张堃,朱克俭,李平,沈宏荣,何业文,高辉,黎建宇,沈智豪,钟泽亚,朱璐,范阳.3.0T MR T2 mapping及T1ρ区分膝骨关节炎患者与健康人:Meta分析[J].中国介入影像与治疗学,2019,16(2):101-106 |
3.0T MR T2 mapping及T1ρ区分膝骨关节炎患者与健康人:Meta分析 |
3.0T MR T2 mapping and T1ρ in distinguishing patients with knee osteoarthritis from healthy individuals: Meta-analysis |
投稿时间:2018-09-03 修订日期:2018-12-27 |
DOI:10.13929/j.1672-8475.201809005 |
中文关键词: 骨关节炎 软骨 磁共振成像 综合分析 |
英文关键词:osteoarthritis cartilage magnetic resonance imaging meta-analysis |
基金项目:国家自然科学基金青年科学基金(81603482)、湖南省自然科学基金(2016JJ6115)、中国博士后科学基金面上项目(2017M622586)、湖南中医药大学重点学科建设项目。 |
作者 | 单位 | E-mail | 张堃 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 湖南中医药大学中西医结合学院, 湖南 长沙 410208 | | 朱克俭 | 湖南中医药大学中西医结合学院, 湖南 长沙 410208 湖南省中医药研究院附属医院内科, 湖南 长沙 410006 | 0731zkjo@263.net | 李平 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 沈宏荣 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 何业文 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 高辉 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 黎建宇 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 沈智豪 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 钟泽亚 | 湖南中医药大学第一附属医院放射科, 湖南 长沙 410007 | | 朱璐 | 湖南省人民医院 湖南师范大学附属第一医院超声科, 湖南 长沙 410005 | | 范阳 | 通用电气医疗系统贸易发展有限公司, 上海 201203 | |
|
摘要点击次数: 2278 |
全文下载次数: 672 |
中文摘要: |
目的 采用Meta分析评价3.0T MR T2 mapping及T1ρ区分膝骨关节炎(KOA)患者与健康人的价值。方法 检索中国知网、维普、万方数据库及PubMed、EMBASE、Cochrane Library数据库中采用3.0T MR T2 mapping和/或T1ρ区分KOA患者(KOA组)与健康人(对照组)的临床对照研究,检索时间截至2018年7月31日。采用Stata 14.0软件分析KOA组与对照组、重度KOA与轻度KOA患者权重均数差值(WMD)及其95% CI。结果 纳入文献15篇,KOA组420例、对照组450名。KOA组总体[WMD=4.06,95% CI(2.73,5.39)]、轻度KOA[WMD=2.35,95% CI(1.15,3.55)]、重度KOA[WMD=8.07,95% CI(4.03,12.12)]及未分度KOA患者[WMD=1.58,95% CI(0.51,2.66)]关节软骨T2值均高于对照组(P均<0.01),重度KOA高于轻度KOA[WMD=4.66,95% CI(1.86,7.46),P<0.01]。KOA组总体[WMD=5.41,95% CI(3.59,7.22)]、轻度KOA[WMD=4.25,95% CI(2.32,6.18)]、重度KOA[WMD=8.44,95% CI(6.24,10.64)]及未分度KOA患者[WMD=3.51,95% CI(1.23,5.79)]关节软骨T1ρ值均高于对照组(P均<0.01),且重度KOA高于轻度KOA患者[WMD=6.33,95% CI(2.02,10.64),P<0.01]。结论 利用3.0T MR T2 mapping及T1ρ成像可区分KOA患者与健康人,鉴别轻度与重度KOA。 |
英文摘要: |
Objective To explore the discriminative validity of 3.0T MR T2 mapping and T1ρ in knee osteoarthritis (KOA) with Meta-analysis. Methods Case-control studies evaluating articular cartilage in patients with KOA (KOA group) and normal controls (control group) using MR T2 mapping and/or T1ρ before July 31, 2018, in CNKI, VIP, Wanfang, PubMed, EMBASE and Cochrane Library databases were searched. The difference of weight mean difference (WMD) value with their 95% CI between KOA group and control group, as well as between severe and mild KOA patients were analyzed with Stata 14.0 software. Results A total of 15 articles (420 KOA patients and 450 healthy controls) were involved. T2 value of articular cartilage in KOA group (WMD=4.06, 95% CI[2.73, 5.39]), patients with mild KOA (WMD=2.35, 95% CI[1.15, 3.55]), severe KOA (WMD=8.07, 95% CI[4.03, 12.12]) and unscaled KOA (WMD=1.58, 95% CI[0.51, 2.66]) were higher than that in control group, respectively (all P<0.01), of articular cartilage in severe KOA patient was higher than that in mild KOA patient (WMD=4.66, 95% CI[1.86, 7.46], P<0.01). T1ρ value of articular cartilage in KOA group (WMD=5.41, 95% CI[3.59, 7.22]), patients with mild KOA (WMD=4.25, 95% CI[2.32, 6.18]), severe KOA (WMD=8.44, 95% CI[6.24, 10.64]) and unscaled KOA (WMD=3.51, 95% CI[1.23, 5.79]) were higher than that in control group, respectively (all P<0.01), while of articular cartilage in severe KOA patient was higher than that in mild KOA patient (WMD=6.33, 95% CI[2.02, 10.64], P<0.01). Conclusion 3.0T MR T2 mapping and T1ρ can be used to distinguish patients with KOA from healthy individuals and identify mild and severe knee osteoarthritis. |
查看全文 查看/发表评论 下载PDF阅读器 |
关闭 |
|
|
|