u9009\u62e9\u662f\u8f83\u56f0\u96be\u7684\u3002\u540c\u79cd\u5f02\u4f53\u79fb\u690d\u7269\u53ef\u4ee5\u63a7\u5236\u79fb\u690d\u7269\u7684\u5927\u5c0f\u5e76\u51cf\u5c11\u81ea\u4f53\u79fb\u690d\u7269\u7684\u53d1\u75c5\u7387\u3002\u5728\u6587\u732e\u4e2d\u5173\u4e8e\u540c\u79cd\u5f02\u4f53\u79fb\u690d\u7684\u4f7f\u7528\u7ed3\u679c\u4e0d\u4e00\u3002\u7136\u800c\uff0c\u5c1a\u672a\u7814\u7a76\u8fc7\u540c\u79cd\u5f02\u4f53\u79fb\u690d\u7269\u7684\u6027\u8d28\u5bf9\u9884\u540e\u7684\u5f71\u54cd\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u4e0e\u6765\u81ea\u5e74\u8f7b\u4f9b\u4f53\u7684\u540c\u79cd\u5f02\u4f53\u79fb\u690d\u76f8\u6bd4\uff0c\u4f7f\u7528\u6765\u81ea\u8001\u5e74\u4f9b\u4f53\u7684\u540c\u79cd\u5f02\u4f53\u79fb\u690d\u8fdb\u884cACL\u91cd\u5efa\uff0c\u79fb\u690d\u7269\u7834\u88c2\u7684\u6982\u7387\u4f1a\u66f4\u9ad8\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u524d\u77bb\u6027\u961f\u5217\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u57283.5\u5e74\u4e2d\u5e74\u9f84\u572813\u523025\u5c81\u7684211\u540d\u60a3\u8005\u63a5\u53d7\u4e86\u4f7f\u7528\u65b0\u9c9c\u51b7\u51bb\u975e\u8f90\u5c04\u6027\u540c\u79cd\u81ea\u4f53\u79fb\u690d\u7269\u7684\u9996\u6b21ACL\u91cd\u5efa\u672f\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6 <\/strong><\/p>\n<p>\u5e74\u9f84\u8d85\u8fc725\u5c81\uff0c\u540c\u4e00\u819d\u5173\u8282\u6709\u5176\u4ed6\u7684\u4e25\u91cd\u97e7\u5e26\u635f\u4f24\uff0c\u65e2\u5f80\u4efb\u4e00\u819d\u5173\u8282\u6709\u524d\u4ea4\u53c9\u97e7\u5e26\u635f\u4f24\u7684\u75c5\u53f2\uff0c\u6216\u5bf9\u635f\u4f24\u5bfb\u6c42\u8865\u507f\u7684\u60a3\u8005\u88ab\u6392\u9664\u5728\u5916\u3002<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong><\/p>\n<p>\u4f7f\u7528\u4e86\u56db\u79cd\u7c7b\u578b\u7684\u79fb\u690d\u7269\uff1a\u9acc\u97e7\u5e26\uff0c\u8ddf\u8171\uff0c\u80eb\u9aa8\u524d\u808c\u548c\u80eb\u9aa8\u540e\u808c\u3002\u6536\u96c6\u4e86\u540c\u79cd\u5f02\u4f53\u4f9b\u4f53\u5e74\u9f84\u548c\u6027\u522b\u76f8\u5173\u7684\u8be6\u7ec6\u4fe1\u606f\u3002\u5728\u81f3\u5c1124\u4e2a\u6708\u540e\uff0c\u5bf9\u60a3\u8005\u7684\u8fdb\u4e00\u6b65\u635f\u4f24\u4ee5\u53ca\u901a\u8fc7\u56fd\u9645\u819d\u5173\u8282\u6587\u732e\u59d4\u5458\u4f1a\uff08IKDC\uff09\u95ee\u5377\u5f97\u5230\u7684\u60a3\u8005\u7684\u4e3b\u89c2\u5206\u6790\u8fdb\u884c\u8bc4\u4f30\u3002\u5206\u7c7b\u6570\u636e\u7ec4\u95f4\u53d8\u91cf\u7684\u6bd4\u8f83\u4f7f\u7528x 2\u68c0\u9a8c\u5206\u6790\uff0c\u8fde\u7eed\u53d8\u91cf\u7684\u6bd4\u8f83\u901a\u8fc7Student t\u68c0\u9a8c\u786e\u5b9a\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>ACL\u79fb\u690d\u7269\u7834\u88c2\u53d1\u751f\u7387\u4e3a23.5\uff05\u3002\u5f53\u5c06\u79fb\u690d\u7269\u5206\u4e3a\u5355\u80a1\uff08\u9acc\u97e7\u5e26\u548c\u8ddf\u8171\uff09\u548c\u591a\u80a1\uff08\u80eb\u9aa8\u524d\u548c\u540e\uff09\u65f6\uff0c\u5355\u80a1\u79fb\u690d\u7684\u518d\u635f\u4f24\u7387\u660e\u663e\u66f4\u9ad8\uff0829.9\uff05 vs 11\uff05\uff1b P = .014\uff09\u3002\u4e0e\u5e74\u9f84\u5c0f\u4e8e50\u5c81\u7684\u7537\u6027\u4f9b\u4f53\u7684\u79fb\u690d\u7269\u76f8\u6bd4\uff0c\u5e74\u9f8450\u5c81\u7684\u5973\u6027\u4f9b\u4f53\u7684\u79fb\u690d\u7269\u5177\u6709\u66f4\u9ad8\u7684ACL\u79fb\u690d\u7269\u7834\u88c2\u7387\uff0852.6\uff05\uff1b P = 0.003\uff09\uff0c\u6982\u7387\u589e\u52a06.7\u500d\u3002\u5728\u540c\u79cd\u5f02\u4f53\u4f9b\u4f53\u7684\u5e74\u9f84\u548c\u6027\u522b\u4e0a\uff0c\u5404\u7ec4\u4e4b\u95f4\u7684IKDC\u5e73\u5747\u5f97\u5206\u6ca1\u6709\u660e\u663e\u5dee\u5f02\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>\u5728\u5e74\u8f7b\u60a3\u8005\u4e2d\uff0c\u540c\u79cd\u5f02\u4f53\u79fb\u690d\u4f9b\u4f53\u7684\u5e74\u9f84\u548c\u6027\u522b\u4ee5\u53ca\u79fb\u690d\u7269\u7684\u5f62\u6001\u660e\u663e\u5f71\u54cdACL\u79fb\u690d\u7269\u7834\u88c2\u7684\u6982\u7387\u3002\u4e0e\u5404\u5e74\u9f84\u7ec4\u7684\u7537\u6027\u4ee5\u53ca\u5e74\u8f7b\u5973\u6027\u76f8\u6bd4\uff0c\u5e74\u9f84\u226550\u5c81\u7684\u5973\u6027\u4f9b\u4f53\u7684\u808c\u8171\u79fb\u690d\u7269\u518d\u7834\u88c2\u7387\u66f4\u9ad8\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1177\/0363546520938777\">https:\/\/doi.org\/10.1177\/0363546520938777<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u6211\u4eec\u795d\u8d3a\u4f5c\u8005\u7684\u8fd9\u9879\u91cd\u8981\u7814\u7a76\u3002\u5c3d\u7ba1\u6709\u56db\u7c7b\u79fb\u690d\u7269\uff0c\u5bfc\u81f4\u4e0d\u540c\u7ec4\u7684\u75c5\u4f8b\u6570\u5c11\uff0c\u4f46\u8fd9\u9879\u7814\u7a76\u63d0\u51fa\u4e86\u51e0\u4e2a\u8981\u70b9\u3002\u5982\u679c\u5728\u5931\u8d25\u7387\u4e0a\u5bf9\u5176\u4ed6\u6df7\u6742\u56e0\u7d20\uff08\u5982\u60a3\u8005\u6d3b\u52a8\u6c34\u5e73\uff0c\u518d\u635f\u4f24\u7684\u539f\u56e0\uff0cBMI\uff0c\u7cd6\u5c3f\u75c5\uff0c\u5438\u70df\u7b49\uff09\u4e5f\u8fdb\u884c\u63a7\u5236\u53ef\u80fd\u4f1a\u66f4\u597d\u3002<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u5f53\u4f60\u56de\u987e\u819d\u5173\u8282\u672f\u540e\u4fee\u6b63\u7684ACL\u7684MRI\u65f6\uff08\u5e94\u6ce8\u610f\uff09\uff1a<\/p>\n<ul>\n<li>\u6765\u81ea\u9acc\u9aa8\u7684\u79fb\u690d\u7269 = \u9aa8-\u9aa8\u8171\u79fb\u690d\u7269\u3002\u8fd9\u662f\u4e2a\u5355\u80a1\u79fb\u690d\u7269\u3002<\/li>\n<li>\u80a1\u56db\u5934\u808c\u548c\u8158\u7ef3\u808c\u7684\u7622\u75d5 = \u8ba4\u4e3a\u662f\u6765\u81ea\u6b64\u90e8\u4f4d\u7684\u79fb\u690d\u7269 = \u591a\u80a1\u79fb\u690d\u7269<\/li>\n<li>\u5355\u80a1\u79fb\u690d\u7269\u7834\u88c2\u673a\u4f1a\u66f4\u9ad8<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u8bc4\u4f30\u5728\u6ed1\u8f66\u6210\u5f62\u672f\u524d\u6a2a\u65ad\u9762\u6210\u50cf\u4e2d\u80a1\u9aa8\u6ed1\u8f66\u7684\u5f62\u6001\u7279\u5f81\uff1aDejour\u5206\u7c7b\u4e0e\u5b9a\u91cf\u6d4b\u91cf\u6bd4\u8f83<\/strong><\/span><\/h5>\n<p>Nicholas C. Nacey, Michael G. Fox, Barrett N. Luce, Dustin M. Boatman, and David R. Diduch<\/p>\n<p><em>American Journal of Roentgenology<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u7684Dejour\u5206\u7c7b\u662f\u5bf9\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u7684\u5b9a\u6027\u8bc4\u4f30\u3002\u8fd9\u9879\u7814\u7a76\u8bc4\u4f30\u5229\u7528\u6a2a\u65ad\u9762\u6210\u50cf\u6765\u63a2\u8ba8\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u7684\u5b9a\u91cf\u548c\u5b9a\u6027\u8bc4\u4f30\u4e4b\u95f4\u7684\u5173\u7cfb\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u6839\u636eDejour\u5206\u7c7b\u6cd5\uff0c\u6a2a\u65ad\u9762\u6210\u50cf\u80fd\u53ef\u9760\u7684\u5b9a\u6027\u548c\u5b9a\u91cf\u5730\u5c06\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u5206\u4e3a\u4f4e\u7ea7\u522b\uff08A\u578b\uff09\u6216\u9ad8\u7ea7\u522b\uff08B-D\u578b\uff09\uff0c\u5e76\u4e14\u5177\u6709\u826f\u597d\u7684\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u8fc7\u53bb9\u5e74\u95f4\uff0c\u5728\u884c\u6ed1\u8f66\u6c9f\u52a0\u6df1\u6ed1\u8f66\u6210\u5f62\u672f\u4e4b\u524d\u63a5\u53d7\u8fc7CT\u6216MRI\u68c0\u67e5\u7684\u60a3\u8005\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u65e0<\/p>\n<p><strong>\u65b9\u6cd5<\/strong><\/p>\n<p>\u4e24\u540d\u808c\u8089\u80a1\u9aa8\u653e\u5c04\u79d1\u533b\u751f\u72ec\u7acb\u5730\u56de\u987e\u4e86\u60a3\u8005\u884c\u6ed1\u8f66\u6c9f\u52a0\u6df1\u6ed1\u8f66\u6210\u5f62\u672f\u524d\u7684\u819d\u5173\u8282CT\u548cMRI\u68c0\u67e5\u3002\u5c06\u6bcf\u4f8b\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u5b9a\u6027\u5730\u8bc4\u4e3a\u4e00\u4e2aDejour\u7c7b\u522b\u3002\u968f\u540e\uff0c\u5bf9\u6c9f\u89d2\uff0c\u80eb\u9aa8\u7ed3\u8282\u81f3\u6ed1\u8f66\u7a9d\u7684\u8ddd\u79bb\uff0c\u6ed1\u8f66\u6df1\u5ea6\uff0c\u6ed1\u8f66\u5916\u4fa7\u503e\u89d2\uff0c\u6ed1\u8f66\u9762\u4e0d\u5bf9\u79f0\u6027\u548c\u9acc\u9aa8\u504f\u4fa7\u7684\u7a0b\u5ea6\u8fdb\u884c\u5b9a\u91cf\u6d4b\u91cf\u3002\u6240\u6709\u5b9a\u91cf\u7684\u53c2\u6570\u5747\u7528\u4e24\u540d\u653e\u5c04\u79d1\u533b\u751f\u6d4b\u91cf\u7684\u5e73\u5747\u503c\u6765\u8fdb\u884c\u6027\u7edf\u8ba1\uff0c\u9664\u4e86\u6ed1\u8f66\u5c0f\u5e73\u9762\u4e0d\u5bf9\u79f0\u6027\uff0c\u5b83\u7528\u4e8c\u9879\u9009\u62e9\u7684\u65b9\u5f0f\u6765\u8868\u793a\u5b58\u5728\u8fd8\u662f\u4e0d\u5b58\u5728\uff0c\u5e76\u8bb0\u5f55\u4e0d\u5bf9\u79f0\u819d\u5173\u8282\u6240\u5360\u7684\u767e\u5206\u6bd4\u3002\u4f7f\u7528\u5355\u53d8\u91cf\u5206\u6790\u6bd4\u8f83\u4e0d\u540cDejour\u7c7b\u522b\u7684\u5e73\u5747\u503c\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>\u603b\u5171\u5305\u62ec35\u4f8b\u60a3\u8005\uff0829\u4f8b\u5973\u6027\u60a3\u8005\u548c6\u4f8b\u7537\u6027\u60a3\u8005\uff1b\u5e73\u5747\u5e74\u9f8421.1\u5c81\uff09\u768439\u4e2a\u819d\u5173\u8282\uff08\u53f3\u819d17\u4e2a\uff0c\u5de6\u819d22\u4e2a\uff09\u3002\u4e24\u540d\u89c2\u5bdf\u8005\u572839\u4e2a\u4e2d\u670930\u4e2a\u819d\u5173\u8282\u5728Dejour\u5206\u7c7b\u4e0a\u8fbe\u6210\u51c6\u786e\u5b9a\u6027\u4e00\u81f4\uff0877% [\u03ba = 0.77; 95% CI, 0.62\u20130.91]\uff09\uff0c\u670936\u4e2a\u5728\u4f4e\u7ea7\u522b\u8fd8\u662f\u9ad8\u7ea7\u522b\u5206\u7c7b\u4e0a\u8fbe\u6210\u4e00\u81f4(92%)\u3002\u5728\u8fd936\u4e2a\u819d\u5173\u8282\u4e2d\uff0c\u5206\u522b\u6d4b\u91cf\u4f4e\u7ea7\u522b\u548c\u9ad8\u7ea7\u522b\u7684\u5e73\u5747\u503c\u5dee\u5f02\u5982\u4e0b\uff1a\u6c9f\u89d2\u4e3a153\u00b0 vs. 168\u00b0\uff08p &lt;0.001\uff09\uff1b\u6ed1\u8f66\u6df1\u5ea6\u4e3a4mm vs. 1mm\uff08p &lt;0.001\uff09\uff1b\u6ed1\u8f66\u5916\u4fa7\u503e\u89d2\u4e3a12mm vs. 7mm\uff08p &lt;0.02\uff09\uff1b\u51cf\u5c11\u7684\u6ed1\u8f66\u5c0f\u5e73\u9762\u4e0d\u5bf9\u79f0\u6027\u4e3a13\uff05 vs. 92\uff05\uff08p &lt;0.001\uff09\u3002\u5728Dejour B\u578b\u548cC\u578b\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u7684\u819d\u5173\u8282\u7684\u6bd4\u8f83\u4e0eDejour B\u578b\u548cD\u578b\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u7684\u819d\u5173\u8282\u7684\u6bd4\u8f83\u4e2d\uff0c\u6ed1\u8f66\u6df1\u5ea6\uff0c\u6ed1\u8f66\u5916\u4fa7\u503e\u89d2\u548c\u6ed1\u8f66\u5c0f\u5e73\u9762\u4e0d\u5bf9\u79f0\u6027\u4e5f\u6709\u6240\u4e0d\u540c\uff08\u6240\u6709p &lt;0.05\uff09\u3002\u5728C\u578b\u548cD\u578bDejour\u7684\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u4e2d\u6ca1\u6709\u5b9a\u91cf\u6d4b\u91cf\u4e0a\u7684\u5dee\u5f02\u3002\u4f4e\u7ea7\u522b\u548c\u9ad8\u7ea7\u522b\u53d1\u80b2\u4e0d\u826f\u4e4b\u95f4\uff0c\u80eb\u9aa8\u7ed3\u8282\u81f3\u6ed1\u8f66\u7a9d\u7684\u8ddd\u79bb\u548c\u9acc\u9aa8\u504f\u4fa7\u7684\u7a0b\u5ea6\u5728\u7edf\u8ba1\u5b66\u4e0a\u6ca1\u6709\u5dee\u5f02\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>\u4f7f\u7528Dejour\u5206\u7c7b\u5b9a\u6027\uff0c\u80fd\u5c0692\uff05\u7684\u75c5\u4f8b\u4e2d\u7684\u6ed1\u8f66\u53d1\u80b2\u4e0d\u826f\u51c6\u786e\u5730\u5206\u7c7b\u4e3a\u4f4e\u7ea7\u522b\u6216\u9ad8\u7ea7\u522b\uff0c\u51c6\u786e\u4e00\u81f4\u6027\u8fbe\u5230\u4e8677\uff05\u3002\u6b64\u5916\uff0c\u6ed1\u8f66\u6df1\u5ea6\uff0c\u6ed1\u8f66\u5916\u4fa7\u503e\u89d2\uff0c\u6ed1\u8f66\u5c0f\u5e73\u9762\u4e0d\u5bf9\u79f0\u6027\u548c\u6c9f\u89d2\u53ef\u4ee5\u533a\u5206\u4f4e\u7ea7\u522b\u548c\u9ad8\u7ea7\u522b\u53d1\u80b2\u4e0d\u826f\uff0c\u6ed1\u8f66\u6df1\u5ea6\uff0c\u6ed1\u8f66\u5916\u4fa7\u503e\u89d2\u548c\u6ed1\u8f66\u5c0f\u5e73\u9762\u4e0d\u5bf9\u79f0\u6027\u6709\u52a9\u4e8e\u533a\u5206Dejour B\u578b\u548cC\u578b\u548cDejour B\u578b\u548cD\u578b\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.2214\/ajr.19.22400\">https:\/\/doi.org\/10.2214\/ajr.19.22400<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><strong>Senior editorial comment<\/strong><\/p>\n<p>\u8fd9\u662f\u4e00\u4e2a\u6709\u8da3\u7684\u7814\u7a76\uff0c\u5176\u4e2d\u5305\u542b\u6f02\u4eae\u7684\u56fe\u50cf\u548c\u6d4b\u91cf\u63d2\u56fe\u3002\u4f4e\u7ea7\u522b\u548c\u9ad8\u7ea7\u522b\u7684\u6ed1\u8f66\u5206\u7c7b\u867d\u7136\u770b\u8d77\u6765\u662f\u4eba\u5de5\u7684\uff0c\u6ca1\u6709\u592a\u591a\u7684\u4e34\u5e8a\u610f\u4e49\u548c\u51c6\u786e\u6027\uff0c\u5e76\u4e14\u5728\u961f\u5217\u4e2d\u6ca1\u6709\u53c2\u8003\u6807\u51c6\u6216\u771f\u9634\u6027\u75c5\u4f8b\u7684\u63cf\u8ff0\u3002\u89c2\u5bdf\u8005\u95f4\u4e00\u81f4\u6027\u7684\u8bc1\u660e\u6709\u52a9\u4e8e\u77e5\u8bc6\u4f53\u7cfb\u7684\u6784\u5efa\u3002<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u5f53\u4f60\u56de\u987e\u819d\u5173\u8282CT\u6216MRI\u68c0\u67e5\u6765\u5224\u65ad\u53d1\u80b2\u4e0d\u826f\u65f6\uff0c\u8981\u719f\u6089\u53d1\u80b2\u4e0d\u826f\u7684Dejour\u5206\u7c7b\u3002\u66f4\u9ad8\u7ea7\u522b =\u60a3\u8005\u66f4\u6709\u53ef\u80fd\u9700\u8981\u8fdb\u884c\u6ed1\u8f66\u6210\u5f62\u672f<\/p>\n<p>A \u578b\uff1a\u6d45\u6ed1\u8f66\uff08\u6c9f\u89d2&gt; 145\u00b0\uff09<\/p>\n<p>B\u578b\uff1a\u6241\u5e73\u6216\u6d45\u6ed1\u8f66\uff0c\u4ee5\u53ca\u51f8\u5411\u80a1\u9aa8\u5e72\u524d\u65b9\u7684\u660e\u663e\u7684\u6ed1\u8f66\u4e0a\u68d8\u6216\u78d5\u78b0\u3002<\/p>\n<p>C\u578b\uff1a\u6241\u5e73\u7684\u6ed1\u8f66\u5c0f\u5e73\u9762\uff0c\u5e76\u4e14\u5916\u4fa7\u5c0f\u5e73\u9762\u51f8\u8d77\u548c\u5185\u4fa7\u5c0f\u5e73\u9762\u53d1\u80b2\u4e0d\u5168\u3002<\/p>\n<p>D\u578b\uff1a\u6241\u5e73\u7684\u6ed1\u8f66\uff0c\u5185\u4fa7\u9661\u5ced\uff0c\u90bb\u8fd1\u6709\u660e\u663e\u7684\u6ed1\u8f66\u4e0a\u68d8\u3002<\/p>\n<ul>\n<li>\u5728\u8ddd\u80eb\u9aa8\u5185\u4fa7\u5173\u8282\u7ebf\u7ea63 cm\u5904\u8fdb\u884c\u6d4b\u91cf\uff0c\u8fd9\u5c06\u5bf9\u5e94\u4e8e\u5185\u4fa7\u80a1\u9aa8\u9aba\u7622\u75d5\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u79fb\u690d\u540e\u7684\u591a\u53d1\u6027\u9aa8\u9ad3\u7624\u60a3\u8005\u9acb\u90e8\/\u9aa8\u76c6\u75bc\u75db\u7684\u78c1\u5171\u632f\u6210\u50cf\u8868\u73b0\uff08\u6839\u636eMY-RADS\uff09\uff1a\u4e00\u9879\u5355\u4e2d\u5fc3\u7ecf\u9a8c<\/strong><\/span><\/h5>\n<p>Federica Rosi, Lorenzo Torri, Alida Dominietto, Alberto Stefano Tagliafico<\/p>\n<p><em>European Journal of Radiology<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u6807\u51c6\u5316\u7684\u591a\u53d1\u6027\u9aa8\u9ad3\u7624\u62a5\u544a\u968f\u7740MY-RADS\u800c\u53d1\u5c55\u3002\u8fd9\u9879\u7814\u7a76\u5c06\u8fd9\u62a5\u544a\u6807\u51c6\u5e94\u7528\u5230\u79fb\u690d\u540e\u75bc\u75db\u7684\u60a3\u8005\u4e2d\uff0c\u6765\u786e\u5b9a\u53d7\u7d2f\u7684\u6a21\u5f0f\uff0c\u4ee5\u53ca\u4e0e\u75bc\u75db\/\u4e34\u5e8a\u53c2\u6570\u76f8\u5173\u8054\u7684\u539f\u56e0\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u79fb\u690d\u540e\u7684\u591a\u53d1\u6027\u9aa8\u9ad3\u7624\uff08MM\uff09\u9acb\/\u9aa8\u76c6\u75db\u60a3\u8005\u7684MRI\u7684\u9884\u671f\u53d1\u73b0\u662f\u4ec0\u4e48\uff1f\u7279\u5b9a\u7684MR\u8868\u73b0\u4e0e\u6807\u51c6\u7684\u4e34\u5e8a\u9884\u540e\u7ed3\u679c\u76f8\u5173\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u4ece2017\u5e741\u6708\u81f32019\u5e7412\u6708\uff0c\u5171\u7eb3\u516554\u4f8b\u8fde\u7eed\u7684\u9aa8\u9ad3\u79fb\u690d\u540e\u5e76\u56e0\u9acb\/\u9aa8\u76c6\u75bc\u75db\u63a5\u53d7\u4e86MRI\u68c0\u67e5\u7684MM\u60a3\u8005\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u6392\u9664\u4e86\u56e0\u4f2a\u5f71\u800c\u4ea7\u751f\u7684\u56fe\u50cf\u4e0d\u51c6\u786e\u7684\u60a3\u8005\uff0c\u53d7\u5176\u4ed6\u5df2\u77e5\u6076\u6027\u80bf\u7624\u5f71\u54cd\u7684\u60a3\u8005\u4ee5\u53ca\u6765\u81ea\u5176\u5b83\u533a\u57df\u7684\u75bc\u75db\u60a3\u8005\u3002<\/p>\n<p><strong>\u65b9\u6cd5<\/strong><\/p>\n<p>\u6839\u636eMY-RADS\u6307\u5357\uff0c\u5bf954\u9acb\/\u9aa8\u76c6\u75db\u7684MM\u60a3\u8005\u7684MRI\u8868\u73b0\u8fdb\u884c\u56de\u987e\u6027\u89e3\u8bfb\u3002 