ABSTRACT
PURPOSE: The main purpose of this study was to identify how the accuracy of the tibial rotation reference axes varied in populations with different tibial tubercle locations. We hypothesized that the accuracy of the axes of tibial rotation would be affected by the changes of tibial tubercle locations. METHODS: Surgical epicondylar axis (SEA), medial third of the patellar tendon (1/3MPT), medial third of the tibial tuberosity (1/3MTT), medial border of the tibial tuberosity (MTT) and Akagi line were drawn. The angle between SEA and horizontal line with the angle between the four tibial rotation axes and the horizontal line was compared by T test. Then, the correlation between TTTG with the angles between the four axes and SEA vertical lines was analyzed. The TTTG was divided into three subgroups (TTTG < 10 mm, 10 mm ≤ TTTG < 15 mm, TTTG ≥ 15 mm), then t test was performed for the angles between the vertical lines of the SEA and the four rotation axes of the tibia in each group. RESULTS: Among the four tibial rotation axes, only the difference between MTT and the line perpendicular to SEA had no statistical significance (NS.). The four tibial rotational axes were all positively correlated with TTTG (p < 0.001). When TTTG ≥ 15 mm, Akagi line was 2.5° ± 6.9°internally rotated to the line perpendicular to SEA, while the 1/3MPT and MTT was 0.9° ± 5.3°and 1.3° ± 5.9°externally rotated to the line perpendicular to the SEA when TTTG < 10 mm and 10 mm ≤ TTTG < 15 mm, respectively. CONCLUSIONS: MTT showed the best consistency with SEA. TT-TG had a significant positive correlation with all four tibial rotational axes. In patients with TTTG < 10 mm, 10 mm ≤ TTTG < 15 mm and TTTG ≥ 15 mm, the 1/3MPT, MTT and Akagi line demonstrated good alignment consistency with SEA, respectively.
Subject(s)
Arthroplasty, Replacement, Knee , Patellar Ligament , Bone and Bones , Humans , Knee Joint , Rotation , TibiaABSTRACT
Objective To study the multi-slice computed tomography (MSCT) features of pancreatic neuroendocrine tumors (PNET).Methods In the retrospective study,30 histologically verified pancreatic neuroendocrine tumors were incidentally detected with contrast enhanced MSCT.Various CT findings such as location,size,pattern,enhancement were analyzed.All tumors were graded as G1 to G3 according to WHO classification in 2010.Results There were 30 lesions in 30 patients with histologically confirmed PNET,including 16 lesions in G1,6 lesions in G2,and 8 lesions in G3.16 lesions were located in head of pancreas,8 lesions located in pancreatic body,and 6 lesions located in tail of pancreas.16 tumors were solid,3 tumors predominantly cystic,and 11 lesions solid and cystic.Calcification was observed in 6 cases.There was no significant difference in tumor location,size,solid or cystic,calcification among the different pathological grades of the tumor.CT values in patients with G1 PNETs in arterial,portal and delay phase were higher than those in patients with G3 PNETs (P＜0.05).Conclusion Dynamic enhancement CT may provide useful information to preoperative grading of PNET and tumors in a higher grade may show poorer enhancement.
ABSTRACT
Objective To investigate the diagnostic value of the combined transeranial Doppler ultrasound and CT for vertebrobasilar insufficiency in elderly patients.Methods Fifty elderly patients with symptoms of vertebrobasilar insufficiency were enrolled and randomly assigned to 4 groups,including examinations of TCD,CTA,DSA,combination of TCD and CTA.The diagnostic accuracy was calculated and compared.Results Among 50 cases,the vertebrobasilar insufficiency was confirmed in 42 patients (84％) by TCD,45 (90％) by CTA,48 (96％) by DSA,49(98％) by combination of TCD and CTA.There was no significant difference in diagnostic rate between TCD combined with CTA and DSA (x2 =0.34,P＞0.05).Conclusions The diagnosis accuracy of the combined CTA and TCD is high,making it worth popularizing.