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MRI检查图像患者骨盆倾斜情况:461例MRI图像分析

Investigation and analysis of pelvic tilt in MRI examination

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【作者】 陈兰陈春林刘萍冯婕苍鹏唐连廖科丹王可竞陈怡

【Author】 CHEN Lan;CHEN Chunlin;LIU Ping;FENG Jie;CANG Peng;TANG Lian;LIAO Kedan;WANG Kejing;CHEN Yi;Department of Obstetrics and Gynecology,Nanfang Hospital of Southern Medical University;Department of Imaging,Nanfang Hospital of Southern Medical University;

【通讯作者】 刘萍;

【机构】 南方医科大学南方医院妇产科南方医科大学南方医院影像科

【摘要】 目的探索MRI检查图像患者骨盆倾斜的情况。方法回顾性分析2013~2016年因各种妇科疾病行MRI检查的患者,构建骨盆三维模型,通过三维模型的正前面观判定患者骨盆位置是否有倾斜,在二维图像上测量倾斜的角度。结果在461例研究对象中,106例(23%)存在骨盆位置的倾斜,主要是左右倾斜,其中向右倾斜28例,偏转(6.28±2.14)°,向左倾斜有78例,偏转(5.88±1.67)°。结论常规MRI平卧位检查时存在骨盆倾斜的情况,导致患者正中矢状面选取存在偏差,利用正中矢状面进行的测量就存在偏差,引起骨盆左右倾斜的原因可能与骨盆旋转有关,而利用三维模型测量可以有效避免因骨盆偏斜引起的偏差。

【Abstract】 Objective To explore the pelvic tilt situation of patients who have done MRI examination. Methods Patients who have performed MRI tests for various gynecological diseases from 2013 to 2016 were included. After we reconstructed 3D model of patient’s pelvis based on MRI images, frontal view of the three-dimensional model was used to determine whether the position of the pelvis was tilted or not. The angle of inclination was measured on the two-dimensional image. Results In the 461 subjects, 106(23%) patients had a tilt pelvic position, mainly left-right tilt type. 28 ones were right tilt with average deflection of(6.28±2.14)°. 78 were leftward tilt with average deflection of(5.88±1.67)°. Conclusions The pelvic tilt in the crosssectional view of the routine MRI supine test results in deviation of the median sagittal plane of the patient. The pelvic tilt may result from pelvic rotation. The use of three-dimensional model can effectively avoid bias due to pelvic tilt.

【基金】 国家自然科学基金(81370736,81571422);广东省教育厅高水平大学建设经费南方医科大学临床研究启动项目(LC2016ZD019)
  • 【文献出处】 分子影像学杂志 ,Journal of Molecular Imaging , 编辑部邮箱 ,2018年04期
  • 【分类号】R445.2
  • 【下载频次】92
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