164·中国CT和MRI杂志2023年02月第21卷第02期总第160期【第一作者】赵铎，男，副主任医师，主要研究方向：医学影像诊断。E-mail：iaq07k@163.com【通讯作者】张莉，女，副主任医师，主要研究方向：心血管内科。E-mail：zhangli1@zzgyyyjsxy35.wecom.work论著ComparisonontheApplicationofMRI-FLAIR-FSScanandEnhancedMRImagingintheDiagnosisofKneeSynovitis*ZHAODuo1,SHANGGUANJian-wei1,2,LIUXiang-long2,MIAOHui-feng1,TAORan1,ZHANGLi3,*.1.MedicalImagingDepartmentofXinzhengPublicPeople'sHospital,Zhengzhou451150,HenanProvince,China2.DepartmentofRadiology,ZhengzhouCentralHospital,ZhengzhouUniversity,Zhengzhou450007,HenanProvince,China3.ZhengzhouInstituteofIndustrialApplicationTechnology,Zhengzhou450000,HenanProvince,ChinaABSTRACTObjectiveTocomparetheapplicationofmagneticresonanceimaging-fluidattenuatedinversionrecoverywithfatsaturation(MRI-FLAIR-FS)scanandenhancedmagneticresonance(MR)imaginginthediagnosisofkneesynovitis(KS).MethodsAtotalof106patientswithsuspectedKStreatedinthehospitalwereenrolledbetweenJanuary2019andMay2021.Allunderwentpathologicalexamination,enhancedMRimagingscanandMRI-FLAIR-FSscan.Takingpathologicalresultsasthegoldenstandard,thesensitivity,specificity,accuracyandconsistencyofenhancedMRimagingscanandMRI-FLAIR-FSscaninthediagnosisofKSwasanalyzedbyKappaconsistencyanalysis.Thegradingofsynovialthickness,synovialjointfluid,peripheralcartilagelesionsandnarrowingofjointspacewerecomparedbetweenthetwogroups.ResultsOfthe106patientswithsuspectedKS,pathologicalexaminationshowedthattherewere89caseswithKSand17caseswithoutKS.Takingpathologicalresultsasthegoldenstandard,thesensitivity,specificity,accuracyandKappavaluesofenhancedMRimagingscanandMRI-FLAIR-FSscaninthediagnosisofKSwere(96.63%,88.24%,95.28%,0.829)and(98.88%,100.00%,99.06%,0.966),respectively.TherewasnosignificantdifferenceinthegradingofsynovialthicknessbetweenMRI-FLAIR-FSscanandenhancedMRimaging(P>0.05),whilethereweresignificantdifferencesinthethicknessofsynovialeffusion(P<0.05).Therewasnosignificantdifferenceintheincidenceofperiph...
