Kainberger Franz, Peloschek Philipp, Langs Georg, Boegl Karl, Bischof Horst
Department of Diagnostic Radiology, Medical University of Vienna,18-20, Waehringer Guertel, A-1090 Vienna, Austria.
Best Pract Res Clin Rheumatol. 2004 Dec;18(6):783-811. doi: 10.1016/j.berh.2004.07.004.
The approach to the differential diagnosis of rheumatic diseases using conventional radiography is systematic and module-oriented, which, with respect to future developments, forms the basis for computer-assisted diagnosis (CAD). The indications follow consensus-based referral criteria and attempts should be made to raise the evidence level of the recommendations. Investigation techniques have been improved in the last few years with the use of digital radiography. New imaging technologies may be available in the future that will achieve at least the same quality of images, while exposing patients to a significantly lower radiation dose. The interpretation of radiographical signs could be enhanced through a correlation with other imaging modalities. Computer-assisted techniques with image processing tools for automated measurements, lesion detection and in the form of expert systems are under development. With conventional radiography embedded in CAD systems, promising options will be available to enhance the differential diagnosis of rheumatic diseases.
使用传统放射照相术进行风湿性疾病鉴别诊断的方法是系统且面向模块的，就未来发展而言，这构成了计算机辅助诊断（CAD）的基础。其适应症遵循基于共识的转诊标准，应努力提高建议的证据水平。在过去几年中，随着数字放射照相术的应用，检查技术得到了改进。未来可能会有新的成像技术出现，这些技术将至少能提供相同质量的图像，同时使患者所受辐射剂量显著降低。通过与其他成像方式的关联，可以增强对放射学征象的解读。目前正在开发具有用于自动测量、病变检测的图像处理工具以及专家系统形式的计算机辅助技术。随着传统放射照相术嵌入CAD系统，将有前景广阔的选项可用于加强风湿性疾病的鉴别诊断。
