Shah Amit, Raja Neel, Rennie Winston J
Department of Radiology, University Hospitals of Leicester, Leicester Royal Infirmary, Infirmary Square, LE1 5WW, UK.
J Clin Orthop Trauma. 2021 Aug 13;21:101564. doi: 10.1016/j.jcot.2021.101564. eCollection 2021 Oct.
Although our understanding of axial spondyloarthropathy (axSpA) has increased recently, there has not been a concurrent improvement in patient diagnosis with delays contributing to patient morbidity. Imaging findings of axSpA can be subtle and may be dismissed often due to lack of understanding by reporters and importantly clinicians who do not suspect the disease. Recognition of the importance of imaging has led to the inclusion of MRI as part of the diagnostic criteria for axSpA. With this in mind, a number of advancements have been made in an attempt to increase our diagnostic accuracy on imaging. This article will give an overview of these techniques as well as a recap of the imaging features of axSpA.
尽管我们对轴性脊柱关节炎(axSpA)的认识近来有所提高,但患者诊断方面却没有同步改善,诊断延迟导致患者出现并发症。axSpA的影像学表现可能很细微,而且常常因为报告者尤其是未怀疑该病的临床医生缺乏了解而被忽视。对影像学重要性的认识促使磁共振成像(MRI)被纳入axSpA的诊断标准。考虑到这一点,为提高我们的影像学诊断准确性已取得了一些进展。本文将概述这些技术,并对axSpA的影像学特征进行回顾。