干板X线摄影术在类风湿性手部病变评估中的应用

Lovell C R, Brock M, Jayson M I, Baddeley H

Ann Rheum Dis. 1977 Oct;36(5):464-7. doi: 10.1136/ard.36.5.464.

Comparable conventional x-rays had xeroradiographs were obtained of the hands of 22 patients with rheumatoid arthritis. Each metacarpophalangeal and proximal interphalangeal joint was scored for juxta-articular osteoporosis, erosions, loss of joint space, soft tissue thickening, joint deformity, and osteophytes on a 0-3 scale. For 10 hands the films were reported again after 3 months, and each technique was reproducible. Comparison between the 2 radiographic techniques showed that overall they gave similar results, although osteoporosis was reported more frequently on conventional x-rays, and loss of joint space and synovial thickening on xeroradiographs.

对22例类风湿性关节炎患者的手部进行了类似的传统X光检查，并获得了干板X线照片。对每个掌指关节和近端指间关节的关节旁骨质疏松、侵蚀、关节间隙变窄、软组织增厚、关节畸形和骨赘进行0至3级评分。对10只手的X光片在3个月后再次进行报告，两种技术都具有可重复性。两种放射成像技术的比较表明，总体而言它们给出了相似的结果，尽管传统X光片上骨质疏松的报告更为频繁，而干板X线照片上关节间隙变窄和滑膜增厚的报告更多。