《关节病影像学诊断》.ppt

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1、整理课件整理课件整理课件整理课件整理课件整理课件整理课件整理课件整理课件整理课件sacroiliitisGrade 0 2 unilateralGrade 2 bilateral Grad 4uSpAASThe radiographic cut - off between AS and uSpA as defined by the 1984 New York criteria整理课件整理课件整理课件整理课件整理课件整理课件van Tubergen A et al. Ann Rheum Dis. 2003 Jun;62(6):519-25整理课件骶髂关节面局限于骨密度增高，长约23cm，似三角形

2、，与周围正常骨组织分界清楚，关节隙正常，无虫蚀样骨侵蚀。好发于2025岁女性.整理课件整理课件整理课件整理课件整理课件整理课件 滑膜增厚、滑膜增厚、强化强化 血管翳血管翳整理课件A role for MRI in the diagnosis of early sacroiliitis in SpA (in the pre-radiographic state)Active sacroiliac inflammationAsk for appropriate technique to detect inflammation !Braun J et al. Arthritis Rheum 1994

3、T1T2整理课件What is the relative value of X-rays and MRI in the diagnosis of a patient with early SpA and predominant axial symptoms ?early,active (MRI) and chronic (X-ray) changesBraun J et al. Arthritis Rheum 1994; 37:1039;整理课件active spondylitis posteriorBraun J et al. Rheum Dis Clin North Am 1998; 24

4、: 697-735chronic整理课件MRI evidence of peripheral enthesitisfasciitis plantaris, active changes整理课件整理课件整理课件整理课件整理课件整理课件SYNOVITISTENDON DISEASEEROSION整理课件Hau et al . Arthritis Rheum 1999;42(11):2303-8整理课件腱鞘炎腱鞘炎整理课件Wakefield RJ et al Arthritis Rheum 2000;43:2762-709% of small US erosions57 % of moderate/ large US erosions 整理课件整理课件Loss of continuity of extensor tendons (*)Tendon rupture in RASwen et al Rheum 2000整理课件整理课件整理课件整理课件Bakers cyst整理课件整理课件整理课件整理课件