影像學(xué)評(píng)分[新]

姓名:
影像學(xué)日期:
左SIJ放射學(xué)分級(jí)
右SIJ放射學(xué)分級(jí)
1. Spine-X:頸椎C2下緣
2. Spine-X:頸椎C3上緣
3. Spine-X:頸椎C3下緣
4. Spine-X:頸椎C4上緣
5. Spine-X:頸椎C4下緣
6. Spine-X:頸椎C5上緣
7. Spine-X:頸椎C5下緣
8. Spine-X:頸椎C6上緣
9. Spine-X:頸椎C6下緣
10. Spine-X:頸椎C7上緣
11. Spine-X:頸椎C7下緣
12. Spine-X:胸椎T1上緣
13. Spine-X:胸椎T12下緣
14. Spine-X:腰椎L1上緣
15. Spine-X:腰椎L1下緣
16. Spine-X:腰椎L2上緣
17. Spine-X:腰椎L2下緣
18. Spine-X:腰椎L3上緣
19. Spine-X:腰椎L3下緣
20. Spine-X:腰椎L4上緣
21. Spine-X:腰椎L4下緣
22. Spine-X:腰椎L5上緣
23. Spine-X:腰椎L5下緣
24.Spine-X:骶椎S1上緣
SPARCC-SIJ-BME--Slices(6張)每側(cè)4象限,每象限1分,每側(cè)強(qiáng)度/深度加1分。12x6=72
SPARCC-SIJ-BME:Slice1
SPARCC-SIJ-BME:Slice2
SPARCC-SIJ-BME:Slice3
SPARCC-SIJ-BME:Slice4
SPARCC-SIJ-BME:Slice5
SPARCC-SIJ-BME:Slice6
SSS-SIJ-FAT--Slices(5張)每側(cè)4象限,每象限1分。從過(guò)度切片(從前至后軟骨部分第一層)開(kāi)始向前5個(gè)切片。8x5=40
SSS-SIJ-FAT:Slice1
SSS-SIJ-FAT:Slice2
SSS-SIJ-FAT:Slice3
SSS-SIJ-FAT:Slice4
SSS-SIJ-FAT:Slice5
SSS-SIJ-Erosion--Slices(5張)
Erosion 每側(cè)4象限,每象限1分。評(píng)5個(gè)切片。與Backfill不同時(shí)計(jì)分。8x5=40
SSS-SIJ-Erosion:Slices1
SSS-SIJ-Erosion:Slices2
SSS-SIJ-Erosion:Slices3
SSS-SIJ-Erosion:Slices4
SSS-SIJ-Erosion:Slices5
SSS-SIJ-Sclerosis--Slices(5張)
Erosion 每側(cè)4象限,每象限1分。評(píng)5個(gè)切片。T1-w和STIR序列從SIJ之間延伸至少5mm的低信號(hào)或無(wú)信號(hào)帶。8x5=40
SSS-SIJ-Sclerosis:Slices1
SSS-SIJ-Sclerosis:Slices2
SSS-SIJ-Sclerosis:Slices3
SSS-SIJ-Sclerosis:Slices4
SSS-SIJ-Sclerosis:Slices5
54.
SSS-SIJ-Backfill(每格5個(gè)切片共5分):每SIJ上/下各1分。評(píng)5個(gè)切片。4x5=20
右SIJ上:___
右SIJ下:___ 
左SIJ上:___ 
左SIJ下:___
55.
SSS-SIJ-Ankylosis(每格5個(gè)切片共5分):每SIJ上/下各1分。評(píng)5個(gè)切片??膳cBF同時(shí)計(jì)分。4x5=20
右SIJ上:___
右SIJ下:___ 
左SIJ上:___ 
左SIJ下:___
56.
SPARCC-Spine-BME(每格3個(gè)切片共18分):每DVU分4各象限,各1分,強(qiáng)度/深度1分。評(píng)3個(gè)切片。
C2/3:___
C3/4:___
C4/5:___
C5/6:___
C6/7:___
C7/T1:___
T1/2:___
T2/3:___
T3/4:___
T4/5:___
T5/6:___
T6/7:___
T7/8:___
T8/9:___
T9/10:___
T10/11:___
T11/12:___
T12/L1:___
L1/2:___
L2/3:___
L3/4:___
L4/5:___
L5/S1:___
57.
