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早期类风湿性关节炎及其与其他关节异常的鉴别

Early rheumatoid arthritis and its differentiation from other joint abnormalities.

作者信息

Boutry Nathalie, do Carmo Clarissa Canella Moraes, Flipo René-Marc, Cotten Anne

机构信息

Service de Radiologie et d'Imagerie Musculosquelettique, Centre de Consultations et Imagerie de l'Appareil Locomoteur, Hôpital Roger Salengro-CHRU de Lille, Rue du Pr. Emile Laine, 59037 Lille Cedex, France.

出版信息

Eur J Radiol. 2009 Aug;71(2):217-24. doi: 10.1016/j.ejrad.2009.02.013. Epub 2009 Apr 3.

Abstract

The introduction of disease-modifying antirheumatic drugs has created new demands on imaging to early identify patients with rheumatoid arthritis and opened new prospects in therapeutic management of patients with aggressive disease. Therefore, new imaging modalities such as magnetic resonance imaging and ultrasound have developed during the past few years in this field. In some cases, both magnetic resonance imaging and ultrasound may be also useful in making the distinction between early rheumatoid arthritis and other joints abnormalities, including early psoriatic arthritis. This article will review key aspects of important advances in imaging in rheumatoid arthritis, particularly focusing on magnetic resonance imaging and ultrasound.

摘要

改善病情抗风湿药物的引入对影像学提出了新要求,以便早期识别类风湿关节炎患者,并为侵袭性疾病患者的治疗管理开辟了新前景。因此,在过去几年中,该领域出现了诸如磁共振成像和超声等新的成像方式。在某些情况下,磁共振成像和超声在区分早期类风湿关节炎与其他关节异常(包括早期银屑病关节炎)方面也可能有用。本文将综述类风湿关节炎影像学重要进展的关键方面,尤其侧重于磁共振成像和超声。

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