Boutry Nathalie, Hachulla Eric, Zanetti-Musielak Claire, Morel Mélanie, Demondion Xavier, Cotten Anne
Department of Musculoskeletal Radiology, Hôpital Roger Salengro, CHRU de Lille, Boulevard du Pr. J Leclercq, 59037, Lille Cedex, France.
Eur Radiol. 2007 May;17(5):1172-80. doi: 10.1007/s00330-006-0420-1. Epub 2006 Sep 23.
This article describes the radiographic, sonographic and magnetic resonance (MR) features of musculoskeletal involvement in patients with systemic sclerosis (SSc). Conventional radiography is the traditional method of detecting digital calcifications, but ultrasonography (US) is also able to detect such calcifications before they appear on radiographs. MR imaging can be used to diagnose overlapping conditions (i.e., SSc and myositis or SSc and rheumatoid arthritis), and less frequently, to reveal neurologic complications of SSc. In patients with vascular ulcers, MR angiography is able to depict decreased flow within collateral digital arteries.
本文描述了系统性硬化症（SSc）患者肌肉骨骼受累的X线、超声及磁共振（MR）特征。传统X线摄影是检测手指钙化的传统方法，但超声检查（US）也能够在钙化出现在X线片之前检测到它们。MR成像可用于诊断重叠疾病（即SSc合并肌炎或SSc合并类风湿关节炎），较少用于揭示SSc的神经并发症。对于有血管溃疡的患者，MR血管造影能够显示手指侧支动脉内血流减少。
