Jain Manish, Samuels Jonathan
Division of Rheumatology, Department of Medicine, NYU Hospital for Joint Diseases, New York, NY, USA.
Bull NYU Hosp Jt Dis. 2010;68(3):183-90.
The use of musculoskeletal ultrasound (MSKUS) in rheumatology practice and research has increased steadily over the last decade. An ever-growing body of literature shows parity and even superiority of MSKUS when compared to physical examination, plain radiography, and more expensive and static imaging modalities such as MRI. While many use the modality for procedure guidance, investigators continue to demonstrate its ability to impact diagnoses in a variety of rheumatic diseases. Initial efforts focused on establishing MSKUS as a helpful tool for rheumatoid arthritis (RA), especially in the detection of synovitis and joint erosions, but numerous studies are validating the use of MSKUS as a helpful diagnostic tool for the spondyloarthropathies, crystal diseases, osteoarthritis, and other rheumatic diseases. Advances in ultrasound technology are translating into more sensitive and accurate studies. Within the research community, current efforts aim at maximizing the direct clinical impact of MSKUS by developing global or patient level assessments and simplified joint scoring systems, with improvements in intra- and inter-reader reproducibility.
在过去十年中，肌肉骨骼超声（MSKUS）在风湿病学实践和研究中的应用稳步增加。越来越多的文献表明，与体格检查、X线平片以及MRI等更昂贵且静态的成像方式相比，MSKUS具有同等甚至更优的表现。虽然许多人将该技术用于操作引导，但研究人员不断证明其在多种风湿性疾病诊断中的作用。最初的努力集中在将MSKUS确立为类风湿关节炎（RA）的有用工具，特别是在滑膜炎和关节侵蚀的检测方面，但大量研究正在验证MSKUS作为脊柱关节炎、晶体疾病、骨关节炎和其他风湿性疾病的有用诊断工具的应用。超声技术的进步正在转化为更敏感和准确的研究。在研究界，目前的努力旨在通过开发全球或患者层面的评估以及简化的关节评分系统，最大限度地提高MSKUS对临床的直接影响，并提高阅片者内部和之间的可重复性。
