前胸壁炎症疾病的成像:专家建议
Siok Li Chung1, Torsten Diekhoff2, James Teh1
1Department of Radiology, Nuffield Orthopaedic Hospital, Oxford University Hospitals, Oxford, United Kingdom.
胸前壁的炎症状况经常被忽视. 这篇评论详细介绍了像MRI和超声波这样的成像技术,用于早期检测和诊断影响胸壁的类风湿性疾病.
科学领域:
- 肌肉骨放射学 肌肉骨放射学
- 类风湿病学 类风湿病学
- 医疗成像医学成像
背景情况:
- 前胸壁炎症在临床上是相关的,但在成像中未被充分识别.
- 它可能是由系统性和局部性类风湿性疾病引起的,包括脊椎关节炎和类风湿性关节炎.
- 在脊椎关节炎中,参与是常见的,通常是亚临床的.
研究的目的:
- 为提供有关在类风湿性疾病中对前胸壁成像的最新信息.
- 强调系统评估,最佳成像序列和报告术语.
- 为指导前胸壁炎症的差异诊断.
主要方法:
- 目前文献和欧洲肌肉骨放射学学会的指导方针的审查.
- 强调超声波作为一线检查.
- 讨论磁共振成像 (MRI) 用于活性炎症和计算机断层扫描 (CT) 用于骨和晶体评估.
主要成果:
- 核磁共振可以检测早期的炎症 (肠炎,鼻炎,骨炎) 和结构性病变 (侵蚀,硬化症).
- 类风湿性关节炎表现出鼻膜炎,囊和侵蚀;儿童慢性非细菌性骨炎需要全身成像.
- 成年人的慢性非细菌性骨炎包括硬骨关节关节缩症和SAPHO综合征.
结论:
- 对前胸壁的系统成像评估对于类风湿性疾病至关重要.
- 超声波,MRI和CT在诊断中起着互补的作用.
- 识别前胸壁炎症可以提高诊断准确度和治疗指导.
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