Department of Rheumatology, Hospital General Universitario Gregorio Marañón and Universidad Complutense, Madrid, Spain.
Clin Exp Rheumatol. 2014 Jan-Feb;32(1 Suppl 80):S12-9. Epub 2014 Feb 17.
Over the last decade, there has been a growing body of evidence on the validity of Doppler ultrasound for assessing inflammatory changes in target anatomic structures involved in rheumatic diseases such as joints, tendons, entheses and vessels. The enhanced sensitivity for detecting low-velocity flow in synovium vessels achieved by current Doppler techniques has lead to the incorporation of Doppler US in the assessment of joint and inflammatory enthesis lesions. This review offers an overview of the key aspects of current applications and limitations of Doppler ultrasound in inflammatory rheumatic diseases. The basic principles of Doppler modes, Doppler scanning method, and Doppler artefacts and pitfalls in rheumatology ultrasound are also described.
在过去的十年中，越来越多的证据表明多普勒超声在评估风湿性疾病相关的目标解剖结构的炎症变化方面具有有效性，如关节、肌腱、附着点和血管。当前的多普勒技术在检测滑膜血管低速血流方面的敏感性提高，使得多普勒超声在关节和炎症附着点病变的评估中得到应用。本文综述了当前在炎症性风湿性疾病中应用多普勒超声的关键方面及其局限性。还描述了多普勒模式的基本原理、多普勒扫描方法以及在风湿性疾病超声中的多普勒伪像和陷阱。
