Hayashi Daichi, Roemer Frank W, Jarraya Mohamed, Guermazi Ali
Department of Radiology, Quantitative Imaging Center, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USA; Department of Radiology, Yale New Haven Health at Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610, USA.
Department of Radiology, Quantitative Imaging Center, Boston University School of Medicine, 820 Harrison Avenue, FGH Building, 3rd Floor, Boston, MA 02118, USA; Department of Radiology, University of Erlangen-Nuremburg, Maximiliansplatz 2, 91054 Erlangen, Germany.
Radiol Clin North Am. 2017 Sep;55(5):1085-1102. doi: 10.1016/j.rcl.2017.04.012. Epub 2017 Jun 12.
With technologic advances and the availability of sophisticated computer software and analytical strategies, imaging plays an increasingly important role in understanding the disease process of osteoarthritis (OA). Radiography has limitations in that it can visualize only limited features of OA, such as osteophytes and joint space narrowing, but remains the most commonly used modality for establishing an imaging-based diagnosis of OA. This article describes the roles and limitations of different imaging modalities and discusses the optimum imaging protocol, imaging diagnostic criteria of OA, differential diagnoses, and what the referring physician needs to know.
随着技术的进步以及先进计算机软件和分析策略的出现，影像学在理解骨关节炎（OA）的疾病过程中发挥着越来越重要的作用。X线摄影存在局限性，因为它只能显示OA的有限特征，如骨赘和关节间隙变窄，但它仍然是基于影像学诊断OA最常用的方法。本文描述了不同影像学检查方法的作用和局限性，并讨论了最佳成像方案、OA的影像学诊断标准、鉴别诊断以及转诊医生需要了解的内容。