MRI\u8868\u73b0\u5305\u62ec\uff1a\u9aa8\u9ad3\u53d7\u7d2f\u7c7b\u578b\u548c\u5076\u7136\u53d1\u73b0\uff08\u9aa8\u574f\u6b7b\u548c\u9aa8\u6298\uff09\u3002\u4f7f\u7528Cohen\u2019s kappa\u68c0\u9a8c\u8ba1\u7b97\u51fa\u89c2\u5bdf\u8005\u95f4\u548c\u89c2\u5bdf\u8005\u5185\u7684\u4e00\u81f4\u6027\u3002\u5c06\u751f\u5b58\u7387\u548c\u590d\u53d1\u7387\uff0c\u79fb\u690d\u7c7b\u578b\u548c\u4f4f\u9662\u5929\u6570\u4e0eMRI\u8868\u73b0\u8fdb\u884c\u5173\u8054\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>\u6839\u636eMY-RADS\u63cf\u8ff0\uff0c1\/52\u60a3\u8005\u8868\u73b0\u51fa\u6b63\u5e38\u7684\u9aa8\u9ad3\u6a21\u5f0f\uff0c10\/52\u5c40\u7076\u6027\u6a21\u5f0f\uff0c26\/52\u5f25\u6f2b\u6027\u6a21\u5f0f\u548c15\/52\u6df7\u5408\u6027\u6a21\u5f0f\u3002\u6ca1\u6709\u5fae\u7ed3\u8282\u578b\u75c5\u4f8b\u3002\u5728\u5076\u7136\u53d1\u73b0\u7684\u7ed3\u679c\u4e2d\uff0c\u53d1\u73b06\u4f8b\u9aa8\u574f\u6b7b\u548c5\u4f8b\u75c5\u7406\u6027\u9aa8\u6298\u7684\u5e73\u5747\u4f4f\u9662\u65f6\u95f4\u66f4\u957f\u3002MY-RADS\u8bc4\u4f30\u7684\u89c2\u5bdf\u8005\u5185\u548c\u89c2\u5bdf\u8005\u95f4\u7684\u4e00\u81f4\u6027\u826f\u597d\uff08k\u503c\u57280.61-0.8\u4e4b\u95f4\uff09\u3002\u9aa8\u574f\u6b7b\u53ca\u751f\u5b58\u7387\u6700\u5dee\u7684\u60a3\u8005\u7684\u5c40\u7076\u6027\u6a21\u5f0f\u6700\u591a\u3002\u5f25\u6f2b\u6027\u6a21\u5f0f\u5728\u590d\u53d1\u60a3\u8005\u4e2d\u6700\u591a\u3002\u5728\u9aa8\u9ad3\u6d78\u6da6\u6a21\u5f0f\u548c\u79fb\u690d\u7c7b\u578b\u4e4b\u95f4\u672a\u53d1\u73b0\u7edf\u8ba1\u5b66\u4e0a\u7684\u663e\u8457\u76f8\u5173\u6027\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>MRI\u53ef\u4ee5\u8bc6\u522b\u51fa\u60a3\u6709\u9acb\u90e8\/\u9aa8\u76c6\u75bc\u75db\u7684MM\u79fb\u690d\u60a3\u8005\u7684\u4e0d\u540c\u6d78\u6da6\u6a21\u5f0f\u548c\u5e76\u53d1\u75c7\uff0c\u4e0e\u75bc\u75db\u539f\u56e0\u548c\u4e34\u5e8a\u53c2\u6570\u76f8\u5173\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.ejrad.2020.109154\">https:\/\/doi.org\/10.1016\/j.ejrad.2020.109154<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u611f\u8c22\u8fd9\u9879\u6709\u8da3\u7684\u5de5\u4f5c\u3002\u8fd9\u9879\u7814\u7a76\u8bc1\u5b9e\u4e86MRI\u5728\u9aa8\u9ad3\u7f6e\u6362\u524d\u540e\u7684MM\u76d1\u6d4b\u4e2d\u5177\u6709\u91cd\u8981\u4f5c\u7528\u3002\u5168\u8eabCT\u5728\u8fd9\u4e00\u9886\u57df\u6b63\u53d8\u5f97\u8d8a\u6765\u8d8a\u666e\u53ca\uff0c\u4f46\u662f\u968f\u7740MRI\u53d8\u5f97\u66f4\u5212\u7b97\uff0c\u53ef\u5bf9\u6b64\u7c7b\u60a3\u8005\u7684\u968f\u8bbf\u8fdb\u884c\u66f4\u597d\u7684\u7814\u7a76\u3002<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u719f\u6089MY-RADS\u7684\u7ec4\u6210\u3002\u770b\u4ee5\u4e0b\u7684\u8868\u683c\u3002<\/p>\n<p>Messiou, Christina, et al. &#8220;Guidelines for acquisition, interpretation, and reporting of whole-body MRI in myeloma: myeloma response assessment and diagnosis system (MY-RADS).&#8221;\u00a0<em>Radiology<\/em>\u00a0291.1 (2019): 5-13.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><strong><span style=\"color: #3366ff;\">\u52a8\u8109\u7624\u6027\u9aa8\u56ca\u80bf\u4e0e\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u9aa8\u8089\u7624\u7684\u533a\u522b\uff1a\u4e34\u5e8a\uff0c\u5f71\u50cf\u5b66\u548cMRI\u7814\u7a76<\/span><\/strong><\/h5>\n<p>Umme Sara Zishan, Ian Pressney, Michael Khoo &amp; Asif Saifuddin<\/p>\n<p><em>Skeletal Radiology<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u7531\u4e8e\u4e34\u5e8a\u548c\u5f71\u50cf\u5b66\u7279\u5f81\u76f8\u4f3c\uff0c\u5305\u62ec\u5e74\u8f7b\u53d1\u75c5\uff0c\u957f\u65f6\u95f4\u7684\u9aa8\u53d7\u7d2f\uff0cX\u5149\u7247\u4e0a\u7684\u56ca\u6027\u8868\u73b0\u4ee5\u53caMRI\u4e0a\u7684\u6db2-\u6db2\u5e73\u9762\uff0c\u52a8\u8109\u7624\u6027\u9aa8\u56ca\u80bf\uff08ABC\uff09\u548c\u6bdb\u7ec6\u8840\u7ba1\u6269\u5f20\u6027\u9aa8\u8089\u7624\uff08TOS\uff09\u53ef\u80fd\u96be\u4ee5\u533a\u5206\u3002\u4f46\u662f\uff0c\u4e34\u5e8a\u5904\u7406\u5dee\u5f02\u5f88\u5927\u3002\u53ef\u9760\u7684\u5f71\u50cf\u5b66\u9274\u522b\u5bf9\u7591\u96be\u75c5\u4f8b\u60a3\u8005\u7684\u5904\u7406\u4e2d\u6709\u79ef\u6781\u7684\u5f71\u54cd\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u6709\u53ef\u9760\u7684\u5f71\u50cf\u7279\u5f81\u53ef\u4ee5\u5e2e\u52a9\u533a\u5206ABC\u548cTOS\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u572811\u5e74\u5185\uff0c\u6709\u7ec4\u7ec7\u75c5\u7406\u5b66\u5b66\u786e\u8bca\u4e3aABC\u6216TOS\u4ee5\u53ca\u6709\u672f\u524dX\u5149\u7247\u548c\/\u6216MRI\u68c0\u67e5\u7684\u60a3\u8005\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u6ca1\u6709\u75c5\u4f8b\u88ab\u6392\u9664<\/p>\n<p>\u6750\u6599\u548c\u65b9\u6cd5<\/p>\n<p>\u56de\u987e\u4e8611\u5e74\u5185\u6240\u6709\u7ecf\u7ec4\u7ec7\u5b66\u786e\u8bca\u7684ABC\u548cTOS\u3002\u8bb0\u5f55\u7684\u6570\u636e\u5305\u62ec\u53d1\u75c5\u5e74\u9f84\uff0c\u6027\u522b\uff0c\u9aa8\u7684\u4f4d\u7f6e\u4ee5\u53ca\u5404\u79cdX\u7ebf\u548cMRI\u7279\u5f81\u3002\u5bf9\u8bb0\u5f55\u7684\u53d8\u91cf\u548c\u89c2\u5bdf\u8005\u4e4b\u95f4\u7684\u4e00\u81f4\u6027\u8fdb\u884c\u4e86\u7edf\u8ba1\u5206\u6790\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u5305\u62ec183\u4f8b\u60a3\u8005\uff0c\u5176\u4e2d92\u4f8b\u7537\u6027\u548c91\u4f8b\u5973\u6027\u3002\u5e73\u5747\u53d1\u75c5\u5e74\u9f84\u4e3a18.4\u5c81\uff08\u8303\u56f4\u4e3a1\u81f370\u5c81\uff09\uff1b 