Turner R A, Flint K P, Semble E L, Agudelo C A
Department of Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27103.
Clin Exp Rheumatol. 1990 Nov-Dec;8(6):583-6.
Four rheumatologists and 2 radiologists utilized 3 reading techniques to evaluate clinical radiographic progression in selected serial hand and wrist films from 5 rheumatoid arthritis patients. The carpometacarpal radio determinations were the most internally consistent; global assessment and total erosion + joint space narrowing scores showed the best between-method correlations; and the erosion + joint space narrowing scores depicted most sensitively the progression over time which was not affected by immunomodulating agent or non-steroidal anti-inflammatory agent therapy. In this study, instructed, non-experienced readers detected rheumatoid radiographic progression utilizing readily available scoring techniques.
四名风湿病学家和两名放射科医生运用三种阅片技术，对5名类风湿性关节炎患者的手部和腕部系列X线片进行分析，以评估临床影像学进展情况。掌指关节的X线测定在内部一致性方面表现最佳；整体评估以及总侵蚀+关节间隙狭窄评分在不同方法间的相关性最佳；侵蚀+关节间隙狭窄评分最敏感地反映了随时间的进展情况，且不受免疫调节剂或非甾体抗炎药治疗的影响。在本研究中，接受过指导但缺乏经验的阅片者运用易于掌握的评分技术，检测出了类风湿性关节炎的影像学进展。
