Advancements in Imaging Techniques for Early Diagnosis and Management of Axial Spondyloarthritis.

IF 5.7 2区医学 Q1 RHEUMATOLOGY Current Rheumatology Reports Pub Date : 2024-12-12 DOI:10.1007/s11926-024-01172-7

Howook Jeon, Hong Ki Min

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Abstract

Purpose of review: We aimed to introduce recent finding of imaging studies used in axial spondyloarthritis (axSpA).

Recent findings: Using low-dose whole spine CT (CT syndesmophyte score [CTSS]) improved diagnostic accuracy for evaluating spinal structural progression than previous method (modified Stoke Ankylosing Spondylitis Spinal Score [mSASSS]) in axSpA. The novel definition of positive finding of sacroiliac joint (SIJ) and spine magnetic resonance imaging (MRI) enabled to diagnose axSpA earlier than plain radiography. In addition, novel MRI protocol such as volumetric interpolated breath-hold examination improved detection rate of structural change of axial joints in axSpA, Nuclear medicine imaging showed potential for diagnosis and predicting progression of axSpA. Ultrasonography guided injection is useful for controlling local joint pain of axSpA. AxSpA is characterised by pain and inflammation of axial joints such as the SIJ and spine. Detection of active inflammatory lesions using MRI has expanded the subtypes of axSpA to include non-radiographic axSpA (nr-axSpA). In addition, many other imaging techniques have improved, and can now detect structural and early inflammatory lesions of the axial joints. In addition, a method for quantitative measurement of syndesmophytes by CTSS has been developed; this method is more accurate and sensitive than the mSASSS for detecting spinal structural damage. Here, we discuss the current knowledge and clinical advances in computed tomography, MRI, nuclear medicine imaging, and ultrasonography as imaging methods for axSpA.

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轴型脊柱炎早期诊断与治疗的影像技术进展。

回顾的目的：我们旨在介绍最近的影像学研究发现，用于轴性脊柱炎（axSpA）。最近的发现：在axSpA中，使用低剂量全脊柱CT （CT综合征评分[CTSS]）比以前的方法（改良的Stoke强直性脊柱炎脊柱评分[mSASSS]）提高了评估脊柱结构进展的诊断准确性。骶髂关节（SIJ）阳性发现的新定义和脊柱磁共振成像（MRI）能够比平片更早诊断axSpA。此外，体积内插式屏气检查等新型MRI方案提高了axSpA轴关节结构变化的检出率，核医学成像显示了axSpA诊断和预测进展的潜力。超声引导下注射对控制axSpA关节局部疼痛有重要意义。AxSpA的特点是轴关节如SIJ和脊柱的疼痛和炎症。利用MRI检测活动性炎性病变，扩大了axSpA的亚型，包括非放射学axSpA （nr-axSpA）。此外，许多其他成像技术已经得到改进，现在可以检测轴关节的结构性和早期炎性病变。此外，还建立了CTSS定量测量联合植物的方法；该方法对脊柱结构损伤的检测比mSASSS更准确、灵敏。在这里，我们讨论当前的知识和临床进展的计算机断层扫描，MRI，核医学成像和超声成像方法作为axSpA的成像方法。

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来源期刊

Current Rheumatology Reports RHEUMATOLOGY-

CiteScore

11.20

自引率

0.00%

发文量

期刊介绍： This journal aims to review the most important, recently published research in the field of rheumatology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of rheumatologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas such as the many forms of arthritis, osteoporosis and metabolic bone disease, and systemic lupus erythematosus. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.