Larsen A
Scand J Rheumatol. 1976;5(2):119-23. doi: 10.3109/03009747609099902.
Twenty-seven bilateral joints of 28 patients with rheumatoid arthritis were radiographed and divided into six grades of severity by means of standard reference films. The results indicated that the four lateral metatarsophalangeal joints and the wrists are the most valuable joints for the assessment of rheumatoid arthritis as they show the strongest correlation of involvement with duration, the highest slope value, and the lowest standard deviation of involvement. It was concluded that many currently used methods of radiologic assessment could be improved by evaluating proper radiologic changes in joints representative of rheumatoid arthritis. The need for a new generally accepted classification of severity of rheumatoid arthritis is evident from this paper.
对28例类风湿性关节炎患者的27个双侧关节进行了X线摄影，并通过标准参考片将其分为六个严重程度等级。结果表明，四个外侧跖趾关节和腕关节是评估类风湿性关节炎最有价值的关节，因为它们在受累与病程的相关性、最高斜率值以及受累的最低标准差方面表现最强。得出的结论是，通过评估类风湿性关节炎代表性关节的适当放射学变化，目前许多放射学评估方法可以得到改进。本文清楚地表明需要一种新的被普遍接受的类风湿性关节炎严重程度分类方法。
