首页|肌肉骨骼超声和MRI检查在幼年特发性关节炎诊治中的应用进展

肌肉骨骼超声和MRI检查在幼年特发性关节炎诊治中的应用进展

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幼年特发性关节炎(juvenile idiopathic arthritis,JIA)是儿童期以慢性关节炎为主要表现的风湿病.随着达标治疗理念的推广以及生物制剂在临床中的广泛使用,JIA的预后已经得到明显改善.近年来,随着肌肉骨骼超声和MRI检查等影像学技术在JIA诊疗中的应用日益增多,越来越多的研究证实其为临床医师在JIA的诊疗中提供了更敏感、客观的方法,但对影像学检查更为全面科学的认识有待进一步提高.该文主要针对近年来肌肉骨骼超声与MRI检查在JIA早期诊断、疾病进展监测、复发预测及达标治疗中的应用价值和进展进行综述,为临床医生更好精准医疗、改善预后提供参考.
Advances in musculoskeletal ultrasound and MRI in diagnosis and treatment of juvenile idiopathic arthritis
Juvenile idiopathic arthritis(JIA)is a pediatric rheumatic disease with chronic arthritis as its main manifestation.With the popularization of the treat-to-target(T2T)strategy and the wide use of biologic disease modifying anti-rheumatic drugs in clinical practice,the prognosis of JIA has been significantly improved.In recent years,with the increasing practice of musculoskeletal ultrasound(MSUS)and magnetic resonance imaging(MRI)in clinical diagnosis and treatment,more and more studies have confirmed that they provide clinicians with more sensitive and objective methods in the diagnosis and treatment of JIA,but the more comprehensive and scientific understanding of imaging examination needs to be further improved.This article reviews the application value and progress of MSUS and MRI in making early diagnosis,monitoring disease activity,predicting flare and reaching the T2T of JIA in recent years,so as to facilitate precision medicine approaches and improve prognosis.

Juvenile idiopathic arthritisDiagnosisTreat to targetImaging examination

李树、李旭旭、茹晋丽

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山西医科大学第二临床医学院,太原 030000

山西医科大学第二医院全科医学科,太原 030000

幼年特发性关节炎 诊断 达标治疗 影像学检查

2024

国际儿科学杂志
中华医学会,中国医科大学

国际儿科学杂志

CSTPCD
影响因子:1.057
ISSN:1673-4408
年,卷(期):2024.51(11)