腕关节动态MRI增强在早早期类风湿性关节炎诊断中的价值  

Dynamic enhanced MRI of the wrist in the value of early diagnosis of rheumatoid arthritis

作　　者：张志田[1] 闻建民[1] 陈瑶[1] 王新昌[1] 唐栋[1] 郦妙尔[1] 金霞萍[1] 

机构地区：[1]浙江中医药大学附属第二医院放射科,浙江杭州310005

出　　处：《医学影像学杂志》2013年第10期1628-1630,共3页Journal of Medical Imaging

基　　金：浙江省中医药管理局课题;项目编号:2011ZA041

摘　　要：目的探讨动态增强MRI评估腕关节滑膜改变在早早期类风湿性关节炎中的诊断价值。方法对ACR/EULAR评分小于6分的25例患者腕关节进行MR成像,动态随访观察滑膜的改变,分析腕关节滑膜MRI评分与类风湿性关节炎的相关性。结果 25例患者均进行了MRI检查,所有病例均进行了随访,对12例怀疑有滑膜改变的患者进行了增强检查,滑膜轻度增厚10例,2例未见明显强化。结论 MRI增强扫描在动态随访观察早早期类风湿性关节炎中具有较好的价值,为临床早期干预提供理论依据。Objective Explore the dynamic contrast-enhanced MRI assessment of carpal synovial changes in the diagnostic value of early rheumatoid arthritis. Methods ACR/EULAR score less than 6 of the 25 patients were done with wrist MR imaging, and dynamic follow-up observation of changes in synovial. We analysised the correlation of wrist synovial MRI score with early rheumatoid arthritis. Results All the 25 patients were detected by MRI, and underwent follow-up. 12 patients Synovial changes with suspected patients were checked by enhanced MRI, including 10 cases with the synovial mild thickening and two cases with no significant strengthening. Conclusion Enhanced MRI has good value in a dynamic follow-up observation of early rheumatoid arthritis and provide a theoretical basis for early clinieal intervention.

关 键 词：类风湿关节炎 腕关节 磁共振成像 滑膜炎 

分 类 号：R445.2[医药卫生—影像医学与核医学] R593.32[医药卫生—诊断学]