臨床整形外科54巻9号

2019年09月発行

誌上シンポジウム 肩腱板断裂 画像診断の進歩 MRIによる腱板の筋萎縮・脂肪変性評価

IDEAL法による腱板筋の脂肪変性の評価

著者： 落合信靖¹

所属機関： ¹千葉大学大学院医学研究院整形外科

ページ範囲：P.889 - P.896

　IDEAL法は，3つのエコー時間を設定しデータを収集する3-point Dixon法で，水と脂肪を非常に高い精度で分離できる脂肪定量可能な新たなMRI撮像法である．当院におけるIDEAL法を用いた検討で，術前の棘上筋の筋実質部と棘下筋の術前の脂肪変性が腱板修復術後の再断裂のリスクファクターであり，術前の筋脂肪変性が進行した症例では腱板修復術において注意を要すると考えられる．

参考文献

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