Sharp J T
Tifton Medical Clinic, Atlanta, GA, USA.
J Rheumatol. 1995 Sep;22(9):1787-91.
Assessment of radiographic damage in rheumatoid arthritis (RA) by scoring methods is useful to describe the progression of disease, and is an objective method of determining the effects of treatment. The history of the development of radiographic scoring methods is reviewed. None is ideal or truly quantitative and better methods are needed. Features of an ideal method are presented and the results of assessing treatment of RA by current methods of radiographic scoring are reviewed. Suggestions are made regarding the design of future therapeutic trials to take advantage of study features most likely to yield conclusive results by radiographic outcome assessment.
通过评分方法评估类风湿关节炎（RA）的影像学损伤，有助于描述疾病进展，是确定治疗效果的一种客观方法。本文回顾了影像学评分方法的发展历程。目前尚无理想的或真正定量的方法，因此需要更好的方法。文中阐述了理想方法的特点，并回顾了目前影像学评分方法评估RA治疗的结果。针对未来治疗试验的设计提出了建议，以便利用最有可能通过影像学结果评估得出确凿结果的研究特点。
