优秀的微血管成像在评估类风湿性疾病的使用:一个系统性审查
Goda Seskute1, Gabija Jasionyte1, Rita Rugiene1,2
1Clinic of Rheumatology, Orthopaedics Traumatology, and Reconstructive Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-01513 Vilnius, Lithuania.
Medicina (Kaunas, Lithuania)
|September 28, 2023
概括
卓越的微血管成像 (SMI) 能够有效地检测炎症性关节炎和相关疾病中低速度血流. 这种先进的超声波技术显示出作为一种非侵入性,具有成本效益的工具,用于预后评估和评估治疗效果的前景.
科学领域:
- 类风湿病学 类风湿病学
- 医疗成像医学成像
- 超声波技术 超声波技术 超声波技术
背景情况:
- 超级微血管成像 (SMI) 是一种先进的多普勒算法,用于检测没有对比剂的低速度血流.
- 对于评估类风湿性疾病,特别是炎症性关节炎,SMI显示出比传统的多普勒技术更大的灵敏度.
- 有证据表明,SMI在关节病学中对关节和关节外结构的评估具有实用性.
研究的目的:
- 评估超级微血管成像 (SMI) 在风湿学中的应用和可能性.
- 提供SMI在评估关节和关节外结构在类风湿性疾病中的使用的总体概述.
- 总结基于PRISMA方法论的SMI在风湿病学的现有证据.
主要方法:
- 一个系统的文献审查是由两个独立的审稿人进行的.
- 搜索了数据库 (PubMed,Medline,Ebsco,Cochrane图书馆,ScienceDirect) 的原始英语文章从2014年2月到2022年11月.
- 包括报告SMI应用在类风湿性疾病和相关肌肉骨疾病的研究;进行了定性数据合成.
主要成果:
- 包括18篇文章;没有一个系统审查符合标准.
- 大多数研究都集中在类风湿性关节炎中的突血管性.
- 在评估关节外软组织和大血管方面,SMI显示出价值,具有定量血管指数作为诊断标记物的潜力.
结论:
- SMI在表征低流动血管性方面是有效的,并且显示出作为炎症性关节炎的非侵入性,经济有效的预后工具的希望.
- 初步发现表明SMI在评估治疗疗效方面的潜力.
- 需要进一步的研究,特别是在标准化方法和治疗应用方面.
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