Advances in musculoskeletal imaging and their clinical utility in the early diagnosis of spondyloarthritis

被引：10

作者：

Weber U. ^{[1
]}

Kissling R.O. ^{[1
]}

Hodler J. ^{[1
]}

机构：

[1] Department of Rheumatology, Balgrist University Hospital, 8008 Zurich

来源：

Current Rheumatology Reports | 2007年 / 9卷 / 5期

关键词：

Bone Mineral Density; Ankylose Spondylitis; Spondylitis; Sacroiliac Joint; Seronegative Arthritis;

D O I：

10.1007/s11926-007-0057-3

中图分类号：

学科分类号：

摘要：

Interest in imaging ankylosing spondylitis (AS) and related spondyloarthropathies has increased in recent years. MRI is regarded as the most sensitive imaging modality to detect early inflammatory lesions in the sacroiliac joints and in the spine. Standard radiography plays a major role in evaluating potential disease-modifying properties of the recently introduced, symptomatically effective anti-tumor necrosis factor-α agents. Various radiographic scoring methods have been developed to assess and monitor spinal structural damage in AS. The modified stoke ankylosing spondylitis spine score is the method of choice based on its sensitivity to change. MRI is emerging as a useful tool to detect AS early, but this remains a challenge. Recent progress in MR technology with the advent of whole body MRI has expanded the potential role of imaging in AS. Further data are needed before MRI can replace radiographs for earlier diagnosis of AS. Copyright © 2007 by Current Medicine Group LLC.

引用

页码：353 / 360

页数：7

共 45 条

[1]

Braun J., Sieper J., Ankylosing spondylitis, Lancet, 369, pp. 1379-1390, (2007)

[2]

Van der Heijde D., Landewe R., Imaging in spondylitis, Curr Opin Rheumatol, 17, pp. 413-417, (2005)

[3]

Maksymowych W., Landewe R., Imaging in ankylosing spondylitis, Best Pract Res Clin Rheumatol, 20, pp. 507-519, (2006)

[4]

Resnick D., Ankylosing spondylitis, Diagnosis of Bone and Joint Disorders, pp. 1023-1081, (2002)

[5]

Rudwaleit M., Khan M.A., Sieper J., The challenge of diagnosis and classification in early ankylosing spondylitis. Do we need new criteria? Commentary, Arthritis Rheum, 52, pp. 1000-1008, (2005)

[6]

Van Tubergen A., Heuft-Dorenbosch L., Schulpen G., Et al., Radiographic assessment of sacroiliitis by radiologists and rheumatologists: Does training improve quality?, Ann Rheum Dis, 62, pp. 519-525, (2003)

[7]

Creemers M.C., Franssen M.J., van't Hof M.A., Et al., Assessment of outcome in ankylosing spondylitis: An extended radiographic scoring system, Ann Rheum Dis, 64, pp. 127-129, (2005)

[8]

Baraliakos X., Listing J., Rudwaleit M., Et al., Progression of radiographic damage in patients with ankylosing spondylitis: Defining the central role of syndesmophytes, Ann Rheum Dis, 66, pp. 910-915, (2007)

[9]

Wanders A., Heijde D., Landewe R., Et al., Nonsteroidal anti-inflammatory drugs reduce radiographic progression in patients with ankylosing spondylitis: A randomized clinical trial, Arthritis Rheum, 52, pp. 1756-1765, (2005)

[10]

Mau W., Zeidler H., Mau R., Et al., Clinical features and prognosis of patients with possible ankylosing spondylitis. Results of a 10-year followup, J Rheumatol, 15, pp. 1109-1114, (1988)

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