关于青少年特发性关节炎MRI诊断准确性研究的循证结果。
Evidence-based outcomes of studies addressing diagnostic accuracy of MRI of juvenile idiopathic arthritis.
作者信息
Miller Elka, Uleryk Elizabeth, Doria Andrea S
机构信息
Department of Radiology, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
出版信息
AJR Am J Roentgenol. 2009 May;192(5):1209-18. doi: 10.2214/AJR.08.2304.
OBJECTIVE
Our objective was to semiquantitatively evaluate the diagnostic accuracy of MRI for evaluation of synovium and cartilage of peripheral joints in juvenile idiopathic arthritis (JIA) according to the levels of evidence and recommendations of the Canadian Task Force on Periodic Health Examination guidelines.
CONCLUSION
Articles were screened using MEDLINE, EMBASE, DARE, and the Cochrane Library. Two independent reviewers assessed whether the currently available MRI techniques are accurate for diagnosis of synovial hypertrophy and cartilage degeneration in children with JIA. Overall, there is fair (grade B) strength of evidence that MRI is an accurate diagnostic method for evaluating synovium and cartilage and for assessing clinical responsiveness to treatment in peripheral joints in JIA.
目的
我们的目的是根据加拿大定期健康检查工作组指南的证据水平和建议，对磁共振成像（MRI）评估幼年特发性关节炎（JIA）外周关节滑膜和软骨的诊断准确性进行半定量评估。
结论
通过医学文献数据库（MEDLINE）、荷兰医学文摘数据库（EMBASE）、循证医学数据库（DARE）和考克兰图书馆筛选文章。两名独立评审员评估了目前可用的MRI技术对诊断JIA患儿滑膜增生和软骨退变是否准确。总体而言，有中等（B级）证据强度表明，MRI是评估JIA外周关节滑膜和软骨以及评估临床治疗反应性的准确诊断方法。
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