类风湿关节炎：确定类风湿关节炎缓解是否需要影像学检查？ - Suppr

Rheumatoid arthritis: Is imaging needed to define remission in rheumatoid arthritis?

作者信息

Østergaard Mikkel, Møller-Bisgaard Signe

机构信息

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spinal Diseases, Copenhagen University Hospital Glostrup, Nordre Ringvej 57, DK-2600 Glostrup, Denmark.

Department of Rheumatology, Copenhagen University Hospital Slagelse, Ingemannsvej 18, DK-4200 Slagelse, Denmark.

出版信息

Nat Rev Rheumatol. 2014 Jun;10(6):326-8. doi: 10.1038/nrrheum.2014.63. Epub 2014 Apr 22.

DOI:10.1038/nrrheum.2014.63

PMID:24752184

Abstract

摘要

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Rheumatoid arthritis: Is imaging needed to define remission in rheumatoid arthritis?类风湿关节炎：确定类风湿关节炎缓解是否需要影像学检查？

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What is the optimal target for treat-to-target strategies in rheumatoid arthritis?在类风湿关节炎的达标治疗策略中，最佳的目标是什么？

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Subclinical inflammation with tocilizumab treatment of rheumatoid arthritis: MRI evaluation for 2 years.托珠单抗治疗类风湿关节炎的亚临床炎症：2年的MRI评估

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Usefulness of ultrasonography-proven tenosynovitis to monitor disease activity of a patient with very early rheumatoid arthritis treated by abatacept.超声证实肌腱滑膜炎在评估接受阿巴西普治疗的早期类风湿关节炎患者疾病活动度中的作用。

Mod Rheumatol. 2013 May;23(3):582-6. doi: 10.1007/s10165-012-0680-3. Epub 2012 Jul 7.

Defining remission in rheumatoid arthritis: what is it? Does it matter?定义类风湿关节炎的缓解：缓解是什么？重要吗？

J Rheumatol. 2004 Jan;31(1):1-4.

Imaging of rheumatoid arthritis.类风湿关节炎影像学。

Rheum Dis Clin North Am. 2013 Aug;39(3):547-66. doi: 10.1016/j.rdc.2013.03.007.

Presence of significant synovitis in rheumatoid arthritis patients with disease-modifying antirheumatic drug-induced clinical remission: evidence from an imaging study may explain structural progression.使用改善病情抗风湿药后达到临床缓解的类风湿关节炎患者存在明显滑膜炎：一项影像学研究的证据或许能解释结构进展情况。

Arthritis Rheum. 2006 Dec;54(12):3761-73. doi: 10.1002/art.22190.

Confirmation of effectiveness of tocilizumab by ultrasonography and magnetic resonance imaging in biologic agent-naïve early-stage rheumatoid arthritis patients.超声检查和磁共振成像证实托珠单抗对初治的早期类风湿关节炎患者有效。

Mod Rheumatol. 2015;25(6):948-53. doi: 10.3109/14397595.2013.844394. Epub 2013 Nov 13.

Patient global assessment to define remission in rheumatoid arthritis:quo vadis?用于定义类风湿关节炎缓解的患者整体评估：何去何从？

Ann Rheum Dis. 2021 Mar;80(3):277-279. doi: 10.1136/annrheumdis-2020-218802. Epub 2020 Nov 6.

ACR/EULAR Definitions of Remission Are Associated with Lower Residual Inflammatory Activity Compared with DAS28 Remission on Hand MRI in Rheumatoid Arthritis.与类风湿关节炎手部MRI的DAS28缓解相比，美国风湿病学会/欧洲抗风湿病联盟（ACR/EULAR）的缓解定义与更低的残余炎症活动相关。

J Rheumatol. 2016 Sep;43(9):1631-6. doi: 10.3899/jrheum.150849. Epub 2016 Jul 1.

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Photoacoustic/ultrasonic dual-mode imaging for monitoring angiogenesis and synovial erosion in rheumatoid arthritis.用于监测类风湿性关节炎中血管生成和滑膜侵蚀的光声/超声双模式成像

Photoacoustics. 2023 Feb 6;29:100458. doi: 10.1016/j.pacs.2023.100458. eCollection 2023 Feb.

Evaluation of three scoring methods for Fluorescence Optical Imaging in erosive hand osteoarthritis and rheumatoid arthritis.侵蚀性手部骨关节炎和类风湿关节炎中荧光光学成像三种评分方法的评估

Osteoarthr Cartil Open. 2019 Dec 9;1(3-4):100017. doi: 10.1016/j.ocarto.2019.100017. eCollection 2020 Jan-Feb.

MR and ultrasound of the hands and wrists in rheumatoid arthritis. Part II. Added clinical value.类风湿关节炎手部和腕部的磁共振成像及超声检查。第二部分。额外的临床价值。

Skeletal Radiol. 2019 Jun;48(6):837-857. doi: 10.1007/s00256-019-03180-6. Epub 2019 Feb 26.

The Utility and Limitations of CRP, ESR and DAS28-CRP in Appraising Disease Activity in Rheumatoid Arthritis.C反应蛋白、红细胞沉降率及28关节疾病活动评分- C反应蛋白在评估类风湿关节炎疾病活动度中的作用与局限性

Front Med (Lausanne). 2018 Aug 3;5:185. doi: 10.3389/fmed.2018.00185. eCollection 2018.

