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沉积病和神经源性关节病的影像学检查方法

Imaging approach to deposition and neurogenic arthropathies.

作者信息

Cuervo Arevalo Ricardo, Aluja-Jaramillo Felipe, Corredor Carlos, Ramirez Juan José

机构信息

Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Carrera 7 No 40 - 62, 110231, Bogotá, Colombia.

出版信息

Jpn J Radiol. 2025 Mar;43(3):365-378. doi: 10.1007/s11604-024-01677-2. Epub 2024 Nov 2.

DOI:10.1007/s11604-024-01677-2
PMID:39487379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11868310/
Abstract

Deposition arthropathies are a heterogeneous group of diseases in which organic and inorganic substances accumulate in different regions of the body with significant complications and morbidity. Although they are clearly distinct entities, the clinical manifestations are similar, so that joint evaluation by imaging provides a more accurate diagnostic approach by identifying findings characteristic of certain pathologies and is considered the gold standard in certain conditions. However, neuropathic arthropathy, especially Charcot's foot, is an essential differential diagnosis in the joint evaluation of these patients because, although clinically similar, it manifests differently on radiological evaluation, with different treatment and prognosis. It is essential to know the main findings of the different imaging modalities, as well as their surgical performance, to propose the ideal study and differentiate these conditions with certainty.

摘要

沉积性关节病是一组异质性疾病，其中有机和无机物质在身体的不同部位积聚，会引发严重并发症和发病率。尽管它们是明显不同的疾病实体，但临床表现相似，因此通过影像学进行关节评估可通过识别某些病理特征性表现提供更准确的诊断方法，在某些情况下被视为金标准。然而，神经性关节病，尤其是夏科氏足，在这些患者的关节评估中是重要的鉴别诊断，因为尽管临床症状相似，但在影像学评估中表现不同，治疗和预后也不同。了解不同影像学检查方法的主要表现及其手术表现，对于提出理想的检查并准确鉴别这些疾病至关重要。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ba/11868310/a028b9b71463/11604_2024_1677_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ba/11868310/d3e450a130b0/11604_2024_1677_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ba/11868310/c01a936b1472/11604_2024_1677_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ba/11868310/ff71821c226e/11604_2024_1677_Fig9_HTML.jpg
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本文引用的文献

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J Am Coll Radiol. 2023 May;20(5S):S20-S32. doi: 10.1016/j.jacr.2023.02.020.
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Dynamic assessment of the double contour sign by ultrasonography helps to distinguish between gout and calcium pyrophosphate deposition disease.超声检查双轮廓征的动态评估有助于鉴别痛风和焦磷酸钙沉积病。
RMD Open. 2023 Mar;9(1). doi: 10.1136/rmdopen-2022-002940.
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Imaging of Crystal Disorders:: Calcium Pyrophosphate Dihydrate Crystal Deposition Disease, Calcium Hydroxyapatite Crystal Deposition Disease and Gout Pathophysiology, Imaging, and Diagnosis.
晶体相关疾病的影像学表现：焦磷酸钙二水合物晶体沉积病、羟磷灰石钙晶体沉积病和痛风的病理生理学、影像学表现和诊断。
Radiol Clin North Am. 2022 Jul;60(4):641-656. doi: 10.1016/j.rcl.2022.03.007.
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Imaging Features of Calcium Pyrophosphate Deposition Disease: Consensus Definitions From an International Multidisciplinary Working Group.焦磷酸钙沉积病的影像学特征：国际多学科工作组的共识定义。
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ACR Appropriateness Criteria® Suspected Osteomyelitis of the Foot in Patients With Diabetes Mellitus.ACR 适宜性标准®：糖尿病患者足部疑似骨髓炎。
J Am Coll Radiol. 2019 Nov;16(11S):S440-S450. doi: 10.1016/j.jacr.2019.05.027.
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Calcium hydroxyapatite deposition disease: Imaging features and presentations mimicking other pathologies.羟磷灰石钙沉积病：影像学特征及与其他病变相似的表现。
Eur J Radiol. 2019 Nov;120:108653. doi: 10.1016/j.ejrad.2019.108653. Epub 2019 Sep 8.
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