152\u4f8bABC\u548c31\u4f8bTOS\u3002\u5e74\u9f84\u548c\u6027\u522b\u4e4b\u95f4\u65e0\u663e\u8457\u5dee\u5f02\u3002 TOS\u6781\u5c11\u7d2f\u53ca\u8f74\u5411\u9aa8\u9abc\uff1b\u5bf9\u4e8e\u9aa8\u7684\u4f4d\u7f6e\u4e24\u8005\u65e0\u5dee\u5f02\u3002\u503e\u5411ABC\u8bca\u65ad\u7684X\u5149\u8868\u73b0\u5305\u62ec\u4fb5\u88ad\u6027\u8f83\u4f4e\u7684\u9aa8\u8d28\u7834\u574f\uff0c\u7eaf\u56ca\u6027\u8868\u73b0\uff0c\u81a8\u80c0\u6027\u751f\u957f\u4f46\u76ae\u8d28\u5b8c\u6574\uff0c\u65e0\u9aa8\u819c\u53cd\u5e94\u4e14\u65e0\u8f6f\u7ec4\u7ec7\u80bf\u5757\u3002\u503e\u5411ABC\u8bca\u65ad\u7684MRI\u7279\u5f81\u5305\u62ec\u80bf\u7624\u8f83\u5c0f\uff08\u6700\u5927\u5e73\u5747\u76f4\u5f84\u4e3a46 mm\uff0c\u800cTOS\u4e3a95 mm\uff09\uff0c\u65e0\u8f6f\u7ec4\u7ec7\u80bf\u5757\uff0c\u75c5\u53d8\u76842\/3\u4ee5\u4e0a\u88ab\u6db2\u5e73\u9762\u5145\u76c8\u4ee5\u53ca\u589e\u5f3a\u540e\u6709\u8584\u7684\u95f4\u9694\u5f3a\u5316\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>\u591a\u79cdX\u5149\u548cMRI\u7279\u5f81\u6709\u52a9\u4e8e\u533a\u5206ABC\u548cTOS\uff0c\u5305\u62ec\u5927\u5c0f\uff0c\u76f8\u5173\u7684\u8f6f\u7ec4\u7ec7\u80bf\u5757\uff0c\u75c5\u53d8\u4e2d\u6db2-\u6db2\u5e73\u9762\u7684\u767e\u5206\u6bd4\uff0c\u4ee5\u53ca\u5728MRI\u4e0a\u75c5\u7076\u5177\u67091A\u6216IB\u578b\u5730\u56fe\u6837\u9aa8\u7834\u574f\u5e76\u5b8c\u5168\u88ab\u6db2\u5e73\u9762\u5145\u76c8\u53ef\u6709\u4fe1\u5fc3\u5730\u8bca\u65ad\u4e3aABC\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1007\/s00256-020-03432-w\">https:\/\/doi.org\/10.1007\/s00256-020-03432-w<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u606d\u559c\u4f60\u3002\u5c3d\u7ba1TOS\u7684\u6837\u672c\u91cf\u76f8\u5bf9\u8f83\u5c0f\uff0c\u4f46\u51fa\u8272\u7684\u5de5\u4f5c\u548c\u597d\u60f3\u6cd5\u8bc1\u5b9e\u4e86\u4e0eABC\u76f8\u6bd4\uff0cTOS\u5728\u5f71\u50cf\u4e0a\u7684\u4fb5\u88ad\u6027\u3002<\/p>\n<p><strong>\u5f71\u50cf\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u5f53\u4f60\u56de\u987eX\u5149\u7247\u548cMRI\u5e76\u8bd5\u56fe\u9274\u522bABC\u6216TOS\u65f6\uff0c\u5229\u7528\u4ee5\u4e0b\u6807\u51c6\u6709\u52a9\u4e8e\u8bca\u65ad<\/p>\n<p>TOS\uff1a<\/p>\n<ul>\n<li>\u4e0d\u5e38\u7d2f\u53ca\u8f74\u5411\u9aa8\u9abc<\/li>\n<li>\u66f4\u5927\u7684\u80bf\u7624\uff08\u6700\u5927\u5e73\u5747\u76f4\u5f84\u4e3a95mm\uff09<\/li>\n<li>\u4ec5\u6709\u90e8\u5206\u6db2\u5e73\u9762\u7684\u4fb5\u8680\u6027\u9aa8\u7834\u574f-<strong>\u9700\u8981\u6d3b\u68c0<\/strong><\/li>\n<\/ul>\n<p>ABC\uff1a<\/p>\n<ul>\n<li>\u4fb5\u88ad\u6027\u8f83\u5c0f\u7684\u9aa8\u7834\u574f\u6a21\u5f0f<\/li>\n<li>\u7eaf\u56ca\u6027\u8868\u73b0\uff0c\u81a8\u80c0\u6027\u751f\u957f\u4f46\u76ae\u8d28\u5b8c\u6574<\/li>\n<li>\u65e0\u9aa8\u819c\u53cd\u5e94<\/li>\n<li>\u65e0\u8f6f\u7ec4\u7ec7\u80bf\u5757\u3002<\/li>\n<li>\u80bf\u7624\u8f83\u5c0f\uff08\u6700\u5927\u5e73\u5747\u76f4\u5f84\u4e3a46mm\uff09<\/li>\n<li>\u75c5\u53d8\u76842\/3\u4ee5\u4e0a\u88ab\u6db2\u5e73\u9762\u5145\u76c8\uff0c\u5e76\u5728\u589e\u5f3a\u540e\u51fa\u73b0\u8f83\u8584\u7684\u95f4\u9694\u5f3a\u5316\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u9aa8\u76c6X\u5149\u7247\u7684\u6df1\u5ea6\u5b66\u4e60\u8bc4\u4f30\uff0c\u7528\u4e8e\u4f4d\u7f6e\uff0c\u91d1\u5c5e\u7269\u548c\u9aa8\u6298\u68c0\u6d4b<\/strong><\/span><\/h5>\n<p>Gene Kitamura<\/p>\n<p><em>European Journal of Radiology<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u6df1\u5ea6\u5b66\u4e60\u6a21\u578b\u5bf9\u4e8e\u63d0\u9ad8\u62a5\u544a\u653e\u5c04\u7ebf\u533b\u5e08\u7684\u6548\u7387\u548c\u51c6\u786e\u6027\u5f88\u6709\u7528\u3002\u6700\u8fd1\u6709\u8bba\u6587\u663e\u793a\u4e86\u6df1\u5ea6\u5b66\u4e60\u5728\u4f7f\u7528\u9aa8\u76c6X\u5149\u7247\u68c0\u6d4b\u9acb\u90e8\u9aa8\u6298\u4e2d\u7684\u5b9e\u7528\u6027\uff0c\u4f46\u662f\u5f88\u5c11\u6709\u7814\u7a76\u5229\u7528\u6df1\u5ea6\u5b66\u4e60\u6765\u68c0\u6d4b\u9aa8\u76c6\u548c\u9acb\u81fc\u9aa8\u6298\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u53ef\u4ee5\u5f00\u53d1\u6df1\u5ea6\u5b66\u4e60\u6a21\u578b\u6765\u68c0\u6d4b\u9aa8\u76c6\u7684X\u5149\u7247\u4f4d\u7f6e\uff0c\u91d1\u5c5e\u7269\u548c\u9aa8\u76c6\/\u9acb\u81fc\u9aa8\u6298\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u5728\u5927\u7ea610\u5e74\u7684\u65f6\u95f4\u91cc\uff0c18\u5c81\u4ee5\u4e0a\u7684\u60a3\u8005\u5728\u6025\u8bca\u6216\u4f4f\u9662\u671f\u95f4\u83b7\u5f97\u7684\u9aa8\u76c6X\u5149\u7247\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u7531\u4e00\u4f4d\u6709\u8d44\u683c\u8ba4\u8bc1\u7684\u808c\u8089\u9aa8\u9abc\u653e\u5c04\u79d1\u533b\u751f\u786e\u5b9a