高分辨率超声和MRI在风湿病评价中的附加价值

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Ultrasonography Pub Date : 2023-10-30 DOI:10.15557/jou.2023.0035
Amit Kumar Sahu, Shweta Kataria, Girish Gandikota
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引用次数: 0

摘要

风湿病是影响关节、骨骼和结缔组织的一组广泛的疾病,并导致严重的残疾。成像是诊断、评估、监测和管理这些疾病不可或缺的组成部分,提供有关受影响关节和组织内发生的结构和功能改变的信息。这篇综述文章旨在比较高分辨率超声和磁共振成像在风湿病中的用途、具体临床应用、优点和局限性。它还提供了不同类型的炎性关节炎与临床相关性的成像特征的见解,并专注于高分辨率超声和磁共振成像。通过了解高分辨率超声和磁共振成像的比较方面,治疗医生在为特定诊断目的选择最佳成像方式时更容易做出明智的决定,更容易制定有效的治疗计划,并改善患者的预后。软组织和关节受累模式;骨侵蚀和滑膜炎有助于区分不同类型的关节炎。手的各种小关节的参与也提供了一个深入了解关节炎的类型。我们还简要讨论了新兴技术在风湿病学领域的潜在应用,如超声弹性成像、对比增强超声和双能CT。
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Added value of high-resolution ultrasound and MRI in the evaluation of rheumatologic diseases
Rheumatologic diseases are a widespread group of disorders affecting the joints, bones, and connective tissue, and leading to significant disability. Imaging is an indispensable component in diagnosing, assess- ing, monitoring, and managing these disorders, providing information about the structural and functional alterations occurring within the affected joints and tissues. This review article aims to compare the utility, specific clinical applications, advantages, and limitations of high-resolution ultrasound and magnetic reso- nance imaging in the context of rheumatologic diseases. It also provides insights into the imaging features of various types of inflammatory arthritis with clinical relevance and a focus on high-resolution ultrasound and magnetic resonance imaging. By understanding the comparative aspects of high-resolution ultrasound and magnetic resonance imaging, it is easier for the treating physicians to make informed decisions when selecting the optimal imaging modality for specific diagnostic purposes, effective treatment planning, and improve patient outcomes. The patterns of soft tissue and joint involvement; bony erosion and synovitis help in differentiating between various type of arthritis. Involvement of various small joints of the hands also gives an insight into the type of arthritis. We also briefly discuss the potential applications of emerging techniques, such as ultrasound elastography, contrast-enhanced ultrasound, and dual-energy CT, in the field of rheumatology.
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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
期刊最新文献
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