Sanz Sanz Jesús
Servicio de Reumatología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España.
Reumatol Clin. 2012 Mar;8 Suppl 1:S37-41. doi: 10.1016/j.reuma.2011.12.002. Epub 2012 Feb 17.
The introduction of magnetic resonance imaging in spondyloarthritis constitutes the main improvement in imaging over the past two decades. X-rays remains the cornerstone of diagnosis, although magnetic resonance imaging is more sensitive in early stages of the disease. The primary advantage of magnetic resonance imaging is its ability to visualize soft tissue inflammation and inflammatory lesions within bone in three dimensions. Studies continue to appear describing its diagnostic utility, its sensitivity in early disease, its reliability, its predictive value for the detection of damage progression and its value in the assessment of certain complications. In this paper we review the characteristics of this imaging technique and the advantages and limitations of magnetic resonance imaging in spondyloarthritis.
磁共振成像技术引入脊柱关节炎领域是过去二十年来影像学方面的主要进展。X线仍然是诊断的基石，尽管磁共振成像在疾病早期更为敏感。磁共振成像的主要优势在于其能够在三维空间中显示软组织炎症以及骨内的炎性病变。不断有研究阐述其诊断效用、在疾病早期的敏感性、可靠性、对检测损伤进展的预测价值以及在评估某些并发症方面的价值。在本文中，我们将综述这种成像技术的特点以及磁共振成像在脊柱关节炎中的优势和局限性。