Can baseline ultrasound results help to predict failure to achieve DAS28 remission after 1 year of tight control treatment in early RA patients?基线超声结果能否帮助预测早期 RA 患者接受严格控制治疗 1 年后未能达到 DAS28 缓解？

Arthritis Res Ther. 2018 Jan 30;20(1):15. doi: 10.1186/s13075-018-1514-2.

Risk factors of flare in rheumatoid arthritis patients with both clinical and ultrasonographic remission: a retrospective study from China.临床和超声检查均缓解的类风湿关节炎患者病情复发的危险因素：一项来自中国的回顾性研究。

Clin Rheumatol. 2017 Aug;36(8):1721-1727. doi: 10.1007/s10067-017-3736-0. Epub 2017 Jun 22.

Ultrasound in management of rheumatoid arthritis: ARCTIC randomised controlled strategy trial.超声在类风湿关节炎管理中的应用：北极随机对照策略试验

BMJ. 2016 Aug 16;354:i4205. doi: 10.1136/bmj.i4205.

Structural integrity versus radiographic progression in rheumatoid arthritis.类风湿关节炎的结构完整性与放射学进展。

RMD Open. 2015 Aug 15;1(Suppl 1):e000064. doi: 10.1136/rmdopen-2015-000064. eCollection 2015.

本文引用的文献

Prediction of relapse after discontinuation of biologic agents by ultrasonographic assessment in patients with rheumatoid arthritis in clinical remission: high predictive values of total gray-scale and power Doppler scores that represent residual synovial inflammation before discontinuation.超声评估对临床缓解的类风湿关节炎患者停用生物制剂后复发的预测：代表停药前残留滑膜炎症的总灰阶和能量多普勒评分具有较高预测价值。

Arthritis Care Res (Hoboken). 2014 Oct;66(10):1576-81. doi: 10.1002/acr.22303.

Whole-body MRI assessment of disease activity and structural damage in rheumatoid arthritis: first step towards an MRI joint count.全身 MRI 评估类风湿关节炎的疾病活动度和结构损伤：迈向 MRI 关节计数的第一步。

Rheumatology (Oxford). 2014 May;53(5):845-53. doi: 10.1093/rheumatology/ket425. Epub 2014 Jan 3.

Determining a magnetic resonance imaging inflammatory activity acceptable state without subsequent radiographic progression in rheumatoid arthritis: results from a followup MRI study of 254 patients in clinical remission or low disease activity.确定类风湿关节炎患者在无后续影像学进展情况下的磁共振成像炎症活动可接受状态：来自临床缓解或低疾病活动度的 254 例患者的后续 MRI 研究结果。

J Rheumatol. 2014 Feb;41(2):398-406. doi: 10.3899/jrheum.131088. Epub 2013 Dec 15.

EULAR recommendations for the use of imaging of the joints in the clinical management of rheumatoid arthritis.EULAR 推荐在类风湿关节炎的临床管理中使用关节影像学检查。

Ann Rheum Dis. 2013 Jun;72(6):804-14. doi: 10.1136/annrheumdis-2012-203158. Epub 2013 Mar 21.

Should modern imaging be part of remission criteria in rheumatoid arthritis?现代影像学检查是否应成为类风湿关节炎缓解标准的一部分？

Best Pract Res Clin Rheumatol. 2012 Dec;26(6):767-85. doi: 10.1016/j.berh.2012.10.004.

Power Doppler ultrasound, but not low-field magnetic resonance imaging, predicts relapse and radiographic disease progression in rheumatoid arthritis patients with low levels of disease activity.能量多普勒超声而非低场磁共振成像能够预测疾病活动度低的类风湿关节炎患者的复发及影像学疾病进展。

Arthritis Rheum. 2012 Jan;64(1):67-76. doi: 10.1002/art.33312.

Patients with RA in remission on TNF blockers: when and in whom can TNF blocker therapy be stopped?缓解期的类风湿关节炎患者：何时以及在哪些患者中可以停用 TNF 阻滞剂治疗？

Ann Rheum Dis. 2010 Sep;69(9):1636-42. doi: 10.1136/ard.2009.117341. Epub 2010 Apr 26.

Ultrasonographic evaluation of joint involvement in early rheumatoid arthritis in clinical remission: power Doppler signal predicts short-term relapse.临床缓解期早期类风湿关节炎关节受累的超声评估：能量多普勒信号可预测短期复发。

Rheumatology (Oxford). 2009 Sep;48(9):1092-7. doi: 10.1093/rheumatology/kep171. Epub 2009 Jun 26.

An explanation for the apparent dissociation between clinical remission and continued structural deterioration in rheumatoid arthritis.类风湿关节炎临床缓解与结构持续恶化之间明显解离现象的一种解释。

Arthritis Rheum. 2008 Oct;58(10):2958-67. doi: 10.1002/art.23945.

Arthritis Rheum. 2006 Dec;54(12):3761-73. doi: 10.1002/art.22190.

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Rheumatoid arthritis: Is imaging needed to define remission in rheumatoid arthritis?

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