CANDEN-Spine-BME--椎體部分
(每格:頸椎都是中央片,前1中2后1,共0-4分)
C2下:___
C3上:___
C3下:___
C4上:___
C4下:___
C5上:___
C5下:___
C6上:___
C6下:___
C7上:___
C7下:___
(每格:中央片前1中2后1,Size×2,外側(cè)片角4,共0-12分)
T1上:___
T1下:___
T2上:___
T2下:___
T3上:___
T3下:___
T4上:___
T4下:___
T5上:___
T5下:___
T6上:___
T6下:___
T7上:___
T7下:___
T8上:___
T8下:___
T9上:___
T9下:___
T10上:___
T10下:___
T11上:___
T11下:___
T12上:___
T12下:___
L1上:___
L1下:___
L2上:___
L2下:___
L3上:___
L3下:___
L4上:___
L4下:___
L5上:___
L5下:___
S1上:___
58.
CANDEN-Spine-BME--后側(cè)部分
(每格:左右椎小關(guān)節(jié)2、棘突1、軟組織1,共0-4分)
C2/3:___
C3/4:___
C4/5:___
C5/6:___
C6/7:___
(每格:左右橫突2、左右椎小關(guān)節(jié)2、棘突1、軟組織1,共0-6分)
C7/T1:___
T1/2:___
T2/3:___
T3/4:___
T4/5:___
T5/6:___
T6/7:___
T7/8:___
T8/9:___
T9/10:___
T10/11:___
T11/12:___
T12/L1:___
L1/2:___
L2/3:___
L3/4:___
L4/5:___
L5/S1:___
59.
CANDEN-Spine-FASSS
(每格:頸椎都是中央片,前1中2后1,0-4分)
C2下:___
C3上:___
C3下:___
C4上:___
C4下:___
C5上:___
C5下:___
C6上:___
C6下:___
C7上:___
C7下:___
(每格:中央片前1中2后1,Size×2,外側(cè)角4,共0-12分)
T1上:___
T1下:___
T2上:___
T2下:___
T3上:___
T3下:___
T4上:___
T4下:___
T5上:___
T5下:___
T6上:___
T6下:___
T7上:___
T7下:___
T8上:___
T8下:___
T9上:___
T9下:___
T10上:___
T10下:___
T11上:___
T11下:___
T12上:___
T12下:___
L1上:___
L1下:___
L2上:___
L2下:___
L3上:___
L3下:___
L4上:___
L4下:___
L5上:___
L5下:___
S1上:___
60.
CANDEN-Spine-Erosion
(每格:僅中央片,前1中2后1,共0-4分)
C2下:___
C3上:___
C3下:___
C4上:___
C4下:___
C5上:___
C5下:___
C6上:___
C6下:___
C7上:___
C7下:___
(每格:前1中2后1,大病變×2,共0-8分)
T1上:___
T1下:___
T2上:___
T2下:___
T3上:___
T3下:___
T4上:___
T4下:___
T5上:___
T5下:___
T6上:___
T6下:___
T7上:___
T7下:___
T8上:___
T8下:___
T9上:___
T9下:___
T10上:___
T10下:___
T11上:___
T11下:___
T12上:___
T12下:___
L1上:___
L1下:___
L2上:___
L2下:___
L3上:___
L3下:___
L4上:___
L4下:___
L5上:___
L5下:___
S1上:___
61.
CANDEN-Spine-New bone formation-
(每格:兩側(cè)小關(guān)節(jié)-1x2分,僅中央片前中后COS-2x3分,僅中央片前中后ANK-6x3分,每格0~20)
C2/3:___
C3/4:___
C4/5:___
C5/6:___
C6/7:___
C7/T1:___
T1/2:___
T2/3:___
T3/4:___
T4/5:___
T5/6:___
T6/7:___
T7/8:___
T8/9:___
T9/10:___
T10/11:___
T11/12:___
T12/L1:___
L1/2:___
L2/3:___
L3/4:___
L4/5:___
L5/S1:___
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