Evangelisto Amy, Wakefield Richard, Emery Paul
Academic Department of Musculoskeletal Medicine, First Floor, Old Nurses Home, Leeds General Infirmary, Great George Street, Leeds LSI 3EX, UK.
Best Pract Res Clin Rheumatol. 2004 Dec;18(6):927-43. doi: 10.1016/j.berh.2004.07.002.
Imaging can play a vital role in the evaluation of patients with early arthritis. Various imaging methods can be utilized to aid with diagnosis, predict prognosis and follow disease progression and treatment response. Previously, conventional radiography was the principal method used to evaluate and follow bone damage in patients with inflammatory arthritis. More recently the use of magnetic resonance imaging and ultrasonography has gained wider acceptance and popularity due to the ability of these multiplanar techniques to image both bone changes and soft tissue abnormalities, including synovitis. This chapter discusses the current imaging modalities used in the evaluation of patients with early arthritis, as well as the use of imaging in establishing the extent of disease, in prognosis and in monitoring disease course. Current data on imaging of patients with early arthritis due to rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis is reviewed.
影像学在早期关节炎患者的评估中可发挥至关重要的作用。可采用多种影像学方法辅助诊断、预测预后以及跟踪疾病进展和治疗反应。以前，传统放射照相术是评估和跟踪炎性关节炎患者骨损伤的主要方法。最近，磁共振成像和超声检查的应用得到了更广泛的认可和普及，因为这些多平面技术能够对骨变化和软组织异常（包括滑膜炎）进行成像。本章讨论了目前用于评估早期关节炎患者的影像学模式，以及影像学在确定疾病范围、预后和监测疾病进程中的应用。本文综述了关于类风湿性关节炎、银屑病关节炎和强直性脊柱炎所致早期关节炎患者影像学的现有数据。
