Imaging in pediatric spondyloarthritis.

IF 5.2 2区 医学 Q1 RHEUMATOLOGY
Current opinion in rheumatology Pub Date : 2023-07-01 Epub Date: 2023-04-14 DOI:10.1097/BOR.0000000000000942
Hallie A Carol, Nancy A Chauvin, Pamela F Weiss
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引用次数: 0

Abstract

Purpose of review: Imaging is used in the diagnosis of peripheral and axial disease in juvenile spondyloarthritis (JSpA). Imaging of the joints and entheses in children and adolescents can be challenging for those unfamiliar with the appearance of the maturing skeleton. These differences are key for rheumatologists and radiologists to be aware of.

Recent findings: In youth, skeletal variation during maturation makes the identification of arthritis, enthesitis, and sacroiliitis difficult. A great effort has been put forward to define imaging characteristics seen in healthy children in order to more accurately identify disease. Additionally, there are novel imaging modalities on the horizon that are promising to further differentiate normal physiologic changes versus disease.

Summary: This review describes the current state of imaging, limitations, and future imaging modalities in youth, with key attention to differences in imaging interpretation of the peripheral joints, entheses, and sacroiliac joint in youth and adults.

小儿脊柱性关节炎的影像学研究。
综述目的:影像学用于诊断青少年脊椎关节炎(JSpA)的外周和轴位疾病。对于那些不熟悉成熟骨骼外观的人来说,对儿童和青少年关节和趾端的成像可能是一项挑战。这些差异是风湿病学家和放射科医生需要注意的关键。最近的发现:在年轻人中,骨骼在成熟过程中的变化使关节炎、附着点炎和骶髂关节炎的识别变得困难。为了更准确地识别疾病,人们已经做出了巨大的努力来定义健康儿童的成像特征。此外,还有一些新的成像模式有望进一步区分正常生理变化和疾病。综述:这篇综述描述了青年成像的现状、局限性和未来的成像方式,重点关注青年和成人外周关节、趾端和骶髂关节成像解释的差异。
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来源期刊
Current opinion in rheumatology
Current opinion in rheumatology 医学-风湿病学
CiteScore
9.70
自引率
2.00%
发文量
89
审稿时长
6-12 weeks
期刊介绍: A high impact review journal which boasts an international readership, Current Opinion in Rheumatology offers a broad-based perspective on the most recent and exciting developments within the field of rheumatology. Published bimonthly, each issue features insightful editorials and high quality invited reviews covering two or three key disciplines which include vasculitis syndromes, medical physiology and rheumatic diseases, crystal deposition diseases and rheumatoid arthritis. Each discipline introduces world renowned guest editors to ensure the journal is at the forefront of knowledge development and delivers balanced, expert assessments of advances from the previous year.
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