Rheumatological Clinic, Ospedale "Carlo Urbani", Università Politecnica delle Marche, Via Aldo Moro, 25, 60035, Jesi, Ancona, Italy.
Radiology Department, Università Politecnica delle Marche, Ancona, Italy.
Radiol Med. 2019 Nov;124(11):1071-1086. doi: 10.1007/s11547-019-01001-3. Epub 2019 Feb 9.
Structural changes of bone and cartilage are the hallmarks of rheumatoid arthritis (RA) and psoriatic arthritis (PsA). Radiography can help in making diagnosis and in differentiating PsA and RA from other articular diseases. Radiography is still considered the preferred imaging method to assess disease progression, reflecting cumulative damage over time. The presence of bone erosions in RA is as an indicator of irreversible articular damage. Radiographic features of PsA are characteristic and differ from those observed in RA, especially in the distribution of affected joints and in the presence of destructive changes and bone proliferation at the same time. Semiquantitative scoring methods are designed to measure the degree of radiographically detectable joint damage and of changes over time. Several radiographic scoring methods that had been developed originally for RA have been adopted for the use in PsA. This review discusses the use of conventional radiography for diagnosing and detecting early structural changes in RA and PsA and providing a historical overview of commonly used scoring methods.
骨骼和软骨的结构变化是类风湿关节炎 (RA) 和银屑病关节炎 (PsA) 的特征。放射摄影有助于做出诊断，并将 PsA 和 RA 与其他关节疾病区分开来。放射摄影仍然被认为是评估疾病进展的首选成像方法，反映了随着时间的推移累积的损伤。RA 中出现的骨侵蚀是关节不可逆损伤的指标。PsA 的放射学特征具有特征性，与 RA 中观察到的不同，尤其是受累关节的分布，以及同时存在破坏性变化和骨增生。半定量评分方法旨在测量放射学可检测的关节损伤程度和随时间的变化。最初为 RA 开发的几种放射学评分方法已被用于 PsA。本文讨论了常规放射摄影在诊断和检测 RA 和 PsA 的早期结构变化中的应用，并对常用评分方法进行了历史回顾。
