A Systematic Approach to Radiographic Evaluation of Arthritis of the Hand and Wrist

IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Contemporary Diagnostic Radiology Pub Date : 2021-05-31 DOI:10.1097/01.CDR.0000751604.31664.ba
Matthew L Kluckman, S. Bernard, L. Bui-mansfield
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Abstract

More than 92 million adults in the United States have arthritis.1 Initial imaging evaluation of arthritis begins with radiography. Having a systematic approach to the interpretation of the radiographs for arthritis is essential to recognize subtle features and to correctly identify similar appearing diseases. The “ABCs” approach to the radiographic evaluation of arthritis has been a standard for decades. The goal of this article is to review the “ABCs” approach, to discuss how the radiographic features reflect the underlying pathology of common arthropathies, and to provide differential diagnostic considerations for conditions in one of three categories: aggressive erosive, osteoarthritis-like, or mass-like depositional patterns of arthritis.
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手、腕部关节炎影像学评价的系统方法
美国有超过9200万成年人患有关节炎关节炎的初步影像学评估从x线摄影开始。有一个系统的方法来解释关节炎的x线片是必不可少的,以识别细微的特征,并正确识别类似的疾病出现。几十年来,关节炎放射学评估的“abc”方法一直是一种标准。本文的目的是回顾“abc”方法,讨论影像学特征如何反映常见关节病的潜在病理,并为以下三种情况之一提供鉴别诊断考虑:侵袭性侵蚀性、骨关节炎样或团块样关节炎沉积模式。
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