Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
권호 표지
DOI QR코드

DOI QR Code

Evaluation of Effectiveness of Anatomical Rotation Change Image by Aid Tool in Shoulder MRArthrography

Shoulder MRArthography 검사 시 보조기구를 이용한 해부학적 회전 변화 영상에 대한 유용성 평가

  • Kim, Hyeong-Gyun (Department of Intelligent Mechanical Engineering, Graduate school of Kumoh of National institute of technology) ;
  • Jung, Jae-Eun (Department of Radiological Science, Daegu Health College) ;
  • Jung, Hong-Moon (Department of Radiological Science, Daegu Health College)
  • 김형균 (금오공과대학교 대학원 지능기계공학과) ;
  • 정재은 (대구보건대학교 방사선과) ;
  • 정홍문 (대구보건대학교 방사선과)
  • Received : 2012.06.04
  • Accepted : 2012.08.14
  • Published : 2012.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

Shoulder MRArthrography was performed to get an accurate diagnosis about complex anatomical structure in shoulder joint. We carried out how the changes of anatomical rotations in shoulder joint could bring certain diagnosis effects on MRI images for various shoulder humerus positions; Neutral position, Internal rotation position and External rotation position. In addition, we prepared an aid tool in oder to maintain the right posture of a patient. This aid tool was made by adapting Modeling Design Program. By virtue of this aid, we obtained the following result. Shoulder MR Arthrography by the External rotation position for anatomical structure diagnosis was the most suitable in diagnostic evaluations of important anatomical structures in shoulder joint such as Biceps tendon, Supera-spiatus tendon, Sub-scapularis tendon, Labrum and Sub-acromial space.

자기공명 관절 조영술(Shoulder MR Arthrography)는 견관절(Shoulder joint) 의 복잡한 해부학적 구조에 관하여 정확한 영상평가를 진단하기 위해 시행 한다. 우리는 어께 상완골(Shoulder humerus) 의 다양한 position인 Neutral position, Internal rotation position, External rotation position 에 관하여 Shoulder joint의 해부학 적인 회전 변화가 견관절 자기공명(Shoulder MRI) 영상에 어떤 진단적 결과를 가져오는가에 대해 상호 비교 하였다. 또한 환자의 정확한 촬영자세 유지를 위해 촬영 보조기구를 만들었다. 이 보조기구는 Modeling 설계에 의해 우리가 직접 제작한 자기공명 견관절 조영술 보조 기구이다. 이 보조기구를 사용하여 촬영한 결과 다음과 같은 결론을 도출해 내었다. External rotation position 에 의한 Shoulder MRArthrography 검사가 Shoulder joint의 중요 해부학적 구조인 Biceps tendon, Supera-spiatus tendon, Sub-scapularis tendon, Labrum, Sub-acromial space 의 해부학적 평가에서 제일 적합하다는 진단적 평가를 얻었다.

Keywords

References

  1. Saleem AM, Lee JK, Novak LM.AJR. Usefulness of the abduction and external rotation views in shoulder MR arthrography. Am J Roentgenol, Vol. 191, No. 4, pp.1024-30, 2008. https://doi.org/10.2214/AJR.07.3962
  2. Beltran J, Rosenberg ZS, Chandnani VP, Cuomo F, Beltran S, Rokito A. Glenohumeral instability : evaluation with MR arthrography. Radiographics, Vol. 17,pp.657-673,1997. https://doi.org/10.1148/radiographics.17.3.9153704
  3. Stoller DW. MR arthrography of the glenohumeral joint. Radiol. Clin North Am, Vol .35, pp97-116,1997.
  4. Andrews JR, Carson WG Jr, McLeod WD. Glenoid labrum tears related to the long head of the biceps. Am J Sports Med, Vol. 13, pp.337-341,1997.
  5. Pappas AM, Goss TP, Kleinman PK. Symptomatic shoulder instability due to lesions of the glenoid labrum. Am J Sports Med, Vol. 11, pp279-288,1997.
  6. Herold T, Bachthaler M, Hamer OW, Hente R, Feuerbach S, et al..Indirect MR arthrography of the shoulder: use of abduction and external rotation to detect full-and partial-thickness tears of the supraspinatus tendon.. Radiology, Vol. 240, No. 1, pp.152-60, 2006. https://doi.org/10.1148/radiol.2393050453
  7. Chandnani VP, Gagliardi JA, Murnane TG, et al. Glenohumeral ligaments and shoulder capsular mechanism: evaluation with MR arthrography. Radiology, Vol. 196, pp.27-32, 1997.
  8. Gross ML, Seeger LL, Smith JB, Mandelbaum BR, Finerman GA.Magnetic resonance imaging of the glenoid labrum. Am J Sports Med, Vol. .18, pp.229-234, 1997.
  9. Wischer TK, Bredella MA, Genant HK, Stoller DW, Bost FW, Tirman PF.Perthes lesion (a variant of the Bankart lesion): MR imaging and MR arthrographic findings with surgical correlation. AJR Am J Roentgenol, J, Vol. 178, No. 1, pp.233-7, 2002 https://doi.org/10.2214/ajr.178.1.1780233
  10. Choi JA, Suh SI, Kim BH, Cha SH, Kim MG, Lee KY, Lee CH.Comparison between conventional MR arthrography and abduction and external rotation MR arthrography in revealing tears of the antero-inferior glenoid labrum. Korean J Radiol, Vol. 2, No. 4, pp.216-21, 2001. https://doi.org/10.3348/kjr.2001.2.4.216
  11. Kwak SM, Brown RR, Trudell D, Resnick DGlenohumeral joint: comparison of shoulder positions at MR arthrography. .Radiology, Vol. 208, No. 2, pp.375-80, 1998. https://doi.org/10.1148/radiology.208.2.9680562
  12. Cvitanic O, Tirman PF, Feller JF, Bost FW, Minter J, Carroll KW.Using abduction and external rotation of the shoulder to increase the sensitivity of MR arthrography in revealing tears of the anterior glenoid labrum. AJR Am J Roentgenol, Vol. 169, No. 3, pp.837-44, 1997. https://doi.org/10.2214/ajr.169.3.9275908
  13. Flannigan B, Kursunoglu-Brahme S, Snyder S, Karzel R, Del Pizzo W, Resnick D. MR arthrography of the shoulder: comparison with conventional MR imaging. AJR Am J Roentgenol, Vol. 155, pp.829-832, 1997.
  14. http://www.drsarahsimison.com(rotator-cuff-muscles-and-chiropractic-care-part-1)

Cited by

  1. 의료영상 검사를 위한 상지 보조기구의 3D 프린터 제작 연구 vol.38, pp.4, 2012, https://doi.org/10.17946/jrst.2015.38.4.08
  2. Susceptibility Artifact를 감소시키는 SEMAC 사용 시 Turbo Factor 변화에 따른 영상의 유용성 평가 vol.13, pp.1, 2019, https://doi.org/10.7742/jksr.2019.13.1.31