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综   述｜｜Reviews                       磁共振成像  2024年7月第15卷第7期  Chin J Magn Reson Imaging, Jul, 2024, Vol. 15, No. 7


           3.4 T2 mapping                                          186-190. DOI: 10.2214/AJR.08.2090.
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               骨骼肌的 T2 值可因骨骼肌炎症、水肿、脂肪浸                             physical  examination  test  for  ischiofemoral  impingement:  validation
                                                                   with  magnetic  resonance  imaging  correlation[J].  J  Comput  Assist
           润、萎缩等病理变化而改变，还可反映骨骼肌代谢与                                 Tomogr, 2021, 45(5): 722-727. DOI: 10.1097/RCT.0000000000001227.
           活动状态，因此 T2 值可作为反映骨骼肌内部结构改                            [3]  NAKANO N, SHOMAN H, KHANDUJA V. Treatment strategies for
                                                                   ischiofemoral impingement: a systematic review[J]. Knee Surg Sports
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           变的敏感指标       [68-69] 。李军飞等 应用 T2 mapping 定              Traumatol Arthrosc, 2020, 28(9): 2772-2787. DOI: 10.1007/s00167-018-
                                                                   5251-5.
           量评估膝骨性关节炎邻近肌肉改变，发现部分肌肉                               [4]  CHANG M Y, CAI Y, GAO Z H, et al. Duchenne muscular dystrophy:
                                                                   pathogenesis  and  promising  therapies[J].  J  Neurol,  2023,  270(8):
           的 T2 值随骨性关节炎严重程度增加而升高。目前                                3733-3749. DOI: 10.1007/s00415-023-11796-x.
           T2 mapping 技术已广泛应用于骨骼肌疾病诊断，T2                        [5]  SWAIN  M,  UPPIN  M.  Evolving  classification  and  role  of  muscle
                                                                   biopsy  in  diagnosis  of  inflammatory  myopathies[J].  Indian  J  Pathol
           mapping 可能通过检测股方肌和髋外展肌 T2 弛豫时                           Microbiol,  2022,  65(Supplement):  S241-S251.  DOI:  10.4103/ijpm. ijpm_
                                                                   1033_21.
           间改变而对其炎症、水肿进行定量评估，利于 IFI 的                           [6]  MOLINA T, FABRE P, DUMONT N A. Fibro-adipogenic progenitors
                                                                   in skeletal muscle homeostasis, regeneration and diseases[J/OL]. Open
           早期诊断及预测。但脂肪浸润、萎缩亦可对 T2 值造                               Biol, 2021, 11(12): 210110 [2024-01-05]. http://www.ncbi.nlm.nih.gov/
           成影响，且多种因素可能相互影响，使诊断准确性                                  entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=
                                                                   34875199&query_hl=1. DOI: 10.1098/rsob.210110.
           降低。                                                  [7]  RUSSELL  A  J,  DUVALL  M,  BARTHEL  B,  et  al.  Modulating  fast
                                                                   skeletal muscle contraction protects skeletal muscle in animal models
               受限于检查时间长、费用高昂、对设备和技术要                               of Duchenne muscular dystrophy[J/OL]. J Clin Invest, 2023, 133(10):
                                                                   e153837  [2024-03-05].  https://pubmed. ncbi. nlm. nih. gov/36995778/.
           求高、后处理烦琐等因素，fMRI 技术在评估 IFI 的应                           DOI: 10.1172/JCI153837.
           用及研究较少，一方面，需优化技术，在提升 fMRI 量                          [8]  MARAŞ  ÖZDEMIR  Z,  AYDıNGÖZ  Ü,  GÖRMELI  C  A,  et  al.
                                                                   Ischiofemoral space on MRI in an asymptomatic population: normative
           化评估精度的同时，提高测量的可重复性，另一方                                  width  measurements  and  soft  tissue  signal  variations[J].  Eur  Radiol,
                                                                   2015, 25(8): 2246-2253. DOI: 10.1007/s00330-015-3625-3.
           面，需尝试将 fMRI 参数结果与临床症状、体征的严                           [9]  DABLAN  A,  OKTAY  C,  ÇEVIKOL  C.  Ischiofemoral  impingement
                                                                   syndrome: effect of morphological variations on the diagnosis[J]. Curr
           重程度、局部组织病理学改变相关联，突出其作为生                                 Med Imaging, 2021, 17(5): 595-601. DOI: 10.2174/1573405616666201
           物成像标志物的敏感性和特异性。对于 IFI 的临床                               118124715.
                                                               [10] WANG Y  N,  LIANG  W  J,  CHEN Y  J,  et  al.  Sex-specific  bone  and
           表现、病理生理学改变与各种 fMRI 参数的相关性研                              muscular  morphological  features  in  ischiofemoral  impingement:  a
                                                                   three-dimensional  study[J].  Clin Anat,  2023,  36(8):  1095-1103.  DOI:
           究仍有待进一步探索。                                              10.1002/ca.24036.
                                                               [11] 杜宇, 闫东, 杨卫东, 等 . 坐骨股骨撞击综合征典型影像表现[J]. 磁共
                                                                   振成像, 2016, 7(6): 461-463. DOI: 10.12015/issn.1674-8034.2016.06.012.
           4 总结与展望                                                 DU  Y,  YAN  D,  YANG  W  D,  et  al.  Typical  imaging  finding  of
                                                                   ischiofemoral  impingement  syndrome[J].  Chin  J  Magn  Reson  Imag,
               IFI 是一种少见疾病，目前对其诊断及治疗的整                             2016, 7(6): 461-463. DOI: 10.12015/issn.1674-8034.2016.06.012.