\u7684\u7531\u4e8e\u6280\u672f\u539f\u56e0\u800c\u5bfc\u81f4X\u5149\u7247\u8d28\u91cf\u4e0d\u4f73\u3002<\/p>\n<p><strong>\u65b9\u6cd5<\/strong><\/p>\n<p>\u56de\u987e\u6027\u5730\u83b7\u53d62009\u5e748\u6708\u81f32019\u5e746\u6708\u7684\u6570\u636e\u3002\u5305\u62ec\u8bca\u65ad\u5370\u8c61\u4e2d\u6709\u201c\u9aa8\u6298\u201d\u7684\u9aa8\u76c6X\u5149\u7247\uff0c\u91d1\u5c5e\u7269\uff0c\u548c\u968f\u673a\u83b7\u5f97\u7684\u9aa8\u76c6X\u5149\u7247\u3002\u6570\u636e\u7684\u5b50\u96c6\u5206\u4e3a4\u4e2a\u4f4d\u7f6e\u6807\u7b7e\u548c2\u4e2a\u91d1\u5c5e\u7269\u6807\u7b7e\uff0c\u4ee5\u521b\u5efa\u4f4d\u7f6e\u6807\u7b7e\u548c\u91d1\u5c5e\u7269\u68c0\u6d4b\u6a21\u578b\u3002\u5176\u4f59\u6570\u636e\u4f7f\u7528\u8fd9\u4e9b\u7ecf\u8fc7\u8bad\u7ec3\u7684\u6a21\u578b\u8fdb\u884c\u89e3\u6790\uff0c\u5e76\u6839\u636e6\u79cd\u201c\u4e0d\u540c\u7684\u201d\u9aa8\u6298\u6a21\u5f0f\u8fdb\u884c\u6807\u8bb0\uff0c\u5e76\u521b\u5efa\u4e86\u5404\u79cd\u9aa8\u6298\u68c0\u6d4b\u6a21\u578b\u3002\u8bc4\u4f30\u53d7\u8bd5\u8005\u7279\u5f81\uff08ROC\uff09\u66f2\u7ebf\uff0c\u66f2\u7ebf\u4e0b\u9762\u79ef\uff08AUC\uff09\u548c\u5176\u4ed6\u8f93\u51fa\u6307\u6807\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>\u4f4d\u7f6e\u548c\u91d1\u5c5e\u7269\u6a21\u578b\u8bca\u65ad\u6548\u80fd\u6781\u597d\uff0cAUC\u4e3a0.99-1.00\u3002\u80a1\u9aa8\u8fd1\u7aef\u9aa8\u6298\u68c0\u6d4b\u7684AUC\u9ad8\u8fbe0.95\uff0c\u4e0e\u5148\u524d\u53d1\u8868\u7684\u7814\u7a76\u7ed3\u679c\u4e00\u81f4\u3002\u5e94\u7528\u201c\u4e0d\u540c\u7684\u201d\u9aa8\u6298\u6a21\u578b\uff0c\u9aa8\u76c6\u548c\u9acb\u81fc\u9aa8\u6298\u7684\u68c0\u6d4b\u6548\u80fd\u5728\u7c7b\u522b\u4e3a\u540e\u9aa8\u76c6\u5206\u7c7b\u4e2d\u4f4e\u81f30.70\uff0c\u800c\u5728\u9acb\u81fc\u5206\u7c7b\u4e2d\u9ad8\u8fbe0.85\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>\u6df1\u5ea6\u5b66\u4e60\u6a21\u578b\u53ef\u4ee5\u6210\u529f\u68c0\u6d4b\u9aa8\u76c6\u6210\u50cf\u4f4d\u7f6e\uff0c\u91d1\u5c5e\u7269\u4ee5\u53ca\u9aa8\u76c6\u548c\u9acb\u81fc\u9aa8\u6298\uff0c\u80a1\u9aa8\u8fd1\u7aef\u9aa8\u6298\u7684AUC\u635f\u5931\u4ec5\u4e3a0.03\u3002\u8fd9\u53ef\u80fd\u5bf9\u9605\u7247\u653e\u5c04\u79d1\u533b\u751f\u6709\u91cd\u8981\u5e2e\u52a9\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/j.ejrad.2020.109139\">https:\/\/doi.org\/10.1016\/j.ejrad.2020.109139<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u4eba\u5de5\u667a\u80fd\u76f8\u5173\u7684\u7814\u7a76\u6b63\u4ee5\u6307\u6570\u7ea7\u7684\u901f\u5ea6\u53d1\u5c55\u3002\u6f02\u4eae\u7684\u5de5\u4f5c\uff01\u6211\u4eec\u5e0c\u671b\u4eba\u5de5\u667a\u80fd\u5728\u672a\u6765\u505a\u5f97\u66f4\u591a\uff0c\u5e76\u5bf9\u6b64\u7c7b\u9aa8\u6298\u8fdb\u884c\u76f8\u5173\u7684\u89d2\u5ea6\u6d4b\u91cf\u548c\u4f4d\u79fb\u6d4b\u91cf\u3002<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u4eba\u5de5\u667a\u80fd\u5c06\u7ee7\u7eed\u5b58\u5728\uff0c\u6211\u4eec\u9700\u8981\u9002\u5e94\u5b83\u3002<\/p>\n<p>\u80a1\u9aa8\u548c\u9aa8\u76c6\u9aa8\u6298\u7684\u68c0\u6d4b\u5c06\u6709\u52a9\u4e8e\u964d\u4f4e\u60a3\u8005\u7684\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u3002<\/p>\n<p>\u4f7f\u7528\u4eba\u5de5\u667a\u80fd\u8f6f\u4ef6\u5c06\u9aa8\u6298\u60a3\u8005\u79fb\u81f3ER\u5217\u8868\u7684\u9876\u90e8\u5c06\u7279\u522b\u6709\u7528\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>CT\u5f15\u5bfc\u4e0b\u7684\u690e\u95f4\u76d8\u708e-\u9aa8\u9ad3\u708e\u6d3b\u68c0\uff1a\u7a7f\u523a\u9488\u89c4\u683c\u548c\u5fae\u751f\u7269\u5b66\u7ed3\u679c<\/strong><\/span><\/h5>\n<p>Jad S. Husseini &amp; F. Joseph Simeone &amp; Sandra B. Nelson &amp; Connie Y. Chang<\/p>\n<p><em>Skeletal Radiology <\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>\u6587\u732e\u62a5\u9053\u4e2d\u7a7f\u523a\u9488\u6d3b\u68c0\u9633\u6027\u57f9\u517b\u7387\u5404\u4e0d\u76f8\u540c\uff0c\u800c\u5173\u4e8e\u51b3\u5b9a\u9633\u6027\u7387\u7684\u56e0\u7d20\u7684\u6570\u636e\u6709\u9650\u3002\u5f71\u50cf\u5b66\u8868\u73b0\u4e3a\u9aa8\u9ad3\u708e\u4f46\u7a7f\u523a\u57f9\u517b\u4e3a\u9634\u6027\u7684\u60c5\u51b5\u4e0b\uff0c\u5bf9\u60a3\u8005\u7684\u62a4\u7406\u548c\u6297\u751f\u7d20\u7684\u4f7f\u7528\u6709\u8d1f\u9762\u7684\u5f71\u54cd\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u5fae\u751f\u7269\u5b66\u7ed3\u679c\u4e0e\u5728\u53ef\u7591\u690e\u95f4\u76d8\u708e-\u9aa8\u9ad3\u708e\u4e2d\u7528\u4e8eCT\u5f15\u5bfc\u6d3b\u68c0\u7684\u9488\u7684\u89c4\u683c\u6709\u5173\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u57282002\u5e74\u81f32019\u5e74\u4e4b\u95f4\uff0c\u6240\u6709\u5728\u4e00\u5bb6\u673a\u6784\u4e2d\u63a5\u53d7\u8fc7CT\u5f15\u5bfc\u6d3b\u68c0\u7684\u53ef\u7591\u690e\u95f4\u76d8\u708e-\u9aa8\u9ad3\u708e\u7684\u60a3\u8005<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u5148\u524d\u66fe\u63a5\u53d7\u8fc7\u6d3b\u7ec4\u7ec7\u68c0\u67e5\u6216\u4e34\u5e8a\u8bc1\u5b9e\u4e3a\u690e\u95f4\u76d8\u708e-\u9aa8\u9ad3\u708e\u7684\u60a3\u8005\uff0c\u4ee5\u53ca\u6ca1\u6709\u8db3\u591f\u7684\u968f\u8bbf\u65f6\u95f4\u4ee5\u786e\u5b9a\u9aa8\u9ad3\u708e\u7684\u4e34\u5e8a\u8bca\u65ad\u7684\u60a3\u8005\u3002<\/p>\n<p><strong>\u65b9\u6cd5 <\/strong><\/p>\n<p>\u6d3b\u68c0\u4f4d\u7f6e\uff0c\u9488\u7684\u7c7b\u578b\u548c\u89c4\u683c\uff0c\u5fae\u751f\u7269\u5b66\uff0c\u75c5\u7406\u5b66\u4ee5\u53ca\u4e34\u5e8a\u548c\u5f71\u50cf\u5b66\u968f\u8bbf\u5747\u901a\u8fc7\u75c5\u4f8b\u56de\u987e\u83b7\u5f97\u3002\u8ba1\u7b97\u83b7\u76ca\u7387\uff0c\u654f\u611f\u6027\uff0c\u7279\u5f02\u6027\u548c\u51c6\u786e\u6027\u3002\u5bf9\u4e0d\u540c\u9488\u7684\u89c4\u683c\u8fdb\u884c\u4e86\u914d\u5bf9\u5206\u6790\uff0c\u8ba1\u7b97\u4f18\u52bf\u6bd4\u3002\u8fdb\u884cNa\u00efve Bayes\u9884\u6d4b\u6a21\u578b\u5206\u6790.