University of Pavia, Department of Rheumatology, IRCCS Policlinico S. Matteo Foundation, Pavia, and PhD in Experimental Medicine, University of Pavia, Italy.
Rheumatology Department at Centro Hospitalar do Baixo Vouga, E.P.E. Aveiro, Portugal.
Clin Exp Rheumatol. 2018 Sep-Oct;36 Suppl 114(5):96-102. Epub 2018 Oct 1.
Imaging is increasingly recognised as an essential element in the management of several rheumatologic conditions. Ultrasound is in widespread use as a safe, reproducible, and directly interpretable method for diagnosis and evaluation of arthritis and increasingly of large-vessel vasculitis (LVV). Indeed, the diagnosis and management of LVV are being transformed through the use of imaging. Increasing and more standardised evidence is being produced on the role of colour duplex sonography in the management of LVV. Nonetheless, some controversies and unresolved issues remain. This review describes current findings and reviews future perspectives in the use of ultrasound for the diagnosis and management of LVV.
影像学越来越被认为是几种风湿性疾病管理中的一个重要组成部分。超声作为一种安全、可重复和直接解释的关节炎诊断和评估方法,以及越来越多的大血管血管炎(LVV)的诊断和评估方法,得到了广泛的应用。事实上,通过使用影像学,LVV 的诊断和治疗正在发生转变。越来越多的、更标准化的证据表明,彩色双功能超声在 LVV 的管理中具有重要作用。尽管如此,一些争议和未解决的问题仍然存在。本文描述了超声在 LVV 的诊断和治疗中的当前研究结果,并探讨了其未来的应用前景。