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[Anterior chest wall examination reviewed].

A Lo Monaco1, D Santilli, F Trotta

  • 1Unità Operativa di Reumatologia, Università degli Studi di Ferrara; Italia.

Reumatismo
|June 29, 2002
PubMed
Summary

Anterior chest wall inflammatory conditions, like SAPHO syndrome, are challenging to diagnose. Advanced imaging techniques like MRI offer superior diagnostic and follow-up capabilities compared to physical exams or X-rays.

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Area of Science:

  • Rheumatology
  • Radiology
  • Medical Imaging

Background:

  • Anterior chest wall involvement is common in inflammatory arthropathies, especially seronegative spondyloarthropathies and SAPHO syndrome.
  • Physical examination and conventional X-rays are often insufficient for diagnosing chest wall conditions.

Purpose of the Study:

  • To review the applications of various imaging techniques for evaluating anterior chest wall involvement.
  • To highlight the role of imaging in SAPHO syndrome, a prototypical condition for this type of involvement.

Main Methods:

  • Review of current literature on imaging modalities for anterior chest wall diseases.
  • Focus on scintigraphy, computed tomography (CT), and magnetic resonance imaging (MRI).

Main Results:

  • Scintigraphy provides information on disease activity and extent.
  • CT visualizes specific lesions like erosions.
  • MRI offers detailed lesion visualization, early alteration detection, and disease activity characterization, proving valuable for diagnosis and follow-up.

Conclusions:

  • Advanced imaging, particularly MRI, is crucial for accurate diagnosis and management of anterior chest wall inflammatory conditions.
  • SAPHO syndrome serves as a key example demonstrating the utility of these techniques in osteo-articular disease.

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