Elkin Kenneth, Daveluy Steven, Avanaki Kamran
Wayne State University School of Medicine, Detroit, Michigan.
Department of Dermatology, Wayne State University School of Medicine, Detroit, Michigan.
Skin Res Technol. 2020 Jan;26(1):3-10. doi: 10.1111/srt.12772. Epub 2019 Oct 8.
Until recently, clinical assessment with manual palpation of the HS lesions was the primary means to detect HS lesions and their borders. In the past decade, there has been increased application of imaging technologies to HS patients, and it is reported that manual palpation consistently underestimates HS. Of the technologies, ultrasound (US) imaging has been the most efficacious and well-studied. In the present review, we will discuss the various imaging modalities that aid in detecting, managing, and treating HS.
Non-invasive HS imaging technologies including ultrasound (US) imaging, magnetic resonance imaging (MRI), medical infrared thermography (MIT), positron emission topography (PET), and computed tomography (CT) were reviewed and compared through a review of the literature. PubMed, Google, and Google Scholar were utilized.
Of the 4 HS technologies reviewed, US imaging and MRI are the most established and useful non-invasive modalities utilized in HS patients. However, MIT may have potential to aid in the pre-operative and intra-operative surgical excision of HS lesions.
For imaging HS lesions, US imaging is the most well-characterized and has the greatest range of use, while MRI has a role in severe, anogenital HS lesions. MIT of HS lesions is a novel application and merits attention.
直到最近，通过手动触诊HS病变进行临床评估仍是检测HS病变及其边界的主要方法。在过去十年中，成像技术在HS患者中的应用有所增加，据报道，手动触诊一直低估HS。在这些技术中，超声（US）成像最为有效且研究充分。在本综述中，我们将讨论有助于检测、管理和治疗HS的各种成像方式。
通过文献综述，对包括超声（US）成像、磁共振成像（MRI）、医用红外热成像（MIT）、正电子发射断层扫描（PET）和计算机断层扫描（CT）在内的非侵入性HS成像技术进行了综述和比较。使用了PubMed、谷歌和谷歌学术。
在所综述的4种HS技术中，US成像和MRI是HS患者中最成熟且有用的非侵入性方式。然而，MIT可能有助于HS病变的术前和术中手术切除。
对于HS病变成像，US成像特征最明确且应用范围最广，而MRI在严重的肛门生殖器HS病变中发挥作用。HS病变的MIT是一种新应用，值得关注。
