[1]何 伟,刘 洁,王 磊,等.皮肌炎患者骨骼肌MRI信号与实验室指标相关性研究[J].陕西医学杂志,2022,51(3):347-350.[doi:DOI:10.3969/j.issn.1000-7377.2022.03.019]
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皮肌炎患者骨骼肌MRI信号与实验室指标相关性研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年3期
页码:
347-350
栏目:
临床研究
出版日期:
2022-03-05

文章信息/Info

作者:
何 伟1刘 洁2王 磊1张 微1魏熠鑫1魏光明1李云波1魏龙晓1袁梦晖1
(1.空军军医大学第二附属医院核医学科,陕西 西安 710038; 2.空军军医大学第二附属医院风湿免疫科,陕西 西安 710038)
关键词:
皮肌炎 骨骼肌 实验室指标 MRI 相关性
分类号:
R 593.26
DOI:
DOI:10.3969/j.issn.1000-7377.2022.03.019
文献标志码:
A
摘要:
目的:探讨皮肌炎(DM)患者骨骼肌MRI信号与实验室指标的相关性。方法:回顾性分析36例经病理检查确诊的皮肌炎患者的3.0T MRI扫描资料。将骨骼肌分为头颈、躯干、上肢、下肢四组,根据不同组肌肉不同序列的MRI信号强度及肌肉受累范围进行评分,并分析评分与主要实验室指标肌酸激酶(CK)、乳酸脱氢酶(LDH)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)的相关性。结果:所有患者骨骼肌病变均呈对称分布,未见明确单侧病变。快速自旋回波(TSE T1WI)信号:头颈肌评分与各实验室指标均有相关性(均P<0.05); 上肢肌评分与ALT有相关性(P<0.05); 其余肌肉群评分与各实验室指标无相关性(均P>0.05)。频率衰减反转恢复脂肪抑制(SPAIR)信号:头颈、躯干及上肢肌评分与各实验室指标均有相关性(均P<0.05); 下肢肌评分只与CK有相关性(P<0.05),与其他实验室指标无相关性(均P>0.05)。弥散加权(DWI)信号:下肢肌评分与LDH、ALT无相关性(均P>0.05); 其余各组肌肉评分与各实验室指标均存在相关性(均P<0.05)。结论:SPAIR、DWI序列在皮肌炎早期与实验室指标高度相关。

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备注/Memo

备注/Memo:
基金项目:陕西省自然科学基础研究计划项目(2020JM-333)
更新日期/Last Update: 2022-03-04