超声在骨关节炎评估中的应用——翻开新篇章。
Turning the Page in Osteoarthritis Assessment with the Use of Ultrasound.
机构信息
Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, 3300 Doc J. Thurston Building, Campus Box #7280, Chapel Hill, NC, 27599-7280, USA.
出版信息
Curr Rheumatol Rep. 2020 Aug 26;22(10):66. doi: 10.1007/s11926-020-00949-w.
Abstract
PURPOSE OF REVIEW
This narrative review summarizes the last 5 years of published, peer-reviewed research on the use of musculoskeletal ultrasound (US) in osteoarthritis (OA).
RECENT FINDINGS
Multiple features relevant to OA can be visualized on US, including synovitis, erosion, enthesitis, osteophytes, cartilage damage, meniscal extrusion, and popliteal cysts. US can be used to confirm a diagnosis of OA or make an alternate diagnosis in the clinical setting. When a standardized protocol is used, US is a reliable modality for assessment of the features of OA. Findings on US can predict progression and response to therapy in OA of the hand and knee and can allow characterization of risk factors in a cost-effective, non-invasive, repeatable manner. US is becoming more widely used in OA imaging and has clear value in addition to radiography and clinical assessment. US will likely prove useful in defining phenotypes and providing treatment guidance in OA.
摘要
目的综述
本文对过去 5 年发表的同行评议研究进行了综述，内容涉及肌肉骨骼超声（US）在骨关节炎（OA）中的应用。
最新发现
在 US 上可以观察到与 OA 相关的多种特征，包括滑膜炎、侵蚀、肌腱附着点炎、骨赘、软骨损伤、半月板突出和腘窝囊肿。US 可用于在临床环境中确认 OA 的诊断或做出其他诊断。当使用标准化方案时，US 是评估 OA 特征的可靠方式。在手部和膝关节 OA 中，US 的发现可预测疾病进展和对治疗的反应，并能以具有成本效益、非侵入性和可重复的方式对危险因素进行特征描述。US 在 OA 成像中的应用越来越广泛，其除了在放射学和临床评估方面具有明确价值外，还具有额外的优势。US 有望在 OA 表型定义和提供治疗指导方面发挥作用。
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