Related Experiment Videos
Where is imaging going in rheumatology?
1Rheumatic Diseases Department, Collège de Médecine des Hôpitaux de Paris, l'Hôpital Européen de Paris-La Roseraie 55, rue Henri Barbusse, 93300 Aubervilliers, France.
Bailliere'S Best Practice & Research. Clinical Rheumatology
|November 28, 2000
Summary
New imaging technologies like filmless radiology, advanced ultrasonography, multidetector CT, and open MRI are improving musculoskeletal disease diagnosis and treatment. These innovations enhance early detection, particularly in rheumatoid arthritis, while avoiding overinvestigation.
Area of Science:
- Radiology and Medical Imaging
- Musculoskeletal Diseases
- Rheumatoid Arthritis
Background:
- Emerging imaging technologies offer new diagnostic and interventional capabilities.
- Filmless radiology, advanced ultrasonography (US), multidetector computed tomography (CT), and magnetic resonance imaging (MRI) are becoming increasingly available.
- These advancements impact the diagnosis and management of musculoskeletal diseases.
Purpose of the Study:
- To review new imaging approaches for musculoskeletal diseases.
- To discuss the applications of filmless radiology, US, CT, and MRI in interventional radiology.
- To highlight the role of imaging in rheumatoid arthritis assessment and future trends.
Main Methods:
- Review of new imaging modalities including filmless radiology, 3D/harmonic Doppler US, multislice/multidetector CT, and open/high-field MRI.
- Discussion of interventional radiology procedures guided by digital radiography, US, or MRI.
- Examination of imaging's role in rheumatoid arthritis and future technological developments.
Main Results:
- Filmless radiology provides access to Picture Archiving and Communication Systems (PACS) and teleteaching.
- Advanced US techniques include 3D volume, harmonic Doppler, and digital technology.
- CT utilizes volume acquisition and multidetector technology; MRI offers open configurations for interventional procedures and rapid high-field scans.
- Imaging, especially MRI, detects early rheumatoid arthritis lesions and synovitis, aiding treatment assessment.
- Overinvestigation must be avoided due to patient anxiety, cost, irradiation risk, and potential lack of diagnostic value.
Conclusions:
- New imaging technologies significantly enhance the diagnosis and management of musculoskeletal diseases.
- MRI is crucial for early detection and monitoring of rheumatoid arthritis.
- Future developments in PACS, filmless radiology, and advanced imaging techniques will transform musculoskeletal diagnostics.