Leone Antonio, Cassar-Pullicino Victor N, D'Aprile Paola, Nasuto Michelangelo, Guglielmi Giuseppe
Institute of Radiology, Fondazione Policlinico Universitario A. Gemelli, Catholic University School of Medicine, Largo A. Gemelli 1, Rome 00168, Italy.
Department of Diagnostic Imaging, The Robert Jones and Agnes Hunt Orthopaedic and District Hospital, Gobowen, Oswestry SY10 7AG, UK.
Radiol Clin North Am. 2017 Sep;55(5):1009-1021. doi: 10.1016/j.rcl.2017.04.007. Epub 2017 Jun 12.
This article provides an overview of the computed tomography (CT) and MR imaging appearances suggestive of spondyloarthritis, with a specific emphasis on the MR imaging findings of vertebral and sacroiliac involvement, and presents relevant clinical features that assist early diagnosis. CT is a sensitive imaging modality for the assessment of structural bone changes, but its clinical utility is limited. MR imaging is the modality of choice for early diagnosis, because of its ability to depict inflammation long before structural bone damage occurs, for monitoring of disease activity, and for evaluating therapeutic response.
本文概述了提示脊柱关节炎的计算机断层扫描（CT）和磁共振成像（MR）表现，特别强调了椎体和骶髂关节受累的MR成像结果，并介绍了有助于早期诊断的相关临床特征。CT是评估骨骼结构变化的敏感成像方式，但其临床应用有限。MR成像因其能够在骨骼结构损伤发生之前很久就描绘出炎症、监测疾病活动以及评估治疗反应，所以是早期诊断的首选方式。
