Objective To study the follow-up value of MRI in the sequela hypoxic-ischemic encephalopathy(HIE).Methods MRI features of HIE in 81 neonates were analyzed retrospectively,every child had two cranial MRI scans,the first scan at the end of the newborn stage,the second scan at 4 months to 4 years.There were 66 full-term neonates and 15 preterm neonates.Results Of 81 cases,79 cases were abnormal on second MRI examination,including myelinogenetic abnormal in 59 cases(72.8%),external hydrocephalus(EH) in 53 cases(65.4%),brain malacia in 26 cases(32.1%),cerebaral atrophy in 25 cases(30.1%),white matter decrease in 24 cases(29.6%) and dysplasia of corpus callosum in 9 cases(11.1%).EH(26/35cases) and myelinogenetic abnormal(16/35 cases) in mild HIE group,brain malacia(12/29 cases) in moderate HIE group,cerebaral atrophy(16/17 cases) and white matter decrease(15 /17 cases)in severe HIE group were often seen.Conclusion MRI findings can reflect the pathological changes of sequela of HIE,and provide objective basis for diagnosis and assessment of prognosis.

Objective To evaluate the clinical value of 3D-FS-SPGR and 3D-reconstructional technique in detecting the lesion of articular cartilage of knee.Methods Fifty eight knees with OA(42 cases)or trauma (9 cases) in 54 cases (12 cases were confirmed by operation) were imaged with eight different MR imaging sequences including T 1-weighted,proton density-weighted,T 2-weighted FSE,STIR,3D-FS-SPGR,2D-FS-SPGR,3D-SPGR and 3D-FS-GRE.The classification and three-dimensional reconstruction of cartilage in four locations of knee were performed on different MR sequences.The detecting rate of cartilage lesion were calculated.The results in partly cases were analysed compared to operation. Results The detecting rate was different on each sequence as follow:T 1WI,GRE,STIR,PDWI,T 2WI and SPGR were 8.91%,16.36%,19.32%,19.57%,21.36% and 24.09% respectively (? 2=23.523,?

0.05). Conclusions DTI is valuable in assessing the directionality and density of white matter and can reflect the age-related physiological changes of white matter in vivo non- invasively.

AIM: To study the roles of isotropic diffusion weighted imaging(DWI)and apparent diffusion coefficient(ADC)mapping in diagnosing early cerebral infarction.METHODS: 21 patients with cerebral in farction (8hyperacute,13 acute)were imaged with both conventional MRI and single-shot echo-planar isotropic diffusion weighted imaging.Among them 12 patients had CT scanning simultaneously within 24 hours after onset.The positive rate of early infarction was comparted on CT,T 2WI and DEI.The change of the infarct lesion in DWI and T 2WI was also analysed.The average ADC,relative ADC(rADC)and the ADC from center to periphery of the lesion were calculated.RESULTS: 8 hyperacute cerebral ischemic regions were revealed at DWI and ADC mapping,but CT and conventional MR were not.Hyperacute and acute infarcts appeared as areas of hyperintensity on DWI,and their average ADC was significantly depressed comparted with homologous contralateral tissue (0 698?0 104 ?s 0 990?0 161?10 -3 mm 2/s; P

Objective To evaluate the applied value of bedside chest radiography in the intensive care unit ( ICU ) . Methods One hundred and ninety-three cases with 507 chest radiographs (CXRs) in the ICU were analysed retrospectively. The appearances of cardiopulmonary abnormalities were analysed.Results 97.4% of the CXRs were satisfied for diagnosis. 83.9% of the CXRs showed cardiopulmonary abnormalities, including atelectasis, pneumonia, pulmonary edema, ARDS, pneumothorax, mediastinal and subcataneous emphysema,pleural effusion,pericardial effusion and pulmonary thromboembolism, and 6.2% out of these positive cases was discovered accidentally. The chest radiograph has moderate accuracy (77.9%) in visualizing cardiopulmonary abnormalities at the initial CXR including atelectasis,pneumonia,pulmonary edema and pleural effusion. Misdiagnosis occurred mainly on the patients with a small quantity of pneumothorax and pulmonary thromboembolism. About one-third cases of cardiogenic edema and ARDS were indistinguishable.Conclusion Bedside chest radiographs are of significant value for the patients in the ICU.

Objective To assess the contribution of the portable chest computed radiography (CR) in evaluation of monitoring devices of the patients in the intensive care unit (ICU). Methods One hundred and sixty-two cases with 387 chest radiographs in the ICU were analysed retrospectively. The location of the catheters of monitoring devices and complications were observed.Results The malposition of the catheters was detected in 47 cases(16.9%),including the endotracheal (ET) tubes too deep at the position, the central venous catheters placed into the internal jugular veins,and the position of the thoracic drain tubes to be deep not enough causing the drain to fall.The complications after operation of monitoring devices were not common,including pneumothorax caused by ventilatory assistance,atelectasis and pneumonia caused by malposition of the ET tubes,totally in 11 cases.10 cases with cardiopulmonary abnormalities were discovered accidentally in all 162 cases(6.2%) when evaluation of monitoring devices.Conclusion Bedside chest CR not only can show the catheter position and the complications of the monitoring devices ,but also the cardiopulmonary abnormalities of patients in the ICU.

