Mascarenhas Sheryl, Couette Nina
Department of Internal Medicine, Division of Rheumatology, The Ohio State University Wexner Medical Center, 543 Taylor Ave, Columbus, OH 43203, USA.
Diagnostics (Basel). 2021 Apr 8;11(4):669. doi: 10.3390/diagnostics11040669.
Ultrasound has advanced the diagnosis and management of patients with inflammatory rheumatic conditions. It can be used to identify and monitor enthesitis, a cardinal feature of spondyloarthropthies. Several enthesitis scoring systems utilizing ultrasound to determine entheseal involvement have been developed. These scoring systems generally rely on determining the presence or absence of erosions, tendon enlargement, power Doppler signal, or enthesophytes. This systematic review identified ultrasound scoring systems that have been utilized for evaluating enthesitis and what key components derive the score. Review of these scoring systems, however, demonstrated confounding as some of the score components including enthesophytes may be seen in non-inflammatory conditions and some components including erosions can be seen from chronic damage, but not necessarily indicate active inflammatory disease. What is furthermore limiting is that currently there is not an agreed upon term to describe non-inflammatory enthesopathies, further complicating these scoring systems. This review highlights the need for a more comprehensive ultrasound enthesopathy scoring index.
超声技术推动了炎性风湿性疾病患者的诊断与治疗。它可用于识别和监测附着点炎，这是脊柱关节炎的一个主要特征。已经开发了几种利用超声来确定附着点受累情况的附着点炎评分系统。这些评分系统通常依赖于确定是否存在侵蚀、肌腱增粗、能量多普勒信号或骨赘。本系统评价确定了已用于评估附着点炎的超声评分系统以及得出该评分的关键组成部分。然而，对这些评分系统的回顾显示存在混淆之处，因为一些评分组成部分（包括骨赘）可能在非炎性疾病中出现，而一些组成部分（包括侵蚀）可能源于慢性损伤，但不一定表明存在活动性炎性疾病。此外，目前尚无一个公认的术语来描述非炎性附着点病，这进一步使这些评分系统变得复杂。本综述强调了需要一个更全面的超声附着点病评分指数。
