炎性关节炎的影像学进展
Imaging update in inflammatory arthritis.
作者信息
Sudoł-Szopińska Iwona, Giraudo Chiara, Oei Edwin H G, Jans Lennart
机构信息
Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Chiara Giraudo, Department of Medicine - DIMED, University of Padova, Padova, Italy.
出版信息
J Clin Orthop Trauma. 2021 Jun 30;20:101491. doi: 10.1016/j.jcot.2021.101491. eCollection 2021 Sep.
Ultrasonography and magnetic resonance imaging have become important imaging modalities in rheumatological disorders next to standard radiography. Due to their ability to assess both morphological and functional changes they play a significant role in early diagnosis and treatment monitoring. This review presents the latest advancements in imaging of inflammatory arthritis with a focus on two main groups of rheumatic diseases: connective tissue diseases and spondyloarthritis. New developments related to peripheral and sacroiliac joints imaging are discussed, including Superb Micro Flow Imaging and Shear Wave Elastography in ultrasonography, as well as Whole Body MRI, quantitative MRI, and the recent advances in cartilage imaging in MRI, including T2-and T1p-mapping, and dGEMRIC. The role of emerging imaging techniques in the early diagnosis of inflammatory arthritis is discussed, including DECT, VIBE, BoneMRI, and pQCT.
除了标准放射摄影外，超声检查和磁共振成像已成为风湿病领域重要的成像方式。由于它们能够评估形态学和功能变化，因此在早期诊断和治疗监测中发挥着重要作用。本综述介绍了炎症性关节炎成像的最新进展，重点关注两类主要的风湿性疾病：结缔组织病和脊柱关节炎。讨论了与外周和骶髂关节成像相关的新进展，包括超声检查中的超微血流成像和剪切波弹性成像，以及全身磁共振成像、定量磁共振成像，以及磁共振成像中软骨成像的最新进展，包括T2和T1p映射以及dGEMRIC。讨论了新兴成像技术在炎症性关节炎早期诊断中的作用，包括双能CT、容积内插屏气检查序列、骨磁共振成像和外周定量CT。
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