Abstract
To deeply analyze the tendon lesions of hands and feet, the application of Computed Tomography (CT) energy spectrum imaging and magnetic resonance imaging (MRI) in anatomy and lesions is mainly studied. Firstly, the related information of the subjects is introduced in turn. Secondly, Gemstone Spectral Imaging (GSI) and MRI examinations are performed respectively. Through energy spectrum analysis software, suitable single energy value (KeV) is selected, the mixed energy image is converted into the single energy image, and a variety of image recombination methods are used to observe the energy spectrum CT image and compare the results with MRI. The results of the study show that GSI could display the morphology, continuous walking and dead point of the tendon, especially the three-dimensional spatial relationship of the tendon, bone and muscle, which is superior to MRI. There is no statistically significant difference between GSI and MRI in the display of tendon rupture, thickening, deletion and compression. And GSI is not as clear as MRI in the display of tendon adhesion, degeneration and tendon sheath lesions, and the difference is statistically significant. Therefore, MRI is still the first choice in hand and foot tendon lesions, especially in the display of early pathological changes of the tendon and tendon sheath diseases, as well as the evaluation of postoperative functional rehabilitation of the tendon. And CT energy spectrum imaging, as a new imaging mode, can clearly show the anatomy of normal tendon of hand and foot and most tendon lesions, especially in the observation of tendon morphology, which has a high diagnostic value.
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References
Naito, E., Morita, T., and Amemiya, K., Body representations in the human brain revealed by kinesthetic illusions and their essential contributions to motor control and corporeal awareness. Neurosci. Res. 104:16–30, 2016.
Kleipool, R. P., Blankevoort, L., and Ruijter, J. M., The dimensions of the tarsal sinus and canal in different foot positions and its clinical implications. Clin. Anat. 30(8):1049–1057, 2017.
Tompkins, M. A., Rohr, S. R., and Agel, J., Anatomic patellar instability risk factors in primary lateral patellar dislocations do not predict injury patterns: An MRI-based study. Knee Surg. Sports Traumatol. Arthrosc. 26(3):677–684, 2018.
Lamberti, A., Balato, G., and Summa, P. P., Surgical options for chronic patellar tendon rupture in total knee arthroplasty. Knee Surg. Sports Traumatol. Arthrosc. 26(5):1429–1435, 2018.
Roemer, F. W., Jarraya, M., and Felson, D. T., Magnetic resonance imaging of Hoffa's fat pad and relevance for osteoarthritis research: A narrative review. Osteoarthr. Cartil. 24(3):383–397, 2016.
Agrawal, R., Sharma, M., and Singh, B. K., Segmentation of brain lesions in mri and ct scan images: A hybrid approach using k-means clustering and image morphology. J. Inst. Eng. 99(2):1–8, 2018.
Muenzel, D., Lo, G. C., Yu, H. S., Parakh, A., Patino, M., and Kambadakone, A., Material density iodine images in dual-energy ct: Detection and characterization of hypervascular liver lesions compared to magnetic resonance imaging. Eur. J. Radiol. 95:300–306, 2017.
Zubler, V., Zanetti, M., and Dietrich, T. J., Is there an added value of T1-weighted contrast-enhanced fat-suppressed spin-echo MR sequences compared to STIR sequences in MRI of the foot and ankle? Eur. Radiol. 27(8):3452–3459, 2017.
Marcatili, M., Marshall, J., and Voute, L., Magnetic resonance imaging-guided injection of platelet-rich plasma for treatment of an insertional core lesion of the deep digital flexor tendon within the foot of a horse. Equine Veterinary Education 30(8):409–414, 2018.
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Author Jing Wu declares that he has no conflict of interest. Author Xi Yang declares that he has no conflict of interest. Author Jianmei Gao declares that he has no conflict of interest. Author Sheng Zhao declares that he has no conflict of interest. Author Liang Wang declares that he has no conflict of interest. Author Tianyou Luo declares that he has no conflict of interest.
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Wu, J., Yang, X., Gao, J. et al. Application of MRI and CT Energy Spectrum Imaging in Hand and Foot Tendon Lesions. J Med Syst 43, 116 (2019). https://doi.org/10.1007/s10916-019-1208-6
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DOI: https://doi.org/10.1007/s10916-019-1208-6