Sofka Carolyn M
Department of Radiology and Imaging, Weill Medical College of Cornell University, Hospital for Special Surgery, New York, NY.
Ultrasound Q. 2014 Sep;30(3):184-92. doi: 10.1097/RUQ.0000000000000084.
There have been immense technical innovations and broadened clinical applications of ultrasound in the musculoskeletal system over the past 20 years. Specifically with regard to the hand and wrist, the advent of higher resolution transducers and postprocessing software applications have resulted in overall enhanced visualization of soft tissue structures (tendons/ligaments) as well as surface osseous lesions such as subclinical erosions in rheumatoid arthritis. Quantitative ultrasound, using either power Doppler or contrast-enhanced imaging, has become a central outcomes measure used to evaluate and document patient response to treatment in inflammatory arthropathies such as rheumatoid arthritis. This review will summarize the current state of clinical applications of ultrasound in the evaluation of the hand and wrist, with a summary of technical advances and specific applications in rheumatologic conditions.This review was exempt from institutional review board approval.
在过去20年里，超声在肌肉骨骼系统方面有了巨大的技术创新和更广泛的临床应用。特别是在手部和腕部，更高分辨率换能器和后处理软件应用的出现，使得软组织结构（肌腱/韧带）以及表面骨病变（如类风湿关节炎中的亚临床侵蚀）的整体可视化得到了增强。使用能量多普勒或对比增强成像的定量超声，已成为用于评估和记录类风湿关节炎等炎性关节病患者对治疗反应的核心结局指标。本综述将总结超声在手部和腕部评估中的临床应用现状，概述技术进展以及在风湿性疾病中的具体应用。本综述无需机构审查委员会批准。
