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高分辨率超声和磁共振成像在风湿病评估中的附加价值。

Added value of high-resolution ultrasound and MRI in the evaluation of rheumatologic diseases.

作者信息

Sahu Amit Kumar, Kataria Shweta, Gandikota Girish

机构信息

Department of Radiology, Max Superspeciality Hospital, New Delhi, India.

Department of Radiology, University of North Carolina, Chapel Hill, USA.

出版信息

J Ultrason. 2023 Nov 23;23(95):e285-e298. doi: 10.15557/jou.2023.0035. eCollection 2023 Oct.

DOI:10.15557/jou.2023.0035
PMID:38020506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10668937/
Abstract

Rheumatologic diseases are a widespread group of disorders affecting the joints, bones, and connective tissue, and leading to significant disability. Imaging is an indispensable component in diagnosing, assessing, monitoring, and managing these disorders, providing information about the structural and functional alterations occurring within the affected joints and tissues. This review article aims to compare the utility, specific clinical applications, advantages, and limitations of high-resolution ultrasound and magnetic resonance imaging in the context of rheumatologic diseases. It also provides insights into the imaging features of various types of inflammatory arthritis with clinical relevance and a focus on high-resolution ultrasound and magnetic resonance imaging. By understanding the comparative aspects of high-resolution ultrasound and magnetic resonance imaging, it is easier for the treating physicians to make informed decisions when selecting the optimal imaging modality for specific diagnostic purposes, effective treatment planning, and improve patient outcomes. The patterns of soft tissue and joint involvement; bony erosion and synovitis help in differentiating between various type of arthritis. Involvement of various small joints of the hands also gives an insight into the type of arthritis. We also briefly discuss the potential applications of emerging techniques, such as ultrasound elastography, contrast-enhanced ultrasound, and dual-energy CT, in the field of rheumatology.

摘要

风湿性疾病是一大类影响关节、骨骼和结缔组织并导致严重残疾的疾病。影像学是诊断、评估、监测和管理这些疾病不可或缺的组成部分，可提供有关受影响关节和组织内发生的结构和功能改变的信息。这篇综述文章旨在比较高分辨率超声和磁共振成像在风湿性疾病背景下的实用性、具体临床应用、优势和局限性。它还深入探讨了具有临床相关性且侧重于高分辨率超声和磁共振成像的各种类型炎性关节炎的影像学特征。通过了解高分辨率超声和磁共振成像的比较方面，治疗医生在为特定诊断目的选择最佳成像方式、制定有效的治疗方案以及改善患者预后时更容易做出明智的决策。软组织和关节受累的模式；骨侵蚀和滑膜炎有助于区分各种类型的关节炎。手部各个小关节的受累情况也有助于深入了解关节炎的类型。我们还简要讨论了超声弹性成像、超声造影和双能CT等新兴技术在风湿病领域的潜在应用。

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