<\/p>\n<p><strong>\u7ed3\u679c <\/strong><\/p>\n<p>\u5171\u6709241\u6b21\uff08\u5e74\u9f84\uff1a59\u00b118\u5c81\uff1b 88 [35\uff05] \u5973\u6027\uff0c162 [65\uff05]\u7537\u6027\uff09\u6d3b\u68c0\u3002\u67093\u4f8b\uff081\uff05\uff09\u9488\u89c4\u683c\u4e3a11\u89c4\u683c\uff08G\uff09\u548c13\u4f8b\uff085\uff05\uff0912-G\u6d3b\u68c0\uff1b23\u4f8b\uff0810\uff05\uff0913-G\u6d3b\u68c0\uff1b75\u4f8b\uff0831\uff05\uff0914-G\u6d3b\u68c0\uff1b\u548c90\u4f8b\uff0837\uff05\uff0916-G\uff0c33\u4f8b\uff0814\uff05\uff0918-G\u548c4\u4f8b\uff082\uff05\uff0920 G\u6d3b\u68c0\u3002\u771f\u5b9e\u7684\u75be\u75c5\u72b6\u6001\uff08\u5b58\u5728\u611f\u67d3\uff09\u662f\u901a\u8fc7\u75c5\u7406\u7ed3\u679c\uff08205\u4f8b\uff0c86\uff05\uff09\u6216\u4e34\u5e8a\u548c\u5f71\u50cf\u5b66\u968f\u8bbf\uff0836\u4f8b\uff0c14\uff05\uff09\u786e\u5b9a\u3002\u6700\u5e38\u89c1\u7684\u771f\u9633\u6027\u75c5\u539f\u4f53\u662f\u91d1\u9ec4\u8272\u8461\u8404\u7403\u83cc\uff0831\u4f8b\uff0c33\uff05\uff09\u3002\u603b\u4f53\u6d3b\u68c0\u83b7\u76ca\u7387\uff0c\u654f\u611f\u6027\uff0c\u7279\u5f02\u6027\u548c\u51c6\u786e\u6027\u5206\u522b\u4e3a39\uff05\uff0c56\uff05\uff0c89\uff05\u548c66\uff05\u3002\u5bf9\u4e8e11\u201313-G\u9488\uff0c\u5408\u5e76\u6d3b\u68c0\u83b7\u76ca\u7387\uff0c\u654f\u611f\u6027\uff0c\u7279\u5f02\u6027\u548c\u51c6\u786e\u6027\u5206\u522b\u4e3a56\uff05\uff0c69\uff05\uff0c71\uff05\u548c69\uff05\uff0c\u5bf9\u4e8e14\u201320-G\u9488\uff0c\u5408\u5e76\u6d3b\u68c0\u7387\u4e3a36\uff05\uff0c53\uff05\uff0c91\uff05\u548c65\uff05\u3002\u4e24\u7ec4\u4e4b\u95f4\u7684\u4f18\u52bf\u6bd4\u4e3a2.29\uff08P = 0.021\uff09\u3002\u5bf9\u4e8e11\u201314-G\u9488\uff0c\u5408\u5e76\u6d3b\u68c0\u83b7\u76ca\u7387\uff0c\u654f\u611f\u6027\uff0c\u7279\u5f02\u6027\u548c\u51c6\u786e\u6027\u5206\u522b\u4e3a48\uff05\uff0c63\uff05\uff0c85\uff05\u548c68\uff05\uff0c\u5bf9\u4e8e16\u201320-G\u9488\u5219\u4e3a32\uff05\uff0c49\uff05\uff0c91\uff05\u548c64\uff05 \uff0c\u4e24\u7ec4\u4e4b\u95f4\u7684\u4f18\u52bf\u6bd4\u4e3a2.02\uff08P = 0.0086\uff09\u3002<\/p>\n<p><strong>\u7ed3\u8bba <\/strong><\/p>\n<p>\u4f7f\u7528\u8f83\u5927\u7684\u5185\u5f84\/\u8f83\u5c0f\u89c4\u683c\u7684\u6d3b\u68c0\u9488\u53ef\u80fd\u4f1a\u589e\u52a0\u5728CT\u5f15\u5bfc\u4e0b\u7684\u690e\u95f4\u76d8\u708e-\u9aa8\u9ad3\u708e\u6d3b\u68c0\u4e2d\u57f9\u517b\u51fa\u75c5\u539f\u5fae\u751f\u7269\u7684\u53ef\u80fd\u6027\uff0c\u7279\u522b\u8868\u73b0\u51fa\u4e0e\u9aa8\u9ad3\u708e\u7684\u8bca\u65ad\u654f\u611f\u6027\u589e\u52a0\u76f8\u5173\u3002\u8fd9\u5bf9\u4ecb\u5165\u653e\u5c04\u79d1\u533b\u5e08\u53ef\u80fd\u6709\u7528\uff0c\u5e76\u4e14\u5bf9\u6000\u7591\u9aa8\u9ad3\u708e\u884c\u7a7f\u523a\u6d3b\u68c0\u7684\u60a3\u8005\u7684\u62a4\u7406\u6709\u66f4\u5927\u7684\u79ef\u6781\u7684\u5f71\u54cd\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1007\/s00256-020-03439-3\">https:\/\/doi.org\/10.1007\/s00256-020-03439-3<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u611f\u8c22\u60a8\u7684\u6709\u8da3\u7684\u5de5\u4f5c\uff01\u9aa8\u611f\u67d3\u7684\u6d3b\u68c0\u7387\u4ecd\u7136\u5f88\u4f4e\uff0c\u4ec5\u4e3a50\uff05\u6216\u66f4\u4f4e\u3002\u75c5\u7406\u5b66\u4e13\u4e1a\u77e5\u8bc6\u548c\u75c5\u7406\u5b66\u5bb6\u5bf9\u63d0\u4f9b\u4e00\u4e2a\u7591\u96be\u7684\u9aa8\u9ad3\u708e\u8bca\u65ad\u610f\u613f\u4e5f\u56e0\u5176\u6280\u80fd\u548c\u81ea\u4fe1\u7a0b\u5ea6\u800c\u5f02\u3002\u8003\u8651\u5230\u8fd9\u6837\u7684\u6df7\u6742\u56e0\u7d20\uff0c\u8fd9\u662f\u4e00\u4e2a\u6709\u7528\u7684\u7814\u7a76\u3002\u968f\u7740\u7535\u94bb\u5e7f\u6cdb\u4f7f\u7528\u6709\u5173\u7684\u66f4\u5927\u7c97\u9488\u6d3b\u68c0\u7269\uff0c\u5176\u7ed3\u679c\u53ef\u80fd\u4f1a\u6bd4\u65e2\u5f80\u7814\u7a76\u66f4\u597d.