                                                               [12] SINGER  A  D,  SUBHAWONG  T  K,  JOSE  J,  et  al.  Ischiofemoral
           体认识仍然不足。通过全面体格检查，应用 MRI 获                               impingement  syndrome:  a  meta-analysis[J].  Skeletal  Radiol,  2015,
                                                                   44(6): 831-837. DOI: 10.1007/s00256-015-2111-y.
           取 IFI 相关的解剖形态学定量参数，结合骨骼肌水                           [13] SUSSMAN W I, HAN E, SCHUENKE M D. Quantitative assessment
           肿、脂肪浸润的半定量分级及评分法，已经成为临床                                 of the ischiofemoral space and evidence of degenerative changes in the
                                                                   quadratus femoris muscle[J]. Surg Radiol Anat, 2013, 35(4): 273-281.
           评估 IFI 的首选方法。如能通过运动范围 MRI 及动                            DOI: 10.1007/s00276-012-1029-5.
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           态、三维 MRI 获取更为准确和个体化的解剖形态学                               evaluation with new MRI parameters and assessment of their reliability[J].
           定量参数，并联合应用 fMRI 多参数值，将从宏观到                              Skeletal Radiol, 2012, 41(5): 575-587. DOI: 10.1007/s00256-011-1257-5.
                                                               [15] 颜惠华, 楼征, 张卫, 等 . 骨盆径线 CT 测量方法[J]. 中华胃肠外科杂
           微观水平为 IFI 的临床诊断、预测与随访、监测提供                              志, 2011, 14(4): 291-292. DOI: 10.3760/cma.j.issn.1671-0274.2011.04.019.
                                                                   YAN  H  H,  LOU  Z,  ZHANG  W,  et  al.  CT  measurement  method  of
           客观、全面的依据，有利于采用非手术治疗，减少患                                 pelvic diameter line[J]. Chin J Gastrointest Surg, 2011, 14(4): 291-292.
                                                                   DOI: 10.3760/cma.j.issn.1671-0274.2011.04.019.
           者的精神、经济压力，并为改善临床预后带来新的                              [16] MIMURA T, MORI K J, OKUMURA N, et al. Is the ischiofemoral space
           机遇。                                                     value of Japanese hip joints equal to that of Western populations?[J]. J Hip
                                                                   Preserv Surg, 2019, 6(4): 390-397. DOI: 10.1093/jhps/hnz044.
               作者利益冲突声明：全体作者均声明无利益冲突。                          [17] WU W T, CHANG K V, MEZIAN K, et al. Ischiofemoral impingement
                                                                   syndrome: clinical and imaging/guidance issues with special focus on
               作者贡献声明：李红设计本综述的框架，对稿件                               ultrasonography[J/OL].  Diagnostics,  2022,  13(1):  139  [2024-03-12].
                                                                   https://www.mdpi.com/2075-4418/13/1/139. DOI: 10.3390/diagnostics
           的重要内容进行了修改；万兵参与本综述的选题和                                  13010139.
           构思，对稿件的重要内容进行了修改，并获得湖北省                             [18] GARDNER  S  S,  DONG  D,  PETERSON  L  E,  et  al.  Is  there  a
                                                                   relationship  between  femoral  neck-shaft  angle  and  ischiofemoral
           教育厅科学研究计划项目的资助；刘玥起草和撰写                                  impingement in patients with hip pain?[J]. J Hip Preserv Surg, 2020,
                                                                   7(1): 43-48. DOI: 10.1093/jhps/hnaa006.
           稿件，获取、分析和解释本研究的参考文献；田第娇、                            [19] 宋彦芳, 张泽坤, 桑辉, 等 . MRI 评估 ARCO 不同分期内单侧股骨头
                                                                   缺血坏死髋关节双侧坐骨股骨间隙的变化[J]. 磁共振成像, 2021,
           徐敬星、赵家源、王玟收集和解释相关数据，对稿件                                 12(4): 65-68. DOI: 10.12015/issn.1674-8034.2021.04.013.
           的重要内容进行了修改；全体作者都同意最后的修                                  SONG Y  F,  ZHANG  Z  K,  SANG  H,  et  al.  Comparative  analysis  of
                                                                   bilateral  ischiofemoral  space  in  patients  with  unilateral  femoral  head
           改稿发表，同意对本综述的所有方面负责，确保本研                                 necrosis  in  different  ARCO  stages  by  MRI[J].  Chin  J  Magn  Reson
                                                                   Imag, 2021, 12(4): 65-68. DOI: 10.12015/issn.1674-8034.2021.04.013.
           究的准确性和诚信。                                           [20] HUANG Y,  ZENG  Z,  XU  L Y,  et  al.  What  factors  are  associated  with
                                                                   postoperative  ischiofemoral  impingement  after  Bernese  periacetabular
                                                                   osteotomy  in  developmental  dysplasia  of  the  hip?[J].  Clin  Orthop  Relat
           参考文献[References]                                        Res, 2022, 480(9): 1694-1703. DOI: 10.1097/CORR.0000000000002199.
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              impingement  syndrome:  an  entity  with  hip  pain  and  abnormalities  of   811-826. DOI: 10.1111/joa.13249.
              the quadratus femoris muscle[J]. AJR Am J Roentgenol, 2009, 193(1):   [22] CHANG  K  V,  WU  W  T,  ÖZÇAKAR  L.  Ultrasound  imaging  and

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