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幼年特发性关节炎的影像学表现。

Imaging of Juvenile Idiopathic Arthritis.

机构信息

Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam 1105AZ, The Netherlands.

Department of Radiology and Nuclear Medicine, Ghent University Hospital, Corneel Heymanslaan 10, Ghent 9000, Belgium.

出版信息

Radiol Clin North Am. 2024 Sep;62(5):889-902. doi: 10.1016/j.rcl.2024.02.009. Epub 2024 Mar 22.

Abstract

MRI, ultrasound, and conventional radiography each play distinct roles in the evaluation of juvenile idiopathic arthritis (JIA), with MRI being the preferred imaging modality of choice for assessing both inflammatory and destructive changes. These various imaging modalities provide valuable insights into JIA in pediatric patients. However, challenges persist in terms of achieving precision, ensuring validity, and distinguishing between pathologic findings and normal anatomic variations. Establishing normal reference values and implementing scoring systems can aid in the precise evaluation of disease activity and provide information to assist treatment decisions for children with JIA. Ongoing advancements in imaging techniques and standardization initiatives aim to bolster the accuracy of JIA diagnosis and assessment, ultimately leading to enhanced patient care and treatment outcomes.

摘要

MRI、超声和常规放射摄影术在幼年特发性关节炎(JIA)的评估中各有独特作用,MRI 是评估炎症和破坏变化的首选影像学方法。这些不同的影像学方法为儿科患者的 JIA 提供了有价值的见解。然而,在实现精确性、确保有效性以及区分病理性发现和正常解剖变异方面仍然存在挑战。建立正常参考值和实施评分系统有助于精确评估疾病活动,并为 JIA 患儿的治疗决策提供信息。影像学技术的不断进步和标准化举措旨在提高 JIA 诊断和评估的准确性,最终改善患者的护理和治疗结果。

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