Objective:To eveluate and study the anatomic basis of the posterior contour sign of lumbar intervertebral disc.Methods:The most protruding length of the soft tissue mass behind intervertebral spase on lumbar plain film were measured in 100 cases and compared with CT or MR findings.Results:41 posterior contour sign of the interlumbar disc were fined in 39 cases,of which there were 25 in L4/5(61.0%),15 in L3/4(15.6%)and 1 in L2/3(2.4%).The protruding was less than 0.2 cm in 26 and larger than 0.2 cm in 15,there were 10 lumbar disc protruding confirmed by CT or MR ,7 of which the pesterior contour ≥0.2 cm,and 3＞0.3 cm,none was ≤0.2 cm.Conclusion:The adipose tissue in the posterior border of lumbar body and disc was the anatomic basis of the sign,and it was an importent sign for diagnosing of lumbar disc hernia on plain film.

Objective To evaluate the diagnosis and differential diagnosis among the chronic osteoarthritis, rheumatoid arthritis and other chronic cartilage lesions on the plain films and MR images. Methods Eighty-nine cases, including 115 joints, underwent plain film and MRI examination, and enhanced MRI scan was performed on 32 of them, including 44 joints. MRI scan sequences consisted of T 1WI, T 2WI+PDWI, STIR, and 3D FS SPGR. There were 90 knee joints in this group and each of the articular cartilage was divided into four parts: patella, femoral medial condyle, femoral lateral condyle, and tibia facet on MR images. The cartilage disorders were classified according to the outerbridge method. In addition, 61 cases including 75 joints were observed as a control group on the plain films and MR images. Results 115 cartilage lesions were found on MR images, in which thinness of the cartilage (58 cases, 50 4%), bone changes under the cartilage (22 cases, 19.7%), medullar edema (22 cases, 19.7%), and synovial hyperplasia (52 cases, 45.2%) were seen. The patella cartilage was the most likely affected part (81/90, 90%). So the patellar cartilage lesions were divided as group 1 (grade Ⅰ-Ⅱ) and group 2 (grade Ⅲ-Ⅳ) on MR images, which were compared with the plain film signs. The narrowing of the joint space and saccules under the articular surface were statistically significant with each other, and ? 2 values were 9.349 and 9.885, respectively (P=0.002). Conclusion No constant signs could be seen on the plain films with grade Ⅰ-Ⅱ cartilage disorders. While the narrowing joint space and saccules under the joint surface could be seen on them with grade Ⅲ-Ⅳ cartilage disorders, which were mainly correlated with the cartilage disorders and bone changes under the articular cartilages. A combination of the plain films and MR images is the best imaging method for examining the joints and joint cartilages. Enhanced MRI scan is very helpful on the diagnosis and differential diagnosis of the synovial lesions.

Objective To study the roles of isotropic diffusion weighted imaging and apparent diffusion coefficients (ADC) mapping in diagnosing cerebral infarction, monitoring the development of cerebral infarction and defining the infarction stages.Methods 86 work-ups in 70 patients with cerebral infarction (8 hyperacute, 13 acute, 32 subacute, 11 steady, and 22 chronic) were imaged with both conventional MRI and single-shot echo-planar isotropic diffusion weighted imaging.The change of the infarct lesion in DWI and T_2WI was also analyzed.The average ADC, relative ADC (rADC), and the ADC from center to periphery of the lesion were calculated.Results 8 hyperacute cerebral ischemic regions were revealed at DWI and ADC mapping.Hyperacute and acute infarcts appeared as areas of hyperintensity on DWI, and their average ADC was significantly depressed compared with that of homologous contralateral tissue [(0.698?0.104) ?10 -3 mm 2/s versus (0.990?0.161)?10 -3 mm 2/s; t=-14.372, P

Objective To compare with the advantage or shortage of several scan series in imaging of normal articular cartilage in knee.The MR manifestation were observed and thickness of different location of cartilage in knee in different series were calulated.Methods The knees of 30 healthy volunteers were imaged with five different MR imaging sequences including T 1-weighted,proton density-weighted,T 2-weighted FSE,STIR and 3D-FS-SPGR.The value of CNR were determined for cartilage versus a saline fluid phantom,marrow fat,and muscle.The MR 2D and 3D manifestation were observed and thickness of different location of cartilage in knee in different series were calculated.Results The value of CNR of 3D-FS-SPGR for cartilage versus a saline fluid phantom,marrow fat,and muscle were compared with other sequences and were significantly different.The values of cartilage thickness with 3D-FS-SPGR were more than those with other series.The mulplaner appearance was observed.There was five-plane manifestation when cartilage thickness was more than 4 mm.The value of cartilage thickness of male and female were 2.63 mm and 2.52 mm,respectively.Conclusion 3D-FS-SPGR sequences have significant advantage compared with other series in imaging normal articular cartilage of knee.The cartilage is show clearly than other sequences.The value of cartilage thickness with 3D-FS-SPGR is more accurate.Moreover it can also provide much information adding to 3D construction of cartilage.