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대퇴골두 무혈성괴사:자기공명영상소견과 조직소견의 비교
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  • 대퇴골두 무혈성괴사:자기공명영상소견과 조직소견의 비교
저자명
이채국
간행물명
대한방사선의학회지
권/호정보
1995년|33권 1호|pp.125-132 (8 pages)
발행정보
대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purposes : To correlate MR findings with histologic findings in avascular necrosis(AVN) of the femoral head.Materials and Methods : MR imaging was performed with 8 femoral head specimens using T1- and proton densityweighted coronal SE sequences, and compared with contact radiography and histologic sections. Results : In eachspecimen, necrotic zone in the superior portion of femoral head, repair zone located inferior to the necroticzone, and rim adjacent to normal bone marrow could be defined. Necrotic zone showed high signal intensity on bothT1- and proton density- weighted images in 3 cases which were composed of necrotic bone and marrow, and low signalintensity on both sequences in 2 cases which were composed of necrotic bone marrow with amorphous cellular debris.Mixed high and low signal intensities were seen in 3 cases. The repair zone showed low signal intensity onT1-weighted image and high signal intenisty on proton density weighted image in 5 cases which were composed ofthickened trabecular bone and mesenchymal tissue and also showed intermediate signal intensity on T1 weightedimage and high signal intensity on proton density weighted image in 3 cases which were composed of osteoid,chondroid and undifferentiated mesenchymal cells. Rim shown as the low signal intensity on T1 weighted image inall cases was corresponded to viable thickened trabecular bone. Conclusion: MR imaing would be the best modalityin the diagnosis of avascular necrosis of femoral head and when used in conjuction with degree and location ofsignal intensity, the prediction of histologic finding may be possible.