Clinical utility of ultrasound and MRI in rheumatoid arthritis: An expert review.

IF 4.5 2区医学 Q1 RHEUMATOLOGY

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-14 DOI:10.1016/j.berh.2025.102072

David A Kellner, Nicolette T Morris, Stephanie M Lee, Joshua F Baker, Philip Chu, Veena K Ranganath, Gurjit S Kaeley, Howard H Yang

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引用次数: 0

Abstract

Musculoskeletal ultrasound (MSUS) and magnetic resonance imaging (MRI) are advanced imaging techniques that are increasingly important in the diagnosis and management of rheumatoid arthritis (RA) and have significantly enhanced the rheumatologist's ability to assess RA disease activity and progression. This review serves as a five-year update to our previous publication on the contemporary role of imaging in RA, emphasizing the continued importance of MSUS and MRI in clinical practice and their expanding utility. The review examines the role of MSUS in diagnosing RA, differentiating RA from mimickers, scoring systems and quality control measures, novel longitudinal approaches to disease monitoring, and patient populations that may benefit most from MSUS. It also examines the role of MRI in diagnosing pre-clinical and early RA, disease activity monitoring, research and clinical trials, and development of alternative scoring approaches utilizing artificial intelligence. Finally, the role of MRI in RA diagnosis and management is summarized, and selected practice points offer key tips for integrating MSUS and MRI into clinical practice.

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超声和MRI在类风湿关节炎中的临床应用：专家综述。

肌肉骨骼超声（MSUS）和磁共振成像（MRI）是先进的成像技术，在类风湿性关节炎（RA）的诊断和治疗中越来越重要，并显著提高了风湿病学家评估RA疾病活动和进展的能力。这篇综述是对我们之前发表的关于当代影像学在RA中的作用的5年更新，强调了MSUS和MRI在临床实践中的持续重要性及其不断扩大的应用。这篇综述探讨了MSUS在诊断RA、区分RA与模仿者、评分系统和质量控制措施、疾病监测的新型纵向方法以及可能从MSUS中获益最多的患者群体中的作用。它还探讨了MRI在诊断临床前和早期RA、疾病活动监测、研究和临床试验以及利用人工智能开发替代评分方法中的作用。最后，总结了MRI在RA诊断和治疗中的作用，并提出了将MSUS与MRI结合到临床实践中的关键提示。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Best Practice & Research in Clinical Rheumatology 医学-风湿病学

CiteScore

9.40

自引率

0.00%

发文量

审稿时长

27 days

期刊介绍： Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.