<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u8003\u8651\u6d3b\u68c0\u64cd\u4f5c\u7684\u5404\u4e2a\u65b9\u9762\u53ca\u5176\u5bf9\u60a3\u8005\u7684\u5f71\u54cd\u3002<\/p>\n<p>\u66f4\u9ad8\u89c4\u683c\u7684\u9488\uff08\u5728\u4f7f\u7528\u5b89\u5168\u65f6\uff09\u53ef\u80fd\u4f1a\u589e\u52a0\u8bca\u65ad\u9aa8\u611f\u67d3\u7684\u9aa8\u6d3b\u68c0\u83b7\u76ca\u7387\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u9aa8\u9f84\u8bc4\u4f30\u7684\u73b0\u4ee3\u5316\uff1a\u6bd4\u8f83\u4eba\u5de5\u667a\u80fd\u7b97\u6cd5\u548cGreulich\u548cPyle\u901f\u8bb0\u9aa8\u9f84\u7684\u51c6\u786e\u6027\u548c\u53ef\u9760\u6027<\/strong><\/span><\/h5>\n<p>Mina Gerges &amp; Hayley Eng &amp; Harpreet Chhina &amp; Anthony Cooper<\/p>\n<p><em>Skeletal Radiology<\/em><\/p>\n<p><strong>\u80cc\u666f<\/strong><\/p>\n<p>Greulich \u548c Pyle\uff08GP\uff09\u662f\u4ece\u624b\u90e8X\u5149\u7247\u786e\u5b9a\u9aa8\u9f84\u7684\u6700\u5e38\u7528\u65b9\u6cd5\u4e4b\u4e00\u3002\u8fd1\u5e74\u6765\uff0c\u5df2\u7ecf\u5f00\u53d1\u51fa\u65b0\u7684\u65b9\u6cd5\u6765\u63d0\u9ad8\u9aa8\u9f84\u5206\u6790\u7684\u6548\u7387\uff0c\u5305\u62ec\u901f\u8bb0\u9aa8\u9f84\uff08SBA\uff09\u548c\u81ea\u52a8\u4eba\u5de5\u667a\u80fd\u7b97\u6cd5\u3002<\/p>\n<p><strong>\u95ee\u9898<\/strong><\/p>\n<p>\u4f7f\u7528\u65b0\u65b9\u6cd5\uff08SBA\u6216\u81ea\u52a8\u4eba\u5de5\u667a\u80fd\u7b97\u6cd5\uff09\u4f1a\u5f71\u54cd\u9aa8\u9f84\u8bc4\u4f30\u7684\u51c6\u786e\u6027\/\u53ef\u9760\u6027\u5417\uff1f<\/p>\n<p><strong>\u7814\u7a76\u8bbe\u8ba1<\/strong><\/p>\n<p>\u56de\u987e\u6027\u7814\u7a76<\/p>\n<p><strong>\u53c2\u4e0e\u8005<\/strong><\/p>\n<p>\u4e00\u6240\u533b\u9662\u6570\u636e\u5e93\u4e2d\u7684\u60a3\u8005\uff0c\u7537\u6027\u5e74\u9f84\u4e3a12.5-16\u5c81\uff0c\u5973\u6027\u5e74\u9f84\u4e3a10-14\u5c81\u3002<\/p>\n<p><strong>\u6392\u9664\u6807\u51c6<\/strong><\/p>\n<p>\u68c0\u67e5\u524d2\u5e74\u5185\u7684\u540c\u4fa7\u624b\/\u8155\u6709\u9aa8\u6298\u7684\u8bca\u65ad\u6216\u8bc1\u636e\uff0c\u4ee5\u53ca\u6709\u53ef\u80fd\u5f71\u54cd\u8eab\u9ad8\u7684\u9aa8\u9abc\u53d1\u80b2\u4e0d\u826f\u6216\u5185\u5206\u6ccc\u75be\u75c5\u5730\u8bca\u65ad\u3002<\/p>\n<p><strong>\u65b9\u6cd5<\/strong><\/p>\n<p>426\u540d\u60a3\u8005\uff08\u7537\u5973\u6570\u91cf\u76f8\u7b49\uff09\u7684\u9aa8\u9f84\u7531\u4e24\u4e2a\u72ec\u7acb\u7684\u8bc4\u4f30\u8005\u4f7f\u7528SBA\u548cGP\u65b9\u6cd5\u786e\u5b9a\u3002\u4e09\u4e2a\u661f\u671f\u540e\uff0c\u4e24\u4f4d\u8bc4\u4f30\u8005\u91cd\u590d\u4e86X\u5149\u7247\u7684\u5206\u6790\u3002\u8bc4\u5206\u8005\u4f7f\u7528\u5728\u7ebf\u79d2\u8868\u8ba1\u65f6\u3002\u53d6\u6d88\u6807\u8bc6\u7684X\u5149\u7247\u5b89\u5168\u5730\u4e0a\u4f20\u5230\u7531\u591a\u4f26\u591a\u7684\u4e00\u7ec4\u653e\u5c04\u79d1\u533b\u751f\u5f00\u53d1\u7684\u81ea\u52a8\u7b97\u6cd5\u4e2d\u3002\u91d1\u6807\u51c6\u88ab\u5b9a\u4e3a\u9644\u5728\u6bcf\u5f20X\u5149\u7247\u7684\u5f71\u50cf\u5b66\u62a5\u544a\uff0c\u8fd9\u4e9b\u62a5\u544a\u662f\u7531\u7ecf\u9a8c\u4e30\u5bcc\u7684\u653e\u5c04\u79d1\u533b\u751f\u6839\u636eGP\u65b9\u6cd5\u6240\u5199\u7684\u3002<\/p>\n<p><strong>\u7ed3\u679c<\/strong><\/p>\n<p>\u6bcf\u79cd\u65b9\u6cd5\u4e0e\u91d1\u6807\u51c6\u4e4b\u95f4\u7684\u7ec4\u5185\u76f8\u5173\u6027\u90fd\u57280.8-0.9\u7684\u8303\u56f4\u5185\uff0c\u7a81\u51fa\u663e\u793a\u4e86\u663e\u8457\u7684\u4e00\u81f4\u6027\u3002\u5927\u591a\u6570\u6bd4\u8f83\u7ed3\u679c\u8868\u660e\uff0c\u65b0\u65b9\u6cd5\u4e0e\u91d1\u6807\u51c6\u4e4b\u95f4\u5b58\u5728\u660e\u663e\u7684\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002\u4f46\u662f\uff0c\u53ef\u80fd\u4e0d\u5177\u6709\u4e34\u5e8a\u610f\u4e49\uff0c\u56e0\u4e3a\u5b83\u4ecb\u4e8e0.25\u5e74\u548c0.5\u5e74\u4e4b\u95f4\u3002\u5982\u679c\u8bc4\u4f30\u7684\u9aa8\u9f84\u843d\u5230\u5b9e\u9645\u9aa8\u9f84\u76842\u4e2a\u6807\u51c6\u5dee\u4e4b\u5916\uff0c\u8bc4\u4f30\u7684\u9aa8\u9f84\u624d\u8ba4\u4e3a\u662f\u4e34\u5e8a\u4e0a\u5f02\u5e38\u7684\uff1b\u8ba1\u7b97\u6807\u51c6\u5dee\u5e76\u5728GP\u56fe\u96c6\u4e2d\u63d0\u4f9b\u3002<\/p>\n<p><strong>\u7ed3\u8bba<\/strong><\/p>\n<p>\u901f\u8bb0\u9aa8\u9f84\u65b9\u6cd5\u548c\u81ea\u52a8\u7b97\u6cd5\u4ea7\u751f\u7684\u503c\u8ddf\u91d1\u6807\u51c6\u5b58\u5728\u7edf\u8ba1\u5b66\u5dee\u5f02\uff0c\u4f46\u4e34\u5e8a\u4e0a\u4e0e\u9ec4\u91d1\u6807\u51c6\u76f8\u7b26\uff0c\u540c\u65f6\u51cf\u5c11\u4e86\u5206\u6790\u65f6\u95f4\u3002<\/p>\n<p><strong>\u94fe\u63a5<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1007\/s00256-020-03429-5\">https:\/\/doi.org\/10.1007\/s00256-020-03429-5<\/a><\/p>\n<p><strong>\u8d44\u6df1\u7f16\u8f91\u8bc4\u8bba<\/strong><\/p>\n<p>\u5145\u5206\u5229\u7528\u4eba\u5de5\u667a\u80fd\u6765\u5b8c\u6210\u91cd\u590d\u800c\u4e4f\u5473\u7684\u4efb\u52a1\u3002\u8c22\u8c22\u60a8\u7684\u5de5\u4f5c\uff01<\/p>\n<p><strong>\u653e\u5c04\u5b66\u5458\u5b66\u4e60\u8981\u70b9<\/strong><\/p>\n<p>\u4f7f\u7528\u4eba\u5de5\u667a\u80fd\u8f6f\u4ef6\u6765\u5e2e\u52a9\u6267\u884c\u91cd\u590d\u6027\u4efb\u52a1\u53ef\u80fd\u662f\u8fd9\u9879\u6280\u672f\u7684\u826f\u597d\u7528\u6cd5\uff0c\u5c24\u5176\u662f\u5728\u663e\u793a\u51fa\u4e0e\u91d1\u724c\u6807\u51c6\u76f8\u79f0\u7684\u8bca\u65ad\u6548\u80fd\u65f6\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>Translation by: Jingbiao Chen<\/p>\n<p>Revised by: Jin Wang<\/p>\n","protected":false},"excerpt":{"rendered":"\u524d\u4ea4\u53c9\u97e7\u5e26\u91cd\u5efa\u672f\u540e\u540e\u7eed\u624b\u672f\u7684\u53d1 [&hellip;]","protected":false},"author":3,"featured_media":7168,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-8631","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What&#039;s new in MSK Imaging (Chinese) - September 2020 - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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