Desenmascarando la polimialgia reumática, papel de la Medicina Nuclear

IF 1.6 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Revista Espanola De Medicina Nuclear E Imagen Molecular Pub Date : 2024-01-01 DOI:10.1016/j.remn.2023.11.003
E. Noriega-Álvarez , B. Rodríguez-Alfonso , C. Merino Argumánez , L. Domínguez Gadea , V. Peiró-Valgañón
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Abstract

Polymyalgia rheumatica (PMR) is an inflammatory joint disease that presents in patients older than 50 years with prolonged morning pain and stiffness in the shoulder and hip joints and neck. The lack of specific clinical findings, laboratory signs, biomarkers and established imaging methods makes it difficult to diagnose patients with this disease. 18F-FDG PET/CT is a functional imaging technique that is an established tool in oncology and has also proven useful in the field of inflammatory diseases. The aim of this paper is to present literature evidence on the use of molecular imaging methods such as PET/CT for early diagnosis, assessment of disease activity and therapeutic response in PMR. At the same time, the advantages, disadvantages and contraindications of other methods are considered.

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揭开多发性风湿病的面纱,核医学的作用
多发性风湿痛(PMR)是一种关节炎症性疾病,多见于 50 岁以上的患者,表现为肩关节、髋关节和颈部长期晨起疼痛和僵硬。由于缺乏特异性临床表现、实验室体征、生物标志物和成熟的影像学方法,因此很难诊断该病患者。18F-FDG PET/CT 是一种功能成像技术,是肿瘤学领域的成熟工具,在炎症性疾病领域也被证明非常有用。本文旨在提供有关使用分子成像方法(如 PET/CT)对 PMR 进行早期诊断、评估疾病活动性和治疗反应的文献证据。同时,还考虑了其他方法的优缺点和禁忌症。
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来源期刊
Revista Espanola De Medicina Nuclear E Imagen Molecular
Revista Espanola De Medicina Nuclear E Imagen Molecular RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.10
自引率
16.70%
发文量
85
审稿时长
24 days
期刊介绍: The Revista Española de Medicina Nuclear e Imagen Molecular (Spanish Journal of Nuclear Medicine and Molecular Imaging), was founded in 1982, and is the official journal of the Spanish Society of Nuclear Medicine and Molecular Imaging, which has more than 700 members. The Journal, which publishes 6 regular issues per year, has the promotion of research and continuing education in all fields of Nuclear Medicine as its main aim. For this, its principal sections are Originals, Clinical Notes, Images of Interest, and Special Collaboration articles.
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