- 期刊
肩部軸位攝影替代照法可行性之評估
Evaluation of the Feasibility of Modified Shoulder Axial View
摘要
常規肩部軸位攝影常因受檢者受傷或體態限制不能配合準確擺位使檢查無法執行，且影像品質不佳亦可能會造成判讀和診斷上的困難。回顧文獻，Modified trauma axial（MTA）shoulder view為一替代照法，可替代常規的側位照，但對於是否能替代常規軸位照並未有討論，本研究將比較常規肩部軸位照與MTA之各項指標。研究執行期間為西元2021年1月至西元2021年12月，收集60位臨床上需要接受肩部軸位攝影的受檢者，並以坐姿與臥姿分為A、B兩組，各組皆為30人。兩組受檢者皆接受兩張肩部軸位攝影：（1）常規肩部軸位攝影（2）肩部軸位替代攝影（MTA）。以受檢者的疼痛度、擺位配合度及影像品質三方面進行評分，收集數據以SPSS軟體進行分析。結果顯示MTA對患者造成之疼痛感（1.12±1.90分）低於常規肩部軸位照（4.48±2.45分）、攝影的便利性（4.65±0.86分）優於常規肩部軸位照（2.32±1.0分），MTA的影像品質（2.88±0.30分）略優於常規肩部軸位照（2.58±0.61分）。依據結果，使用MTA法對肩關節能提供良好的診斷，對於原本無法配合常規軸位攝影擺位之受檢者可做為彌補或替代照法，提供醫師更多診斷資訊。
並列摘要
The study compared routine shoulder Axial view with Modified Trauma Axial (MTA) view as an alternative method. In 2011, M. J. Neep proposed MTA shoulder view as an easy, painless alternative projection in Radiography 17 journal. The study recommended that MTA view to replace scapulolateral view in radiographic examinations of traumatic shoulder injuries. However, there is no comparison between the MTA and routine Axial view. It assessed 60 clinical subjects needing shoulder imaging from January 2021 to December 2021, divided into seated (A) and supine (B) positions, with 30 subjects in each group. Each group underwent two imaging sessions: (1) routine shoulder Axial view and (2) MTA. Pain scale, feasibility of positioning, and image quality were assessed and analyzed using SPSS software. Results showed that MTA caused less patient discomfort (1.12±1.90) compared to routine Axial view (4.48±2.45). MTA also provided better imaging convenience (4.65±0.86) than routine Axial view (2.32±1.0), with slightly superior image quality (2.88±0.30) compared to routine Axial view (2.58±0.61). MTA could offer improved diagnosis for shoulder conditions, particularly for patients unable to cooperate with standard imaging positions, providing physicians with more diagnostic information.