Handa Atsuhiko, Restrepo Sofia B, Restrepo Ricardo, Williams-Weekes Terri, Lee Edward Y
Department of Radiology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.
University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Skeletal Radiol. 2025 Mar 29. doi: 10.1007/s00256-025-04910-9.
Imaging plays a vital role in the diagnosis and management of pediatric inflammatory musculoskeletal disorders. Currently, various imaging modalities are utilized in a stepwise approach, each providing complementary information. This article explores the advantages and limitations of currently available imaging techniques, including plain radiography, ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI), in the assessment of pediatric inflammatory musculoskeletal disorders. Additionally, characteristic imaging features of major pediatric inflammatory conditions are reviewed, including juvenile idiopathic arthritis, chronic nonbacterial osteomyelitis, Caffey disease, and juvenile idiopathic inflammatory myopathies.
影像学在儿童炎性肌肉骨骼疾病的诊断和管理中起着至关重要的作用。目前，各种影像学检查方法采用逐步推进的方式使用，每种方法都能提供互补信息。本文探讨了目前可用的影像学技术，包括X线平片、超声（US）、计算机断层扫描（CT）和磁共振成像（MRI），在评估儿童炎性肌肉骨骼疾病方面的优势和局限性。此外，还回顾了主要儿童炎性疾病的特征性影像学表现，包括幼年特发性关节炎、慢性非细菌性骨髓炎、卡菲病和幼年特发性炎性肌病。
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